TY - JOUR AU - Cutler, David M AU - Meara, Ellen TI - The Medical Costs of The Young and Old: A Forty Year Perspective JF - National Bureau of Economic Research Working Paper Series VL - No. 6114 PY - 1997 Y2 - July 1997 DO - 10.3386/w6114 UR - http://www.nber.org/papers/w6114 L1 - http://www.nber.org/papers/w6114.pdf N1 - Author contact info: David M. Cutler Department of Economics Harvard University 1875 Cambridge Street Cambridge, MA 02138 Tel: 617/496-5216 Fax: 617/496-8951 E-Mail: dcutler@harvard.edu Ellen Meara Department of Health Management and Policy 677 Huntington Avenue Kresge 404 Boston, MA 02115 Tel: 617/432-4325 E-Mail: emeara@hsph.harvard.edu M1 - published as David M. Cutler, Ellen Meara. "The Medical Costs of the Young and Old: A Forty-Year Perspective," in David A. Wise, editor, "Frontiers in the Economics of Aging" University of Chicago Press (1998) M2 - featured in NBER digest on 1997-12-01 AB - In this paper, we examine the growth in medical care spending by age over the past 40 years. We show that between 1953 and 1987, medical spending increased disproportionately for infants, those under 1 year, and the elderly, those 65 and older. Annual spending growth for infants was 9.8 percent and growth for the elderly was 8.0 percent compared to 4.7 percent for people aged 1-64. Within the infant and the elderly population, excess spending growth was largely driven by more rapid growth of spending at the top of the medical spending distribution. Aggregate changes in outcomes for infants and the elderly are consistent with these changes in spending growth, but we do not present any causal evidence on this point. ER -