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Externality
A cost or benefit that affects a third party not directly involved in a transaction
Negative Externality
A spillover cost where social cost is greater than private cost leading to overproduction
Positive Externality
A spillover benefit where social benefit is greater than private benefit leading to underproduction
Private Cost
The cost paid by producers directly involved in production
Social Cost
The total cost to society including both private cost and external cost
Private Benefit
The benefit received directly by consumers
Social Benefit
The total benefit including both private benefit and external benefit
Marginal External Cost
The additional external cost from producing one more unit
Marginal External Benefit
The additional external benefit from consuming one more unit
Marginal Social Cost (MSC)
The total cost to society of producing one more unit equal to private cost plus external cost
Marginal Social Benefit (MSB)
The total benefit to society of consuming one more unit equal to private benefit plus external benefit
Market Equilibrium
The quantity and price where private supply equals private demand
Socially Efficient Equilibrium
The level of output where marginal social benefit equals marginal social cost
Overproduction
When the market produces more than the socially optimal quantity usually due to a negative externality
Underproduction
When the market produces less than the socially optimal quantity usually due to a positive externality
Internalizing the Externality
Adjusting incentives so that decision makers account for external costs or benefits
Pigovian Tax
A tax equal to the marginal external cost used to reduce overproduction
Pigovian Subsidy
A payment equal to the marginal external benefit used to increase production
Command-and-Control Regulation
Government rules that directly limit or require certain behaviors
Coase Theorem
If transaction costs are low private bargaining will lead to an efficient outcome regardless of initial property rights
Transaction Costs
The time and resources required to negotiate and enforce agreements
Deadweight Loss (DWL)
The loss of total surplus that occurs when a market is not producing at the efficient quantity
Rivalry
A characteristic of a good where one person’s consumption reduces availability for others
Excludability
A characteristic of a good where people can be prevented from using it if they do not pay
Private Goods
Goods that are both rival and excludable
Public Goods
Goods that are nonrival and nonexcludable
Quasi-Public Goods
Goods that are nonrival but excludable
Common Resources
Goods that are rival but nonexcludable
Free-Rider Problem
When people benefit from a good without paying leading to underproduction
Tragedy of the Commons
The overuse of a common resource because it is rival but nonexcludable
Property Rights
Legal ownership that allows a resource to be controlled and managed efficiently
Rent Seeking
Attempts to gain economic benefits through political influence rather than productive activity
Voters’ Paradox
A situation where collective preferences are inconsistent and cyclical
Arrow Impossibility Theorem
No voting system can perfectly convert individual preferences into a fair group decision
Health Care
Goods and services such as drugs and doctor visits used to maintain or improve health
Production Possibilities Frontier (PPF)
A curve showing the maximum combinations of two goods an economy can produce
Catch-up Effect
The tendency for poorer countries to grow faster by adopting existing technologies from richer countries
Lifestyle Choices
Non-medical factors such as diet smoking and exercise that affect health outcomes
Single-Payer System
A healthcare system where the government provides insurance for all but care is delivered privately
Socialized Medicine
A healthcare system where the government owns hospitals and employs medical staff
Universal Health Insurance
A system where all residents are required to have insurance either private or nonprofit
Fee-for-Service
A payment system where providers are paid for each service performed
Supplier-Induced Demand
When doctors influence patients to consume more care than necessary to increase revenue
Wait Times
A non-price method of rationing healthcare services often used in government systems
Asymmetric Information
When one party in a transaction has more information than the other
Adverse Selection
A problem where high-risk individuals are more likely to buy insurance than low-risk individuals
Moral Hazard
A problem where individuals take more risks because they are protected by insurance
Lemons Problem
A situation where low-quality goods or high-risk individuals drive high-quality goods or low-risk individuals out of the market
Principal-Agent Problem
When an agent acts in their own interest instead of the person they represent
Defensive Medicine
Ordering extra tests or procedures to avoid lawsuits rather than for medical necessity
Deductible
The amount a person must pay out of pocket before insurance begins covering costs
Coinsurance
The percentage of costs a patient must pay after meeting the deductible
Copayment
A fixed fee paid at the time of receiving a healthcare service
Premium
The regular payment made to maintain an insurance policy
Risk Pool
A group of individuals whose healthcare costs are shared to determine premiums
Death Spiral
A cycle where rising premiums cause healthy people to drop out leading to even higher premiums
Affordable Care Act (ACA)
A 2010 US law aimed at expanding healthcare coverage and regulating insurance markets
Individual Mandate
A requirement that individuals have insurance or pay a penalty designed to prevent adverse selection
Employer Mandate
A requirement that large employers provide health insurance to employees
Health Insurance Marketplace
Government platforms where individuals can compare and purchase insurance plans
Pre-existing Condition
A health condition present before obtaining insurance which insurers cannot deny coverage for under the ACA
Canada
Canada [A single-payer healthcare system where the government provides insurance for all citizens but care is delivered by private providers with low costs and longer wait times
UK
A socialized medicine system where the government owns hospitals and employs doctors providing universal care funded by taxes
Germany
A universal health insurance system where individuals are required to have nonprofit insurance through competing sickness funds with regulated prices
Japan
A universal health insurance system with mandatory coverage where providers are private but prices are strictly regulated by the government - Universal private systems
The United States of America
A mixed healthcare system with private insurance public programs like Medicare and Medicaid and no fully universal coverage leading to high costs and uneven access
Medicare (United States)
A government program providing health insurance primarily for people age 65 and older
Medicaid (United States)
joint federal and state program providing health insurance for low-income individuals
Affordable Care Act System (United States)
A reform system that expands coverage through mandates subsidies and insurance marketplaces while maintaining private insurance