The Healthcare Cost of Air Pollution: Evidence from the World’s Largest Payment Network
Using the universe of credit- and debit-card transactions in China during 2013-2015, this paper provides the first nationwide analysis of the healthcare cost of PM2.5. We leverage spatial spillovers of PM2.5 from long-range transport for exogenous variation in local pollution and employ a flexible distributed lag model to capture semiparametrically the dynamic response of pollution exposure. Our analysis shows significant impacts of PM2.5 on healthcare spending in both the short and medium terms. A 10 mg/m3 decrease in PM2.5 would reduce annual healthcare spending by more than $9.2 billion, about 1.5% of China’s annual healthcare expenditure.
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Copy CitationPanle Jia Barwick, Shanjun Li, Deyu Rao, and Nahim Bin Zahur, "The Healthcare Cost of Air Pollution: Evidence from the World’s Largest Payment Network," NBER Working Paper 24688 (2018), https://doi.org/10.3386/w24688.Download Citation
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Published Versions
Panle Jia Barwick & Shanjun Li & Deyu Rao & Nahim Bin Zahur, 2026. "The Health Care Cost of Air Pollution: Evidence from the World's Largest Payment Network," The Review of Economics and Statistics, MIT Press, vol. 108(1), pages 110-128, January, DOI: 10.1162/rest_a_01430. citation courtesy of ![]()