Local Fiscal Pressure and Public Health: Evidence from China
Abstract
:1. Introduction
2. Literature Review and Hypothesis Development
2.1. Literature Review
2.2. Theoretical Background
2.3. Hypothesis Development
3. Method and Data
3.1. Empirical Models
3.2. Variable Definitions
3.2.1. Core Independent Variable
3.2.2. Dependent Variable
3.2.3. Mediator Variables
3.2.4. Control Variables
3.2.5. Data Sources
4. Empirical Results and Discussion
4.1. Basic Empirical Results Analysis
4.2. Robustness Checks
4.3. Mechanism Analysis
4.4. Heterogeneity Analysis
5. Conclusions and Policy Implications
5.1. Conclusions
5.2. Policy Implications
- (1)
- Optimizing the fiscal system. The primary cause of LFP is the mismatch between financial and administrative powers. Accordingly, reducing the negative impact of fiscal pressure on public health requires starting from the central–local fiscal system. The tax revenue of local governments should be appropriately increased and the responsibility of local governments in terms of fiscal power and responsibility of affairs must be balanced. In addition, to optimize the tax-sharing system, the central government should appropriately decentralize fiscal power and increase the tax revenue of local governments, while increasing the right of local governments to self-management. Moreover, local governments should have sufficient funds to invest in public livelihood.
- (2)
- Accelerating industrial upgrading. Local governments should increase their efforts to eliminate their dependence on resource-intensive industries, accelerate the upgrading of local industries to high-tech industries, and form an economic system and development model with innovation as the main leader. Industrial assistance from the eastern region to the central and western regions should be strengthened. Innovative green technologies should be introduced to reduce the impact of environmental pollution on public health.
- (3)
- Improving the appraisal system of local officers. To alleviate local government officials’ excessive focus on GDP, it is necessary to evaluate these local officials from multiple perspectives, adjust the proportion of local economic development in the evaluation system, and increase the proportion of public livelihood facilities construction in the evaluation system. People’s subjective evaluation of public health facilities should be incorporated into the appraisal system.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Classification | Variables | Obs. | Mean | Std. Dev. | Min | Max |
---|---|---|---|---|---|---|
Dependent Variable | PublicHealth | 651 | 6.023 | 0.723 | 4.210 | 7.980 |
Independent Variables | lnLFP | 651 | 0.349 | 0.865 | −2.137 | 3.026 |
Mediator Variables | SPC | 651 | 569.437 | 559.838 | 18.103 | 3944.535 |
ESI | 651 | 0.342 | 0.179 | 0.063 | 0.844 | |
PM | 651 | 1.448 | 1.383 | 0.171 | 7.639 | |
Control Variables | GDPPC | 651 | 35.993 | 28.530 | 2.662 | 164.889 |
INDS | 651 | 1.099 | 0.354 | 0.189 | 2.023 | |
RP | 651 | 4310.578 | 2775.093 | 258.000 | 12,624.000 | |
URBAN | 651 | 51.518 | 15.777 | 19.328 | 89.600 |
Dependent Variable (Mortality) | ||
---|---|---|
(1) | (2) | |
lnLFP | 0.4284 *** | 0.4933 *** |
(0.0929) | (0.0860) | |
GDPPC | −0.0078 *** | |
(0.0021) | ||
INDS | −0.2712 *** | |
(0.0949) | ||
POP | 0.0004 *** | |
(0.0001) | ||
URBAN | −0.0265 *** | |
(0.0078) | ||
Constant | 5.8738 *** | 6.1743 *** |
(0.0351) | (0.4892) | |
Observations | 651 | 651 |
Province FE | YES | YES |
Year FE | YES | YES |
Adjusted R2 | 0.752 | 0.776 |
−0.98 | −1.01 | |
(0.328) | (0.313) |
Dependent Variable (Mortality) | |||
---|---|---|---|
(1) | (2) | (3) | |
Cluster | L.lnLFP | 2sls | |
lnLFP | 0.4933 *** | 1.0167 *** | |
(0.1424) | (0.1786) | ||
L.lnLFP | 0.4352 *** | ||
(0.0858) | |||
Constant | 6.1743 *** | 6.5581 *** | 6.7135 *** |
(1.1999) | (0.4913) | (0.3496) | |
Observations | 651 | 620 | 620 |
Control Variables | YES | YES | YES |
Province FE | YES | YES | YES |
Year FE | YES | YES | YES |
R-squared | 0.795 | 0.802 | - |
K-P Wald F | - | - | 51.70 |
Province Cluster | 31 | - | - |
First Mechanism | Second Mechanism | Third Mechanism | ||||
---|---|---|---|---|---|---|
(1) | (2) | (3) | (4) | (5) | (6) | |
SPC | Mortality | ESI | Mortality | PM | Mortality | |
lnLFP | −202.3652 *** | 0.3624 *** | 0.0259 ** | 0.4713 *** | 0.3619 *** | 0.4283 *** |
(51.1395) | (0.0903) | (0.0131) | (0.0873) | (0.0994) | (0.0857) | |
SPC | −0.0006 *** | |||||
(0.0001) | ||||||
ESI | 0.8497 *** | |||||
(0.3144) | ||||||
PM | 0.1798 *** | |||||
(0.0651) | ||||||
Constant | 1638.6930 *** | 7.2343 *** | −0.6707 *** | 6.7442 *** | −0.4122 | 6.2484 *** |
(196.0541) | (0.5071) | (0.0667) | (0.5666) | (0.4366) | (0.4728) | |
Observations | 651 | 651 | 651 | 651 | 651 | 651 |
Control Variables | YES | YES | YES | YES | YES | YES |
Province FE | YES | YES | YES | YES | YES | YES |
Year FE | YES | YES | YES | YES | YES | YES |
Adjusted R2 | 0.917 | 0.797 | 0.936 | 0.798 | 0.961 | 0.800 |
Dependent Variable (Mortality) | ||
---|---|---|
(1) Eastern Region | (2) Other Regions | |
LFP | 0.1949 | 0.6144 *** |
(0.1197) | (0.1333) | |
Constant | 4.2418 *** | 8.8684 *** |
(0.8904) | (0.7879) | |
Observations | 231 | 420 |
Control Variables | YES | YES |
Province FE | YES | YES |
Year FE | YES | YES |
R-squared | 0.839 | 0.803 |
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Zhang, X.; Feng, T.; Wang, C.; Li, C. Local Fiscal Pressure and Public Health: Evidence from China. Int. J. Environ. Res. Public Health 2023, 20, 5126. https://doi.org/10.3390/ijerph20065126
Zhang X, Feng T, Wang C, Li C. Local Fiscal Pressure and Public Health: Evidence from China. International Journal of Environmental Research and Public Health. 2023; 20(6):5126. https://doi.org/10.3390/ijerph20065126
Chicago/Turabian StyleZhang, Xu, Tianchu Feng, Chengjun Wang, and Chaozhu Li. 2023. "Local Fiscal Pressure and Public Health: Evidence from China" International Journal of Environmental Research and Public Health 20, no. 6: 5126. https://doi.org/10.3390/ijerph20065126