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Topics in Health Economics Winter 2023
ECON 456 / ECON 643

Published Jan 11, 2023

Class Schedule

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Instructor & TA (Teaching Assistant) Information

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Course Description

ECON 456

This course explores the theories and models developed to study the health and health-care sectors from an economic viewpoint. The course will focus on the economic tools necessary to evaluate the efficiency of the market for, and the efficient allocation of scarce resources in, health and health care. Examples of possible topics to be covered are the nature of the market, supply and demand of health care, asymmetries of information, externalities, principal-agent relationships, insurance, and cost-benefit analysis.

Prereq: ECON 301 or 393; one of ECON 321, 323, STAT 221, 231, 241; Honours students or Economics majors

ECON 643

This course introduces students to the role of economics in health care and health policy. It is meant to be a survey of major topics in health economics and an introduction to the ongoing debate over health care policy. Topics include the economic determinants of health and health policy, the market for medical care, the market for health insurance, and the role of the government in health care, and health care reform.

Learning Outcomes

By the end of this course students should be able to:
Identify the different stakeholders in the health care system, their objectives and the constraints they face, using economic models
Describe the different sources of market failure in health and health care that justify governmental intervention
Critically evaluate the tradeoffs between different types of equity and efficiency in setting priorities in a health care system
Write concise reports that examine a health economics problem and formulate arguments based on economic theory to contribute to the scientific debate in the field
Using data and econometrics, analyze a health economics problem

Tentative Course Schedule

WeekDateTopicReadingsActivities and AssignmentsDue DateWeight (%)
1Jan 9-15IntroductionCh 1   
2Jan 16-22Efficiency & EquityCh 2Short Paper 1Jan 2210%
3Jan 23-29Demand & Production of HealthCh 5   
4Jan 30-Feb 5Health DeterminantsCh 6Short Paper 2Feb 510%
5Feb 6-12Health care as an economic commodityCh 7Term Paper ProposalFeb 815%
6Feb 13-17Demand for Health CareCh 8   
  READING WEEK
7Feb 18-26     
  READING WEEK
7Feb 27-Mar 5InsuranceCh 9 & 10Short Paper 3Feb 2710%
8Mar 6-12Health Care Finance & FundingCh 11  & 12

Short Paper 4

 

Mar 1210%
9Mar 13-19MDs & HospitalsCh 13 & 14

Short Paper 5

 

Mar 19

 

10%

 

10Mar 20-26PharmaceuticalsCh 15   
11Mar 27-Apr 2Comparative Health Systems Short Paper 6Mar 3010%
12Apr 3-Apr 10Long Term Care Term PaperApr 1035 %

Readings

All chapter references are from Hurley, J. E., Health Economics, 1st edition, McGraw-Hill Ryerson, 2010, 434 p.

Texts / Materials

Title / Name Notes / Comments Required
Hurley, J. E. Health Economics, 1st edition, McGraw-Hill Ryerson, 2010, 434 p. Yes

This book is out of print but is available electronically for purchase (see below) - it is also on reserve at the Dana Porter Library (physical copy). While I will follow the general structure of Hurley, other readings are added; a complete reference list has been posted on Learn.

 

Link to purchase e-copy of Hurley: https://campusstore.mcmaster.ca/cgi-mcm/ws/txsub.pl?wsTERMG1=000&wsTERMDESC1=Ongoing&wsDEPTG1=HTH_ECONOMICS&wsDEPTDESC1=HTH+ECONOMICS+-+Health+Economics+-+Jeremiah+Hurley&wsCOURSEG1=ALL&wsSECTIONG1=ALL&programG1=Health+Economics&crit_cnt=1

Student Assessment

Component Value
Bi-Weekly Written Assignments 10% each, best 5 of 6 for a total of 50%
Term Paper Proposal 15%
Term Paper 35%

All assignments, the term paper and the paper proposal will be handed in through dropboxes on D2L. 

Late assignments will be subject to a 10% penalty per day that they are late, if there is no documented reason for being late. Acceptable types of documentation are typically a VIF, a letter from a medical or other professional or a declaration of absence on Quest. These guidelines are flexible: please email the instructor if needed. Students have one slip day to use as they please throughout the term. This slip day enables students to hand in an assignment (short paper, term paper or paper proposal) 24 hours late penalty free. When using the slip day, students are asked to document this in the comment box in the dropbox on D2L.

Assignment Screening

Text matching software (Turnitin) will be used to screen assignments in this course. This is being done to verify that use of all material and sources in assignments is documented. In the first week of the term, details will be provided about the arrangements for the use of Turnitin and alternatives in this course. See Administrative Policy below for more information and links.

Administrative Policy

Territorial Acknowledgement

We acknowledge that we are living and working on the traditional territory of the Attawandaron (also known as Neutral), Anishinaabe and Haudenosaunee peoples. The University of Waterloo is situated on the Haldimand Tract, the land promised to the Six Nations that includes ten kilometres on each side of the Grand River.

For more information about the purpose of territorial acknowledgements, please see the CAUT Guide to Acknowledging Traditional Territory.

Intellectual Property

Students should be aware that this course contains the intellectual property of their instructor, TA, and/or the University of Waterloo. 

Intellectual property includes items such as:

  • Lecture content, spoken and written (and any audio/video recording thereof);
  • Lecture handouts, presentations, and other materials prepared for the course (e.g., PowerPoint slides);
  • Questions or solution sets from various types of assessments (e.g., assignments, quizzes, tests, final exams); and
  • Work protected by copyright (e.g., any work authored by the instructor or TA or used by the instructor or TA with permission of the copyright owner).

Course materials and the intellectual property contained therein, are used to enhance a student’s educational experience. However, sharing this intellectual property without the intellectual property owner’s permission is a violation of intellectual property rights.  For this reason, it is necessary to ask the instructor, TA and/or the University of Waterloo for permission before uploading and sharing the intellectual property of others online (e.g., to an online repository).

Permission from an instructor, TA or the University is also necessary before sharing the intellectual property of others from completed courses with students taking the same/similar courses in subsequent terms/years.  In many cases, instructors might be happy to allow distribution of certain materials. However, doing so without expressed permission is considered a violation of intellectual property rights.

Please alert the instructor if you become aware of intellectual property belonging to others (past or present) circulating, either through the student body or online. The intellectual property rights owner deserves to know (and may have already given their consent).

Academic freedom at the University of Waterloo

Policy 33, Ethical Behaviour states, as one of its general principles (Section 1), “The University supports academic freedom for all members of the University community. Academic freedom carries with it the duty to use that freedom in a manner consistent with the scholarly obligation to base teaching and research on an honest and ethical quest for knowledge. In the context of this policy, 'academic freedom' refers to academic activities, including teaching and scholarship, as is articulated in the principles set out in the Memorandum of Agreement between the FAUW and the University of Waterloo, 1998 (Article 6). The academic environment which fosters free debate may from time to time include the presentation or discussion of unpopular opinions or controversial material. Such material shall be dealt with as openly, respectfully and sensitively as possible.” This definition is repeated in Policies 70 and 71, and in the Memorandum of Agreement, Section 6

Chosen/Preferred First Name

Do you want professors and interviewers to call you by a different first name? Take a minute now to verify or tell us your chosen/preferred first name by logging into WatIAM.

Why? Starting in winter 2020, your chosen/preferred first name listed in WatIAM will be used broadly across campus (e.g., LEARN, Quest, WaterlooWorks, WatCard, etc). Note: Your legal first name will always be used on certain official documents. For more details, visit Updating Personal Information.

Important notes

  • If you included a preferred name on your OUAC application, it will be used as your chosen/preferred name unless you make a change now.
  • If you don’t provide a chosen/preferred name, your legal first name will continue to be used.

Mental Health Support

All of us need a support system. The faculty and staff in Arts encourage students to seek out mental health support if they are needed.

On Campus

Due to COVID-19 and campus closures, services are available only online or by phone.

  • Counselling Services:  counselling.services@uwaterloo.ca / 519-888-4567 ext. 32655
  • MATES:  one-to-one peer support program offered by the Waterloo Undergraduate Student Association (WUSA) and Counselling Services

Off campus, 24/7

  • Good2Talk:  Free confidential help line for post-secondary students. Phone: 1-866-925-5454
  • Grand River Hospital: Emergency care for mental health crisis. Phone: 519-749-4300 ext. 6880
  • Here 24/7: Mental Health and Crisis Service Team. Phone: 1-844-437-3247
  • OK2BME: set of support services for lesbian, gay, bisexual, transgender or questioning teens in Waterloo.  Phone: 519-884-0000 extension 213

Full details can be found online on the Faculty of Arts website

Download UWaterloo and regional mental health resources (PDF)

Download the WatSafe app to your phone to quickly access mental health support information.

Economics Department Deferred Final Exam Policy

All deferred Final Exam requests for economics courses are administered by the Economics Undergraduate Office. Please consult the Deferred Exam Policy at 

https://uwaterloo.ca/economics/undergraduate/resources-and-policies/deferred-final-exam-policy.


Policy in case of illness and VIFs

You will be granted an extension if you are ill or if extenuating circumstances apply to your situation. To document illnesses, please use the Arts Accommodations and Illness page to upload your VIF rather than emailing it to me. All VIFs will be centrally administered and documented through this page. This system will also keep track of self-reported absences from campus and absences due to COVID.

University Policy

Academic integrity: In order to maintain a culture of academic integrity, members of the University of Waterloo community are expected to promote honesty, trust, fairness, respect and responsibility. [Check the Office of Academic Integrity for more information.]

Grievance: A student who believes that a decision affecting some aspect of their university life has been unfair or unreasonable may have grounds for initiating a grievance. Read Policy 70, Student Petitions and Grievances, Section 4. When in doubt, please be certain to contact the department’s administrative assistant who will provide further assistance.

Discipline: A student is expected to know what constitutes academic integrity to avoid committing an academic offence, and to take responsibility for their actions. [Check the Office of Academic Integrity for more information.] A student who is unsure whether an action constitutes an offence, or who needs help in learning how to avoid offences (e.g., plagiarism, cheating) or about “rules” for group work/collaboration should seek guidance from the course instructor, academic advisor, or the undergraduate associate dean. For information on categories of offences and types of penalties, students should refer to Policy 71, Student Discipline. For typical penalties, check Guidelines for the Assessment of Penalties.

Appeals: A decision made or penalty imposed under Policy 70, Student Petitions and Grievances (other than a petition) or Policy 71, Student Discipline may be appealed if there is a ground. A student who believes they have a ground for an appeal should refer to Policy 72, Student Appeals.

Note for students with disabilities: AccessAbility Services, located in Needles Hall, Room 1401, collaborates with all academic departments to arrange appropriate accommodations for students with disabilities without compromising the academic integrity of the curriculum. If you require academic accommodations to lessen the impact of your disability, please register with AccessAbility Services at the beginning of each academic term.

Turnitin.com: Text matching software (Turnitin®) may be used to screen assignments in this course. Turnitin® is used to verify that all materials and sources in assignments are documented. Students' submissions are stored on a U.S. server, therefore students must be given an alternative (e.g., scaffolded assignment or annotated bibliography), if they are concerned about their privacy and/or security. Students will be given due notice, in the first week of the term and/or at the time assignment details are provided, about arrangements and alternatives for the use of Turnitin in this course.

It is the responsibility of the student to notify the instructor if they, in the first week of term or at the time assignment details are provided, wish to submit alternate assignment.