Social welfare and economic equality: healthcare expenditure as a moderator

IntroductionThis study aims to examine the impact of social welfare expenditure on household economic equality, as well as the moderating effect of healthcare expenditure on this relationship. Additionally, the study seeks to propose policy recommendations to address universal health issues and enha...

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Main Author: Gai Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1547027/full
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author Gai Liu
author_facet Gai Liu
author_sort Gai Liu
collection DOAJ
description IntroductionThis study aims to examine the impact of social welfare expenditure on household economic equality, as well as the moderating effect of healthcare expenditure on this relationship. Additionally, the study seeks to propose policy recommendations to address universal health issues and enhance the overall level of national welfare.MethodsUtilizing the CFPS database, this study employs a two-way fixed effects model, along with moderating effect models, to investigate the impacts of social welfare expenditure, household healthcare expenditures, family education expenditures, and household housing expenditures on the advancement of household economic equality.ResultsThis study found that for every 1% increase in social welfare expenditure, family economic equality can be improved by 0.033. However, the study also revealed a decrease of 0.069 in the employment quality of the head of the household, indicating that social welfare expenditure negatively impacts this employment quality. Additionally, the moderating effect analysis demonstrated a significantly negative interaction between healthcare expenditure and social welfare expenditure, suggesting that family healthcare expenditure diminishes the positive effect of social welfare expenditure on the advancement of family economic equality.ConclusionThe government should optimize and expand the level and efficiency of social welfare expenditure. For instance, the government could implement a ‘universal free medical care’ policy. Specific measures may include waiving medical insurance premiums, ensuring full reimbursement, and adopting a ‘treatment first, settlement later’ system. These initiatives will effectively alleviate the economic burden of health-related issues on families and promote equitable development of family economies. Furthermore, the government should also enhance policies related to employment quality. Such measures will contribute to optimizing the level and efficiency of social welfare expenditure, fostering economic equality, and narrowing the gap between the rich and the poor.
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spelling doaj-art-2b45a581d3b44264a6d914a369337b2f2025-08-20T02:18:33ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-04-011310.3389/fpubh.2025.15470271547027Social welfare and economic equality: healthcare expenditure as a moderatorGai LiuIntroductionThis study aims to examine the impact of social welfare expenditure on household economic equality, as well as the moderating effect of healthcare expenditure on this relationship. Additionally, the study seeks to propose policy recommendations to address universal health issues and enhance the overall level of national welfare.MethodsUtilizing the CFPS database, this study employs a two-way fixed effects model, along with moderating effect models, to investigate the impacts of social welfare expenditure, household healthcare expenditures, family education expenditures, and household housing expenditures on the advancement of household economic equality.ResultsThis study found that for every 1% increase in social welfare expenditure, family economic equality can be improved by 0.033. However, the study also revealed a decrease of 0.069 in the employment quality of the head of the household, indicating that social welfare expenditure negatively impacts this employment quality. Additionally, the moderating effect analysis demonstrated a significantly negative interaction between healthcare expenditure and social welfare expenditure, suggesting that family healthcare expenditure diminishes the positive effect of social welfare expenditure on the advancement of family economic equality.ConclusionThe government should optimize and expand the level and efficiency of social welfare expenditure. For instance, the government could implement a ‘universal free medical care’ policy. Specific measures may include waiving medical insurance premiums, ensuring full reimbursement, and adopting a ‘treatment first, settlement later’ system. These initiatives will effectively alleviate the economic burden of health-related issues on families and promote equitable development of family economies. Furthermore, the government should also enhance policies related to employment quality. Such measures will contribute to optimizing the level and efficiency of social welfare expenditure, fostering economic equality, and narrowing the gap between the rich and the poor.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1547027/fullsocial welfare expenditureeconomic equality developmenthealthcare expendituresmoderating effectfree medical care
spellingShingle Gai Liu
Social welfare and economic equality: healthcare expenditure as a moderator
Frontiers in Public Health
social welfare expenditure
economic equality development
healthcare expenditures
moderating effect
free medical care
title Social welfare and economic equality: healthcare expenditure as a moderator
title_full Social welfare and economic equality: healthcare expenditure as a moderator
title_fullStr Social welfare and economic equality: healthcare expenditure as a moderator
title_full_unstemmed Social welfare and economic equality: healthcare expenditure as a moderator
title_short Social welfare and economic equality: healthcare expenditure as a moderator
title_sort social welfare and economic equality healthcare expenditure as a moderator
topic social welfare expenditure
economic equality development
healthcare expenditures
moderating effect
free medical care
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1547027/full
work_keys_str_mv AT gailiu socialwelfareandeconomicequalityhealthcareexpenditureasamoderator