Are the poor less healthy? Does public health spending matter more to
them? We decompose aggregate health indicators using a random coeffici
ents model in which the aggregates are regressed on the population dis
tribution by subgroups, taking account of the statistical properties o
f the error term. This also allows us to test possible determinants of
the variation in the underlying subgroup indicators. The approach is
implemented with data on health outcomes and poverty measures for 35 d
eveloping countries. We find that poor people have appreciably worse h
ealth status on average than others, and that differences in public he
alth spending tend to matter more to the poor.