| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w9774 |
| 来源ID | Working Paper 9774 |
| The Effects of Private Insurance on Measures of Health: Evidence from the Health and Retirement Study | |
| Avi Dor; Joseph Sudano; David W. Baker | |
| 发表日期 | 2003-06-16 |
| 出版年 | 2003 |
| 语种 | 英语 |
| 摘要 | In this paper we investigate whether the presence of private insurance leads to improved health status. Using the Health and Retirement study we focus on adults in late middle age who are nearing entry into Medicare. Estimation addresses endogeneity of the insurance participation decision in health outcome regressions. Two models are tested, an instrumental variables models, and a model with endogenous treatment effects due to Heckman (1978). Insurance participation and health behaviors enter with a lag to allow their effects to dissipate over time. Separate regressions were run for groupings of chronic conditions. We find that the overall impact of insurance on health tends to be significantly downwards biased if no adjustment for endogeneity is made. With corrections there is a four-fold increase in the insurance effect; yielding a 7 percent increase in the overall health measure for the uninsured. Results are consistent across IV and treatment effects models, and for all major groupings of medical conditions. Thus, the effect of private insurance on health may be larger than previously estimated. As for policy, expanding coverage to the uninsured should result in substantial health improvement. By conjecture, this is likely to reduce the need for health care when individuals retire and enter Medicare, potentially leading to savings. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w9774 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/567400 |
| 推荐引用方式 GB/T 7714 | Avi Dor,Joseph Sudano,David W. Baker. The Effects of Private Insurance on Measures of Health: Evidence from the Health and Retirement Study. 2003. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w9774.pdf（209KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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