| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w28913 |
| 来源ID | Working Paper 28913 |
| The Impact of a Private Supplement to Public Health Care: The Mexico Diabetes Experiment | |
| Ari Bronsoler; Jonathan Gruber; Enrique Seira | |
| 发表日期 | 2021-06-14 |
| 出版年 | 2021 |
| 语种 | 英语 |
| 摘要 | There are ongoing debates around the world over the value of private supplements to public health insurance systems. We investigate this issue in the context of one of the world’s deadliest diseases, diabetes, and one of the countries with the worst diabetes problems in the world, Mexico. We implement a novel deniers randomization approach to cost-effectively provide a causal estimate of enrollment in private supplement to the free public health system. Our final sample of more than 1000 diabetics randomized into a large price subsidy for enrollment in the private plan is well balanced. We estimate enormous impacts of the private supplement, with HbA1c blood sugar levels falling by a full point (relative to a control mean of 8.5%), and to increase the share of those treated who are under control by 69%. We show that this effect arises through both improved treatment compliance and health behaviors, and that diabetes complications fall even in the short run. The net costs of this intervention are at most one-third of the gross costs due to offsetting public sector savings, and the health benefits are many multiples of gross costs. But the returns to private care do not appear to reflect more productive delivery of care per visit, which is comparable in a separate quasi-experimental analysis of public insurance; rather, effects arise through more attachment to medical care in the private alternative. |
| 主题 | Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w28913 |
| 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/586587 |
| 推荐引用方式 GB/T 7714 | Ari Bronsoler,Jonathan Gruber,Enrique Seira. The Impact of a Private Supplement to Public Health Care: The Mexico Diabetes Experiment. 2021. |
| 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 | ||
| w28913.pdf（586KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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