Jappelli Tullio, Pistaferri Luigi, Weber Guglielmo
University of Salerno, Italy.
Health Econ. 2007 Apr;16(4):327-46. doi: 10.1002/hec.1172.
We argue that health care quality has an important impact on economic inequality and on saving behavior. We exploit district-wide variability in health care quality provided by the Italian universal public health system to identify the effect of quality on income inequality, health inequality and precautionary saving. We find that in lower quality districts there is greater income and health dispersion and higher precautionary saving. The analysis carries important insights for the ongoing debate about the validity of the life-cycle model and interesting policy implications for the design of health care systems.
我们认为，医疗保健质量对经济不平等和储蓄行为具有重要影响。我们利用意大利全民公共卫生系统所提供的医疗保健质量在地区层面的差异，来确定质量对收入不平等、健康不平等和预防性储蓄的影响。我们发现，在医疗保健质量较低的地区，收入和健康的差距更大，预防性储蓄也更高。该分析为当前关于生命周期模型有效性的辩论提供了重要见解，并为医疗保健系统的设计带来了有趣的政策启示。
