Kelly Inas Rashad, Markowitz Sara
Department of Economics, Queens College, City University of New York, Flushing, NY 11367, USA.
Inquiry. 2009;46(4):418-32. doi: 10.5034/inquiryjrnl_46.4.418.
Health insurance is widely regarded as essential for financing the production of good health, but is insurance always beneficial for our health? Ex ante moral hazard may induce individuals with insurance to engage in behaviors that they otherwise would not undertake in the absence of insurance. Using data from the 1993-2002 Behavioral Risk Factor Surveillance System, we attempt to isolate the effects of ex ante moral hazard to determine the potential consequence of having health insurance on measures of body weight. In our analyses, we control for a variety of confounding factors that may influence body weight and address the endogenous nature of health insurance. Our results suggest that having insurance is associated with higher body mass but not the probability of being obese.
健康保险被广泛认为是为良好健康状况的产生提供资金的必要条件,但保险对我们的健康总是有益的吗?事前道德风险可能会诱使有保险的个人从事在没有保险的情况下他们原本不会采取的行为。利用1993 - 2002年行为风险因素监测系统的数据,我们试图分离事前道德风险的影响,以确定拥有健康保险对体重指标的潜在后果。在我们的分析中,我们控制了各种可能影响体重的混杂因素,并解决了健康保险的内生性问题。我们的结果表明,拥有保险与更高的体重指数相关,但与肥胖概率无关。