University of Chicago, Harris School of Public Policy, 1155 East 60th Street, Chicago, IL 60637, United States.
J Health Econ. 2013 Sep;32(5):938-50. doi: 10.1016/j.jhealeco.2013.07.004. Epub 2013 Jul 25.
Many countries are moving from employer-based to universal health coverage, which can generate crowd out. In Mexico, Seguro Popular provides public health coverage to the uninsured. Using the gradual roll-out of the system at the municipality level, we estimate that Seguro Popular had no effect on informality in the overall population. Informality did increase by 1.7% for less educated workers, but the wage gains for workers who switch between the formal and the informal sector were not significantly affected. This suggests that marginal workers do not choose between formal and informal jobs on the basis of health insurance coverage.
许多国家正在从雇主为基础的医疗保险模式向全民医疗保险模式转变，这可能会产生挤出效应。在墨西哥，Seguro Popular 为没有保险的人提供公共医疗保险。利用该系统在市级层面的逐步推出，我们估计 Seguro Popular 对整个人口的非正规性没有影响。非正规性确实增加了 1.7%，但在正规和非正规部门之间转换的工人的工资增长并没有受到显著影响。这表明，边缘工人并不是根据医疗保险覆盖范围来选择正规和非正规工作。
