Liu Kai
Faculty of Economics, University of Cambridge, Sidgwick Avenue, Cambridge CB3 9DD, UK; IZA, Germany.
J Health Econ. 2016 Mar;46:16-32. doi: 10.1016/j.jhealeco.2016.01.002. Epub 2016 Jan 13.
This paper provides empirical evidence on the role of public health insurance in mitigating adverse outcomes associated with health shocks. Exploiting the rollout of a universal health insurance program in rural China, I find that total household income and consumption are fully insured against health shocks even without access to health insurance. Household labor supply is an important insurance mechanism against health shocks. Access to health insurance helps households to maintain investment in children's human capital during negative health shocks, which suggests that one benefit of health insurance could arise from reducing the use of costly smoothing mechanisms.
本文提供了关于公共医疗保险在减轻与健康冲击相关的不良后果方面作用的实证证据。利用中国农村地区一项全民医疗保险计划的推出,我发现即使没有医疗保险,家庭总收入和消费也能完全抵御健康冲击。家庭劳动力供给是抵御健康冲击的重要保险机制。获得医疗保险有助于家庭在负面健康冲击期间维持对儿童人力资本的投资,这表明医疗保险的一个好处可能来自于减少对昂贵平滑机制的使用。