Dobkin Carlos, Finkelstein Amy, Kluender Raymond, Notowidigdo Matthew J
University of California Santa Cruz, 1156 High Street, Santa Cruz, CA 95064, and NBER.
Department of Economics, MIT, 77 Massachusetts Avenue, Cambridge, MA 02139, and NBER.
Am Econ Rev. 2018 Feb;102(2):308-352. doi: 10.1257/aer.20161038.
We use an event study approach to examine the economic consequences of hospital admissions for adults in two datasets: survey data from the Health and Retirement Study, and hospitalization data linked to credit reports. For non-elderly adults with health insurance, hospital admissions increase out-of-pocket medical spending, unpaid medical bills and bankruptcy, and reduce earnings, income, access to credit and consumer borrowing. The earnings decline is substantial compared to the out-of-pocket spending increase, and is minimally insured prior to age-eligibility for Social Security Retirement Income. Relative to the insured non-elderly, the uninsured non-elderly experience much larger increases in unpaid medical bills and bankruptcy rates following a hospital admission. Hospital admissions trigger less than 5 percent of all bankruptcies.
我们采用事件研究方法,在两个数据集中考察成年住院患者的经济后果:健康与退休研究的调查数据,以及与信用报告相关联的住院数据。对于有医疗保险的非老年成年人,住院会增加自付医疗费用、未支付的医疗账单并导致破产,同时减少收入、收益、信贷获取和消费者借贷。与自付费用的增加相比,收入下降幅度很大,并且在符合社会保障退休收入年龄资格之前,收入下降几乎没有得到保险保障。相对于有保险的非老年人,未参保的非老年人在住院后未支付的医疗账单和破产率增幅要大得多。住院引发的破产在所有破产案例中占比不到5%。