Georgia State University, Department of Risk Management and Insurance, 35 Broad Street NW, Atlanta, GA 30303, United States.
J Health Econ. 2021 May;77:102454. doi: 10.1016/j.jhealeco.2021.102454. Epub 2021 Mar 22.
This paper studies the labor market effects of the most significant public health insurance expansion in the Americas: Mexico's Seguro Popular (SP). To identify its impact, I exploit the staggered rollout of SP across municipalities. I find that SP increases labor supply by reducing the likelihood of informal workers exiting the labor market. This reduction is driven by women, who experience a 15% decrease in the probability of transitioning from informal employment to inactivity. I also find that this reduction is concentrated among female secondary earners residing in households with dependents. These findings suggest that SP may operate through a novel channel, namely that health insurance enables caregivers to continue working by reducing health shocks among dependents.
本文研究了美洲最重要的公共医疗保险扩张计划——墨西哥的“大众医疗保险”（Seguro Popular，简称 SP）对劳动力市场的影响。为了确定其影响，我利用 SP 在市政当局的交错推出来进行分析。我发现 SP 通过降低非正规工人退出劳动力市场的可能性来增加劳动力供应。这种减少主要是由女性劳动力导致的，她们从非正规就业转为非活跃状态的概率下降了 15%。我还发现，这种减少主要集中在有受抚养人的家庭中，作为次要收入来源的女性。这些发现表明，SP 可能通过一个新的渠道发挥作用，即医疗保险通过减少受抚养人健康冲击，使照顾者能够继续工作。
