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保险作为大流行病治理手段的可能性与局限性。

The possibilities and limits of insurance as governance in insuring pandemics.

作者信息

He Qihao, Faure Michael, Liu Chengwei

机构信息

College of Comparative Law, China University of Political Science and Law, Beijing, China.

Maastricht University, Maastricht, The Netherlands.

出版信息

Geneva Pap Risk Insur Issues Pract. 2023 Mar 21:1-28. doi: 10.1057/s41288-023-00291-z.

DOI:10.1057/s41288-023-00291-z
PMID:37359231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10028328/
Abstract

Insurance can, as has clearly been indicated in the literature, play an important role in dealing with catastrophe risks, not only as a compensation mechanism but also as a mechanism to influence the behaviour of the insured. It is the concept known as 'insurance as governance'. However, we argue that there are limited possibilities for this role as far as the insurance of pandemics is concerned. The traditional technical tools, such as risk-based pricing, are difficult to apply. In addition, there may, ab initio, be serious problems in insuring pandemics within one of the main conditions of insurability (controlling moral hazard through an effective risk differentiation). One remedy that is traditionally applied, more particularly for natural catastrophes, is mandatory coverage. Furthermore, the capacity problem might potentially be solved through a multilayered approach in which, in addition to insurance and reinsurance, the government could also take up a role as reinsurer of last resort. That would also have the major advantage of stimulating market solution (and potentially providing incentives for the mitigation of damages), which clearly fails in a model where the government simply bails out operators. Finally, one important regulatory intervention is that insurers should be better informed than was apparently the case during the last pandemic about exactly which type of risks are covered and which are not.

摘要

正如文献中明确指出的那样,保险在应对巨灾风险方面可以发挥重要作用,不仅作为一种补偿机制,而且作为一种影响被保险人行为的机制。这就是所谓的“保险即治理”的概念。然而,我们认为,就大流行保险而言,这种作用的可能性有限。传统的技术工具,如基于风险的定价,难以应用。此外,从一开始,在可保性的主要条件之一(通过有效的风险区分控制道德风险)内为大流行提供保险可能会存在严重问题。传统上应用的一种补救措施,特别是针对自然灾害的,是强制保险。此外,容量问题可能通过多层方法来解决,其中除了保险和再保险之外,政府还可以作为最后求助的再保险人发挥作用。这也将具有刺激市场解决方案(并可能为减轻损害提供激励)的主要优势,而在政府只是救助运营商的模式中显然无法实现这一点。最后,一项重要的监管干预措施是,与上次大流行期间的情况相比,保险公司应该更清楚地了解哪些类型的风险在承保范围内,哪些不在。