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THE PROVISION OF PUBLIC UNIVERSAL HEALTH INSURANCE: IMPACTS ON PRIVATE INSURANCE, ASSET HOLDINGS, AND WELFARE

Published online by Cambridge University Press:  30 August 2012

Minchung Hsu  and
Junsang Lee
Minchung Hsu
Affiliation:
National Graduate Institute for Policy Studies
Junsang Lee*
Affiliation:
Korea Development Institute
*
Address correspondence to: Junsang Lee, School of Economics, Sungkyunkwan University, Seoul, Korea; e-mail: [email protected].
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Abstract

This paper aims to investigate impacts of public provision of universal health insurance (UHI) in an environment with household heterogeneity and financial market incompleteness. Various UHI polices with both distortionary and nondistortionary financing methods are compared to address the trade-off between risk reduction and tax distortion, as well as the corresponding welfare implications. We use a dynamic equilibrium model with endogenous insurance choice and labor supply decisions to perform quantitative analysis. The results suggest that the UHI expenditure coverage rate is too high in most OECD countries when the distortion effect is considered. We find a clear crowding-out effect on asset holdings. Implications for private health insurance (PHI) purchases when UHI is introduced depend on the pricing and the design of coverage. We find that the rich are sensitive to the price of PHI, and would prefer a supplemental plan when UHI is introduced.

Keywords

Health InsurancePublic PolicyTaxes
Type
Articles
Information
Macroeconomic Dynamics , Volume 17 , Special Issue 6: Equality, Public Insurance, and Monetary Policy , September 2013 , pp. 1252 - 1280
Copyright
Copyright © Cambridge University Press 2012 

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References

REFERENCES

Aiyagari, S. Rao (1995) Optimal capital income taxation with incomplete markets, borrowing constraints, and constant discounting. Journal of Political Economy 103 (6), 1158–1175.CrossRefGoogle Scholar
Aiyagari, S. Rao and McGrattan, Ellen R. (1998) The optimum quantity of debt. Journal of Monetary Economics 42 (3), 447–469.CrossRefGoogle Scholar
Attanasio, Orazio, Kitao, Sagiri, and Violante, Gianluca L. (2010) Financing Medicare: A general equilibrium analysis. NBER Chapters in Demography and the Economy, pp. 333–366. National Bureau of Economic Research.CrossRefGoogle Scholar
Colombo, Francesca and Tapay, Nicole (2004) Private Health Insurance in OECD Countries: The Benefits and Costs for Individuals and Health Systems. OECD Health Working Paper. 15.Google Scholar
Conesa, Juan C. and Krueger, Dirk (1999) Social Security reform with heterogeneous agents. Review of Economic Dynamics 2 (4), 757–795.CrossRefGoogle Scholar
Domeij, David and Heathcote, Jonathan (2004) On the distributional effects of reducing capital taxes. International Economic Review 45 (2), 523–554.CrossRefGoogle Scholar
Hansen, Gary D. and Imrohoroglu, Ayse (1992) The role of unemployment insurance in an economy with liquidity constraints and moral hazard. Journal of Political Economy 100 (1), 118–142.CrossRefGoogle Scholar
Heathcote, J. (2005) Fiscal policy with heterogeneous agents and incomplete markets. Review of Economic Studies 72, 161–188.CrossRefGoogle Scholar
Hubbard, R. G., Skinner, J., and Zeldes, S. P. (1995) Precautionary saving and social insurance. Journal of Political Economy 103, 360–399.CrossRefGoogle Scholar
Huggett, Mark and Parra, Juan C. (2010) How well does the U.S. social insurance system provide social insurance? Journal of Political Economy 118 (1), 76–112.CrossRefGoogle Scholar
Huggett, M. and Ventura, G. (1999) On the distributional effects of social security reform. Review of Economic Dynamics 2, 498–531.CrossRefGoogle Scholar
Imrohoroglu, Ayse, Imrohoroglu, Selahattin, and Joines, Douglas H. (1995) A life cycle analysis of Social Security. Economic Theory 6 (1), 83–114.CrossRefGoogle Scholar
Jeske, K. and Kitao, S. (2009) U.S. tax policy and health insurance demand: Can a regressive policy improve welfare? Journal of Monetary Economics 56, 210–221.CrossRefGoogle Scholar
Laschober, Mary A., Kitchman, Michelle, Neuman, Patricia, and Strabic, Allison A. (2002) Trends in Medicare supplemental insurance and prescription drug coverage, 1996–1999. Health Affairs 21 (2), 11.Google Scholar
Monheit, Alan C. (2003) Persistence in health expenditures: Prevalence and consequences. Medical Care 41 (7) (Supplement), III-53–64.CrossRefGoogle ScholarPubMed
Nishiyama, Shinichi and Smetters, Kent (2005) Consumption taxes and economic efficiency with idiosyncratic wage shocks. Journal of Political Economy 113 (5), 1088–1115.CrossRefGoogle Scholar
Storesletten, K., Telmer, C., and Yaron, A. (1999) The risk sharing implications of alternative social security arrangements. Carnegie–Rochester Conference Series on Public Policy 50, 213–259.CrossRefGoogle Scholar
Tauchen, George (1986) Statistical properties of generalized method-of-moments estimators of structural parameters obtained from financial market data. Journal of Business & Economic Statistics 4 (4), 397–416.Google Scholar