Health Shocks In China Are The Poor And Uninsured Less Protected
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Author | : Adam Wagstaff, Magnus Lindelöw |
Publisher | : World Bank Publications |
Total Pages | : 25 |
Release | : 2005 |
Genre | : Health insurance |
ISBN | : |
Abstract: "Health shocks have been shown to have important economic consequences in industrial countries. Less is known about how health shocks affect income, consumption, labor market outcomes, and medical expenditures in middle- and low-income countries. The authors explore these issues in China. In addition to providing new evidence on the general impact of health shocks, they also extend previous work by assessing the extent of risk protection afforded by formal health insurance, and by examining differences in the impact of health shocks between the rich and poor. The authors find that health shocks are associated with a substantial and significant reduction in income and labor supply. There are indications that the impact on income is less important for the insured, possibly because health insurance coverage is also associated with limited sickness insurance, but the effect is not significant. They also find evidence that negative health shocks are associated with an increase in unearned income for the poor but not the non-poor. This effect is however not strong enough to offset the impact on overall income. The loss in income is a consequence of a reduction in labor supply for the head of household, and the authors do not find evidence that other household members compensate by increasing their labor supply. Finally, negative health shocks are associated with a significant increase in out-of-pocket health care expenditures. More surprisingly, there is some evidence that the increase is greater for the insured than the uninsured. The findings suggest that households are exposed to considerable health-related shocks to disposable income, both through loss of income and health expenditures, and that health insurance offers very limited protection."--World Bank web site.
Author | : Magnus Lindelow |
Publisher | : |
Total Pages | : 25 |
Release | : 2017 |
Genre | : |
ISBN | : |
Health shocks have been shown to have important economic consequences in industrial countries. Less is known about how health shocks affect income, consumption, labor market outcomes, and medical expenditures in middle- and low-income countries. The authors explore these issues in China. In addition to providing new evidence on the general impact of health shocks, they also extend previous work by assessing the extent of risk protection afforded by formal health insurance, and by examining differences in the impact of health shocks between the rich and poor. The authors find that health shocks are associated with a substantial and significant reduction in income and labor supply. There are indications that the impact on income is less important for the insured, possibly because health insurance coverage is also associated with limited sickness insurance, but the effect is not significant. They also find evidence that negative health shocks are associated with an increase in unearned income for the poor but not the non-poor. This effect is however not strong enough to offset the impact on overall income. The loss in income is a consequence of a reduction in labor supply for the head of household, and the authors do not find evidence that other household members compensate by increasing their labor supply. Finally, negative health shocks are associated with a significant increase in out-of-pocket health care expenditures. More surprisingly, there is some evidence that the increase is greater for the insured than the uninsured. The findings suggest that households are exposed to considerable health-related shocks to disposable income, both through loss of income and health expenditures, and that health insurance offers very limited protection.
Author | : Magnus Lindelow |
Publisher | : |
Total Pages | : |
Release | : 2012 |
Genre | : |
ISBN | : |
Health shocks have been shown to have important economic consequences in industrial countries. Less is known about how health shocks affect income, consumption, labor market outcomes, and medical expenditures in middle- and low-income countries. The authors explore these issues in China. In addition to providing new evidence on the general impact of health shocks, they also extend previous work by assessing the extent of risk protection afforded by formal health insurance, and by examining differences in the impact of health shocks between the rich and poor. The authors find that health shocks are associated with a substantial and significant reduction in income and labor supply. There are indications that the impact on income is less important for the insured, possibly because health insurance coverage is also associated with limited sickness insurance, but the effect is not significant. They also find evidence that negative health shocks are associated with an increase in unearned income for the poor but not the non-poor. This effect is however not strong enough to offset the impact on overall income. The loss in income is a consequence of a reduction in labor supply for the head of household, and the authors do not find evidence that other household members compensate by increasing their labor supply. Finally, negative health shocks are associated with a significant increase in out-of-pocket health care expenditures. More surprisingly, there is some evidence that the increase is greater for the insured than the uninsured. The findings suggest that households are exposed to considerable health-related shocks to disposable income, both through loss of income and health expenditures, and that health insurance offers very limited protection.
Author | : Adam Wagstaff |
Publisher | : |
Total Pages | : 28 |
Release | : 2005 |
Genre | : Medical care, Cost of |
ISBN | : |
"While there is a great deal of anecdotal evidence on the economic effects of adverse health shocks, there is relatively little hard empirical evidence. The author builds on recent empirical work to explore in the context of postreform Vietnam two related issues: (1) how far household income and medical care spending responds to health shocks, and (2) how far household consumption is protected against health shocks. The results suggest that adverse health shocks - captured by negative changes in body mass index (BMI) - are associated with reductions in earned income. This appears to be only partly - if at all - due to a reverse feedback from income changes to BMI changes. By contrast, there is a hint - the relevant coefficient is not significant - that adverse BMI shocks may result in increases in unearned income. This may reflect additional gifts, remittances, and so on, from family and friends following the health shock ..."--Page 2 of cover
Author | : Maria-Luisa Escobar |
Publisher | : Brookings Institution Press |
Total Pages | : 239 |
Release | : 2010 |
Genre | : Social Science |
ISBN | : 0815705468 |
Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.
Author | : Jing Yang |
Publisher | : Routledge |
Total Pages | : 368 |
Release | : 2016-03-10 |
Genre | : Business & Economics |
ISBN | : 1317591844 |
China’s War against the Many Faces of Poverty measures multidimensional poverty in China and deprivation related to income, education, health issues, living standards and social security. The book adopts a well-developed methodology using three different empirical datasets to analyse aspects of regional diversity across rural and urban and migrant populations of China. The book also analyses the links between development policies considered by the government and the various facets of poverty in light of rapid economic growth and addresses important policy implications. In the existing literature, in-depth research on multidimensional poverty in China is almost non-existent. This book is a pioneer study in this important field of research. With its innovative approach in concepts and methodologies and in its analysis of policy implications make this book a definitive and valuable addition to the literature.
Author | : |
Publisher | : World Bank Publications |
Total Pages | : 276 |
Release | : 2009-01-01 |
Genre | : Medical |
ISBN | : 0821379836 |
Since 1978 when it embarked on sweeping agricultural and industrial reforms, China's economic growth has been remarkable. Its success in transforming itself within just three decades from a very poor low-income country to a successful middle-income country is unparalleled. During this period, however, and in contrast to the first 30 years of the People's Republic, progress in the health sector has been disappointing. For example, during the period 1980-2007, China increased its income per head as a percentage of the OECD average from 3 percent to 15 per cent, but infant mortality fell no faste.
Author | : Jiwei Lou |
Publisher | : World Bank Publications |
Total Pages | : 402 |
Release | : 2008-01-31 |
Genre | : Political Science |
ISBN | : 0821369288 |
Since 1980, China's economy has been the envy of the world. Is annual growth rate of more than 9 percent during this period makes China today the world's fourth-largest economy. And this sustained growth has reduced the poverty rate from 60 percent of the population to less than 10 percent. However, such rapid growth has also increased inequalities in income and access to basic services and stressed natural resources. The government seeks to resolve these and other issues by creating a 'harmonious society' -- shifting priorities from the overriding pursuit of growth to more balanced economic and social development. This volume compiles analyses and insights from high-level Chinese policy makers and prominent international scholars that address the changes needed in public finance for success in the government's new endeavor. It examines such key policy issues as public finance and the changing role of the state; fiscal reform and revenue and expenditure assignments; intergovernmental relations and fiscal transfers; and financing and delivery of basic public goods such as compulsory education, innovation, public health, and social protection. And it offers concrete recommendations for immediate policy changes and for China's future reform agenda. Public Finance in China' is a must-read for specialists in public finance and for those seeking an understanding of the complex and daunting challenges China is facing.
Author | : Beatriz Carrillo |
Publisher | : Taylor & Francis |
Total Pages | : 316 |
Release | : 2011-06-10 |
Genre | : Political Science |
ISBN | : 1136838678 |
This book draws attention to two neglected areas in the growing body of research on welfare in China: subnational variation and the changing mix of state and non-state provision. The contributors to this volume demonstrate the diversity of local welfare provision that lies behind broad national policies and programmes. Their focus on local diversity is particularly relevant to understanding the welfare system in China because national state programmes are so often organized by local governments in line with the specifics of their economic and social development. At the same time that social and economic development is itself independently creating an array of different conditions that shape non-state (family, business and third sector) welfare roles . Through chapters that draw on original research in eight provinces, the book adopts a ‘local’ perspective to illustrate and explain some of the transformations that are under way and discuss not only local government initiatives and programmes, but also the services and support provided by families, informal social networks and community or third sector organizations, as well as those delivered by private businesses on a commercial, for-profit basis. This book will be of interest to students and scholars of Chinese society, social policy, and Chinese studies more widely. Beatriz Carrillo is Lecturer in Asian Studies at the University of Technology, Sydney, Australia Jane Duckett is Professor of Chinese and Comparative Politics at the University of Glasgow, UK
Author | : Michele Gragnolati |
Publisher | : World Bank Publications |
Total Pages | : 33 |
Release | : 2007 |
Genre | : Alternative medicine |
ISBN | : |
Abstract: This paper investigates the extent to which the health systems of the Western Balkans (Albania, Bosnia and Herzegovina, Montenegro, Serbia, and Kosovo) have succeeded in providing financial protection against adverse health events. The authors examine disparities in health status, healthcare utilization, and out-of-pocket payments for healthcare (including informal payments), and explore the impact of healthcare expenditures on household economic status and poverty. Methodologies include (i) generating a descriptive assessment of health and healthcare disparities across socioeconomic groups, (ii) measuring the incidence and intensity of catastrophic healthcare payments, (iii) examining the effect of out-of-pocket payments on poverty headcount and poverty gap measures, and (iv) running sets of country-specific probit regressions to model the relationship between health status, healthcare utilization, and poverty. On balance, the findings show that the impact of health expenditures on household economic wellbeing and poverty is most severe in Albania and Kosovo, while Montenegro is striking for the financial protection that the health system seems to provide. Data are drawn from Living Standards and Measurement Surveys.