Crowd-out 10 years later: Have recent public insurance expansions crowded out private health insurance?
Crowd-out 10 years later: Have recent public insurance expansions crowded out private health insurance?
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DOI：
10.1016/j.jhealeco.2007.11.004
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发表时间：
2008-03-01
影响因子：
3.5
通讯作者：
Simon, Kosali
中科院分区：
文献类型：
--
作者：
Gruber, Jonathan;Simon, Kosali
十年前，Cutler and Gruber[Cutler，D.，Gruber，J.，1996]。公共医疗保险会排挤私人保险吗？《经济季刊》[111,391-430]指出，挤出效应可能相当大，但随后的许多研究都对这一结论提出了质疑。我们使用改进的数据和方法得出的结果清楚地表明，在1996-2002年期间，挤出现象仍然很严重。当我们考虑公共保险资格的家庭水平衡量标准时，这一发现最为明显。我们还发现，最近公共保险扩张中的反挤出条款可能产生了相反的效果，降低了未投保者的接受度，而不是降低了私人保险的挤出。(C)2007 Elsevier B.V.保留所有权利。
Ten years ago, Cutler and Gruber [Cutler, D., Gruber, J., 1996. Does public health insurance crowdout private insurance? Quarterly Journal of Economics 111, 391-430] suggested that crowd-out might be quite large, but much subsequent research has questioned this conclusion. Our results using improved data and methods clearly show that crowd-out is still significant in the 1996-2002 period. This finding emerges most strongly when we consider family level measures of public insurance eligibility. We also find that recent anti-crowd-out provisions in public expansions may have had the opposite effect, lowering take-up by the uninsured faster than they lower crowd-out of private insurance. (C) 2007 Elsevier B.V. All rights reserved.