Bankruptcy as Implicit Health Insurance

Bankruptcy as Implicit Health Insurance
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破产作为隐性健康保险

DOI:
10.2139/ssrn.2329327
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发表时间:
2012
期刊:
ERN: Other Econometrics: Applied Econometric Modeling in Microeconomics - Microeconometric Models of Household Behavior (Topic)
影响因子:
--
通讯作者:
Neale Mahoney
Neale Mahoney
中科院分区:
--
文献类型:
--
作者:
Neale Mahoney

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本文考察了家庭从破产宣告能力中获得的隐性健康保险。利用资产豁免法的多种变化来源,我表明,破产财务成本更高的无保险家庭的自付医疗费用更高,这取决于所接受的护理金额。反过来,我发现面临风险的财富越大的家庭更有可能持有医疗保险。破产的隐性保险扭曲了保险范围的决定。通过微观模拟模型,我计算出最优的庇古罚金是《平价医疗法案》(Affordable Care Act)下平均罚金的四分之三。
This paper examines the implicit health insurance that households receive from the ability to declare bankruptcy. Exploiting multiple sources of variation in asset exemption law, I show that uninsured households with a greater financial cost of bankruptcy make higher out-of-pocket medical payments, conditional on the amount of care received. In turn, I find that households with greater wealth at risk are more likely to hold health insurance. The implicit insurance from bankruptcy distorts the insurance coverage decision. Using a microsimulation model, I calculate that the optimal Pigovian penalties are three-quarters as large as the average penalties under the Affordable Care Act.
美国追踪研究:收入动态追踪研究
DOI: --
发表时间: 2008
期刊: 季刊家計経済研究 79
影响因子: --
作者:
村上あかね;チャールズ・ユウジ・ホリオカ
通讯作者: チャールズ・ユウジ・ホリオカ