Innovations in insuring the poor: Health insurance for the rural poor: Evidence from Cambodia

A serious injury or illness usually increases medical expenses and often reduces income. Even worse, some short-term health problems can worsen long-term poverty when families sell productive assets such as land or remove their children from school. In theory, health insurance can help reduce asset...

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Detalles Bibliográficos
Autor principal: Levine, David I.
Formato: Brief
Lenguaje:Inglés
Publicado: International Food Policy Research Institute 2009
Materias:
Acceso en línea:https://hdl.handle.net/10568/161870
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author Levine, David I.
author_browse Levine, David I.
author_facet Levine, David I.
author_sort Levine, David I.
collection Repository of Agricultural Research Outputs (CGSpace)
description A serious injury or illness usually increases medical expenses and often reduces income. Even worse, some short-term health problems can worsen long-term poverty when families sell productive assets such as land or remove their children from school. In theory, health insurance can help reduce asset sales, reduce the need for new loans, increase the quantity and quality of care, and improve health. Unfortunately, rigorous evidence on the impact of insurance is scarce, particularly in developing countries. It is hard to study the effects of insurance because of adverse selection, which occurs because households that expect high healthcare costs have the strongest incentives to buy health insurance. At the same time, if cautious, well-educated, or wealthy people both engage in safe behaviors and value insurance, then voluntary insurance can enjoy positive selection. Thus, finding that insurance correlates with either poor health or high income would tell us little about the causal effects of insurance on health and economic outcomes. In spite of the challenges, several rigorous studies (primarily in rich countries) find that health insurance usually increases access to healthcare. The effect of that increased access on health depends on the value of that care. Scattered results from the United States and other wealthy countries suggest that health insurance usually leads to modest improvements in health. It remains an open question to what extent insurance in developing countries will increase healthcare access and use, reduce financial vulnerability, and improve health outcomes.
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spelling CGSpace1618702025-11-06T04:41:53Z Innovations in insuring the poor: Health insurance for the rural poor: Evidence from Cambodia Levine, David I. health insurance assets health care prices health vulnerability A serious injury or illness usually increases medical expenses and often reduces income. Even worse, some short-term health problems can worsen long-term poverty when families sell productive assets such as land or remove their children from school. In theory, health insurance can help reduce asset sales, reduce the need for new loans, increase the quantity and quality of care, and improve health. Unfortunately, rigorous evidence on the impact of insurance is scarce, particularly in developing countries. It is hard to study the effects of insurance because of adverse selection, which occurs because households that expect high healthcare costs have the strongest incentives to buy health insurance. At the same time, if cautious, well-educated, or wealthy people both engage in safe behaviors and value insurance, then voluntary insurance can enjoy positive selection. Thus, finding that insurance correlates with either poor health or high income would tell us little about the causal effects of insurance on health and economic outcomes. In spite of the challenges, several rigorous studies (primarily in rich countries) find that health insurance usually increases access to healthcare. The effect of that increased access on health depends on the value of that care. Scattered results from the United States and other wealthy countries suggest that health insurance usually leads to modest improvements in health. It remains an open question to what extent insurance in developing countries will increase healthcare access and use, reduce financial vulnerability, and improve health outcomes. 2009 2024-11-21T09:58:59Z 2024-11-21T09:58:59Z Brief https://hdl.handle.net/10568/161870 en Open Access application/pdf International Food Policy Research Institute Levine, David I. 2009. Innovations in insuring the poor: Health insurance for the rural poor. 2020 Vision Focus Brief 17(10). https://hdl.handle.net/10568/161870
spellingShingle health insurance
assets
health care
prices
health
vulnerability
Levine, David I.
Innovations in insuring the poor: Health insurance for the rural poor: Evidence from Cambodia
title Innovations in insuring the poor: Health insurance for the rural poor: Evidence from Cambodia
title_full Innovations in insuring the poor: Health insurance for the rural poor: Evidence from Cambodia
title_fullStr Innovations in insuring the poor: Health insurance for the rural poor: Evidence from Cambodia
title_full_unstemmed Innovations in insuring the poor: Health insurance for the rural poor: Evidence from Cambodia
title_short Innovations in insuring the poor: Health insurance for the rural poor: Evidence from Cambodia
title_sort innovations in insuring the poor health insurance for the rural poor evidence from cambodia
topic health insurance
assets
health care
prices
health
vulnerability
url https://hdl.handle.net/10568/161870
work_keys_str_mv AT levinedavidi innovationsininsuringthepoorhealthinsurancefortheruralpoorevidencefromcambodia