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Healthy, wealthy and insured? The role of self-assessed health in the demand for private health insurance

✍ Scribed by Denise Doiron; Glenn Jones; Elizabeth Savage

Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
158 KB
Volume
17
Category
Article
ISSN
1057-9230

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Both adverse selection and moral hazard models predict a positive relationship between risk and insurance; yet the most common finding in empirical studies of insurance is that of a negative correlation. In this paper, we investigate the relationship between ex ante risk and private health insurance using Australian data. The institutional features of the Australian system make the effects of asymmetric information more readily identifiable than in most other countries. We find a strong positive association between self‐assessed health and private health cover. By applying the Lokshin and Ravallion (J. Econ. Behav. Organ 2005; 56:141–172) technique we identify the factors responsible for this result and recover the conventional negative relationship predicted by adverse selection when using more objective indicators of health. Our results also provide support for the hypothesis that self‐assessed health captures individual traits not necessarily related to risk of health expenditures, in particular, attitudes towards risk. Specifically, we find that those persons who engage in risk‐taking behaviours are simultaneously less likely to be in good health and less likely to buy insurance. Copyright Β© 2007 John Wiley & Sons, Ltd.

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