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Does access to free health insurance crowd-out private transfers? Evidence from Mexico’s Seguro Popular

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  • Pedro Orraca-Romano

Abstract

This study examines whether Seguro Popular, a free-of-charge publicly provided health insurance program for otherwise uninsured households, crowded-out private transfers in Mexico. Using data from the National Household Income and Expenditure Survey, the effects of Seguro Popular are identified using the spatial variation in the program’s coverage induced by its sequential roll-out throughout Mexico. The results show that Seguro Popular reduced on average a household’s probability of receiving private transfers by 5.55 % points. This finding appears to be driven by domestic private transfers, since the program’s effects are only statistically significant for private transfers originating within Mexico. In addition, Seguro Popular had a weak and not statistically significant negative effect on the amount of private transfers received. Failure to take into account possible changes in private behaviour induced by Seguro Popular may overstate the program’s potential benefits or distributional impacts. Copyright The Author(s) 2015

Suggested Citation

  • Pedro Orraca-Romano, 2015. "Does access to free health insurance crowd-out private transfers? Evidence from Mexico’s Seguro Popular," Latin American Economic Review, Springer;Centro de Investigaciòn y Docencia Económica (CIDE), vol. 24(1), pages 1-34, December.
    • Handle: RePEc:spr:laecrv:v:24:y:2015:i:1:p:1-34:10.1007/s40503-015-0021-y
    DOI: 10.1007/s40503-015-0021-y
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    Cited by:

    1. Nikolov, Plamen & Bonci, Matthew, 2020. "Do public program benefits crowd out private transfers in developing countries? A critical review of recent evidence," World Development, Elsevier, vol. 134(C).
    2. Ana Isabel López García & Pedro P. Orraca-Romano, 2019. "International migration and universal healthcare access: evidence from Mexico’s ‘Seguro Popular’," Oxford Development Studies, Taylor & Francis Journals, vol. 47(2), pages 171-187, April.
    3. Martha Alicia Rios Obregón & Blanca Delia Vázquez Delgado, 2022. "Inclusión financiera de los receptores de remesas en México," Remef - Revista Mexicana de Economía y Finanzas Nueva Época REMEF (The Mexican Journal of Economics and Finance), Instituto Mexicano de Ejecutivos de Finanzas, IMEF, vol. 17(3), pages 1-24, Julio - S.

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    More about this item

    Keywords

    Public health insurance; Crowding-out; Private transfers; Mexico; Seguro Popular; I13; I18; I38;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs

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