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The Rational Nonpurchase of Long-term-Care Insurance

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Author Info
Pauly, Mark V
Abstract

Only a tiny fraction of the nonpoor population currently purchases private insurance coverage against long-term-care costs. Studies generally attribute the failure to purchase private coverage to "unawareness" by potential purchasers of the benefits of coverage and a misperception that Medicare currently covers long-term care. The author explores alternative reasons for failure to purchase coverage by well-informed, expected utility-maximizing, risk-averse individuals for whom long-term care is associated with a large increase in mortality and for whom family members represent an alternative source of care. There may be no demand for long-term-care insurance, even if it is made available at actuarially fair premiums, because the main consequence of coverage is to enhance the expected value of one's estate. Copyright 1990 by University of Chicago Press.

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Publisher Info
Article provided by University of Chicago Press in its journal Journal of Political Economy.

Volume (Year): 98 (1990)
Issue (Month): 1 (February)
Pages: 153-68
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Handle: RePEc:ucp:jpolec:v:98:y:1990:i:1:p:153-68

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  2. Jeffrey R. Brown & Norma B. Coe & Amy Finkelstein, 2006. "Medicaid Crowd-Out of Private Long-Term Care Insurance Demand: Evidence from the Health and Retirement Survey," NBER Working Papers 12536, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  3. Jeffrey R. Brown & Amy Finkelstein, 2004. "Supply or Demand: Why is the Market for Long-Term Care Insurance So Small?," NBER Working Papers 10782, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  4. Yasushi Iwamoto & Miki Kohara & Makoto Saito, 2006. "On the Consumption Insurance Effects of Long-term Care Insurance In Japan: Evidence from Micro Household Data," CIRJE F-Series CIRJE-F-443, CIRJE, Faculty of Economics, University of Tokyo. [Downloadable!]
  5. Olivia S Mitchell & John Piggott & Michael Sherris & Shaun Yow, 2006. "Financial Innovation for an Ageing World," RBA Annual Conference Volume, in: Christopher Kent & Anna Park & Daniel Rees (ed.), Demography and Financial Markets Reserve Bank of Australia. [Downloadable!]
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  6. Jeffrey R. Brown & Amy Finkelstein, 2004. "The Interaction of Public and Private Insurance: Medicaid and the Long-Term Care Insurance Market," NBER Working Papers 10989, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  7. Jonathan Skinner, 2007. "Are You Sure You're Saving Enough for Retirement?," NBER Working Papers 12981, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  8. Richard w. Johnson & Cori Uccello, 2005. "Is Private Long-Term Care Insurance the Answer?," Issues in Brief ib29, Center for Retirement Research. [Downloadable!]
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