Dépenses de santé : l'hypothèse d'aléa moral
AbstractThe analysis of health insurance systems, and in particular those focusing on copayment schemes, rely on delicate empirical measures of elasticity of demand for health care. This paper offers a critical survey of the empirical literature on the moral hazard assumption, according to which a more extensive health insurance coverage would lead to more expenditures. After recalling that the large RAND Health Insurance Study, conducted in the US in the 70s, unambiguously concluded that the price elasticity for medical care was negative, especially ambulatory care, the paper stresses the limits of more recent studies undertaken on French data; these limits are inherent to the data or due to the econometric methods employed. Beside, evaluating the redistributive aspects of copayments and their impact on access to care would require more accurate measures of crossed price income elasticity. Despite all those uncertainties, the lessons drawn from existing empirical studies make believe that the current French system of ticket modérateur (copayment scheme) is very far from being fair and efficient.
Download InfoTo our knowledge, this item is not available for download. To find whether it is available, there are three options:
1. Check below under "Related research" whether another version of this item is available online.
2. Check on the provider's web page whether it is in fact available.
3. Perform a search for a similarly titled item that would be available.
Bibliographic InfoPaper provided by DELTA (Ecole normale supérieure) in its series DELTA Working Papers with number 2000-11.
Length: 23 pages
Date of creation: 2000
Date of revision:
Publication status: Published in Economie et Prévision, 2000, 142, pp. 123-135.
DISTRIBUTION ; PRIX ; SANTE;
Other versions of this item:
- H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
You can help add them by filling out this form.
reading list or among the top items on IDEAS.Access and download statisticsgeneral information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().
If references are entirely missing, you can add them using this form.