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Adverse selection and moral hazard among the poor: evidence from a randomized experiment

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  • Spenkch, Jörg L.

Abstract

Not only does economic theory predict high-risk individuals to be more likely to purchase insurance, but insurance coverage is also thought to crowd out precautionary activities. In spite of stark theoretical predictions, there is conflicting empirical evidence on adverse selection, and evidence on ex ante moral hazard is very scarce. Using data from the Seguro Popular Experiment in Mexico, this paper documents patterns of adverse selection into health insurance as well as the existence of non-negligible ex ante moral hazard. More specifically, the findings indicate that (i) agents in poor self-assessed health prior to the intervention have, all else equal, a higher propensity to take up insurance; and (ii) insurance coverage reduces the demand for self-protection in the form of preventive care. Curiously, however, individuals do not sort based on objective measures of their health.

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Bibliographic Info

Paper provided by University Library of Munich, Germany in its series MPRA Paper with number 31443.

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Date of creation: May 2011
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Handle: RePEc:pra:mprapa:31443

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Keywords: health insurance; adverse selection; moral hazard;

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  1. Fang, Hanming & Keane, Michael & Silverman, Dan, 2006. "Sources of Advantageous Selection: Evidence from the Medigap Insurance Market," Working Papers 17, Yale University, Department of Economics.
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