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The Self-Employed Are Less Likely To Have Health Insurance Than Wage Earners: So What?

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Author Info
Craig W. Perry (Princeton University)
Harvey S. Rosen (Princeton University)
Abstract

There is considerable public policy concern over the relatively low rates of health insurance coverage among the self-employed in the United States. Presumably, the reason for the concern is that their low rates of insurance lead to worse health outcomes. We use data from the Medical Expenditure Panel Survey conducted in 1996 to analyze how the self-employed and wage-earners differ with respect to insurance coverage and health status. Using a variety of ways to measure health status, we find that the relative lack of health insurance among the self-employed does not affect their health. For virtually every subjective and objective measure of health status, the self-employed and wage earners are statistically indistinguishable from each other. Further, we present some evidence that this phenomenon is not due to the fact that individuals who select into self-employment are healthier than wage-earners, ceteris paribus. Thus, public policy concern with the relative lack of health insurance among the self-employed may be somewhat misplaced.

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Paper provided by Princeton University, Department of Economics, Center for Economic Policy Studies. in its series Working Papers with number 129.

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Date of creation: Jun 2001
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Handle: RePEc:pri:cepsud:129

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  1. Craig William Perry & Harvey S. Rosen, 2001. "Insurance and the Utilization of Medical Services Among the Self-Employed," NBER Working Papers 8490, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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