Is Universal Health Care in Brazil Really Universal?
AbstractSince Brazil's adoption of a universal health care policy in 1988, the country's health care has been delivered by a mix of private providers and free public providers. We examine whether income-based disparities in medical care usage still exist after the development of the public network using a nationally representative sample of over 46,000 Brazilians from 2003. We find robust evidence of a positive association between income and doctor visits, private doctor visits, and private medical expenditures. Interestingly, we also find evidence of a positive relationship between income and public doctor visits that disappears after including local area fixed effects to account for variation in availability and quality of medical services across localities. Additionally, we estimate income elasticities of private doctor visits and medical expenditures of well below one, suggesting that private care remains a necessity despite the availability of free public care. These results together suggest that the public health care system in Brazil is not effectively reaching everyone.
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Bibliographic InfoPaper provided by University of North Carolina at Greensboro, Department of Economics in its series Working Papers with number 10-7.
Length: 32 pages
Date of creation: 05 Oct 2010
Date of revision: 27 Dec 2010
universal health care; Brazil; income elasticity of demand for health care Family Health Program.;
Other versions of this item:
- Guido Cataife & Charles J. Courtemanche, 2011. "Is Universal Health Care in Brazil Really Universal?," NBER Working Papers 17069, National Bureau of Economic Research, Inc.
- I10 - Health, Education, and Welfare - - Health - - - General
- O12 - Economic Development, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
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