Wealthier But Not Much Healthier: Effects of a Health Insurance Program for the Poor in Mexico
AbstractIn 2002 the Mexican government began a very large expansion of government-funded healthcare for the poor - specifically, people not employed in the formal sector. The program, Seguro Popular (SP), was rolled out sequentially across different areas in Mexico. This paper uses the variation in program intensity over time and space induced by the roll-out, comparing people in the informal sector (eligible for SP) to those in the formal sector (ineligible for SP), to measure the program's impacts. I find that the program substantially reduced out-of-pocket health expenditures of beneficiaries and caused them to shift from private to public providers. However, the program had a negligible effect on the health of beneficiaries, perhaps because the quality of care was low. The program also had no effect on labor force participation or earnings. One worry among policymakers is that Seguro Popular might induce workers to shift into the informal sector. I find no evidence of this effect. The low quality of care provided under SP, while reducing the welfare gains to beneficiaries, may have prevented the unintended consequence of encouraging movement into the informal sector.
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Bibliographic InfoPaper provided by Stanford Institute for Economic Policy Research in its series Discussion Papers with number 09-002.
Date of creation: Nov 2008
Date of revision:
Mexico; healthcare; Seguro Popular; welfare;
Find related papers by JEL classification:
- O12 - Economic Development, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- O15 - Economic Development, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
- I38 - Health, Education, and Welfare - - Welfare and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
- O17 - Economic Development, Technological Change, and Growth - - Economic Development - - - Formal and Informal Sectors; Shadow Economy; Institutional Arrangements
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- Alberto Abadie & Guido W. Imbens, 2002. "Simple and Bias-Corrected Matching Estimators for Average Treatment Effects," NBER Technical Working Papers 0283, National Bureau of Economic Research, Inc.
- Paul Gertler & Jonathan Gruber, 1997.
"Insuring Consumption Against Illness,"
NBER Working Papers
6035, National Bureau of Economic Research, Inc.
- Case, Anne & Menendez, Alicia, 2009.
"Sex differences in obesity rates in poor countries: Evidence from South Africa,"
Economics & Human Biology,
Elsevier, vol. 7(3), pages 271-282, December.
- Anne Case & Alicia Menendez, 2007. "Sex Differences in Obesity Rates in Poor Countries: Evidence from South Africa," NBER Working Papers 13541, National Bureau of Economic Research, Inc.
- Raj Chetty & Adam Looney, 2005.
"Consumption Smoothing and the Welfare Consequences of Social Insurance in Developing Economies,"
NBER Working Papers
11709, National Bureau of Economic Research, Inc.
- Chetty, Raj & Looney, Adam, 2006. "Consumption smoothing and the welfare consequences of social insurance in developing economies," Journal of Public Economics, Elsevier, vol. 90(12), pages 2351-2356, December.
- James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
- Gary King & Emmanuela Gakidou & Nirmala Ravishankar & Ryan T. Moore & Jason Lakin & Manett Vargas & Martha Mar�a Téllez-Rojo & Juan Eugenio Hernández �vila & Mauricio Hernández �vila & Hécto, 2007. "A “politically robust” experimental design for public policy evaluation, with application to the Mexican Universal Health Insurance program," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 26(3), pages 479-506.
- Anne Case & Alicia Menendez, 2007. "Sex Differences in Obesity Rates in Poor Countries: Evidence from South Africa," Working Papers 1004, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
- Bosch, Mariano & Maloney, William, 2006.
"Gross worker flows in the presence of informal labor markets : the Mexican experience 1987-2002,"
Policy Research Working Paper Series
3883, The World Bank.
- Mariano Bosch & William Maloney, 2006. "Gross Worker Flows in the Presence of Informal Labor Markets. The Mexican Experience 1987-2002," CEP Discussion Papers dp0753, Centre for Economic Performance, LSE.
- Anne Case & Alicia Menendez, 2007. "Sex Differences In Obesity Rates In Poor Countries: Evidence From South Africa," Working Papers 1020, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Currie, Janet & Gruber, Jonathan, 1996.
"Health Insurance Eligibility, Utilization of Medical Care, and Child Health,"
The Quarterly Journal of Economics,
MIT Press, vol. 111(2), pages 431-66, May.
- Janet Currie & Jonathan Gruber, 1995. "Health Insurance Eligibility, Utilization of Medical care, and Child Health," NBER Working Papers 5052, National Bureau of Economic Research, Inc.
- Besley, Timothy & Coate, Stephen, 1991.
"Public Provision of Private Goods and the Redistribution of Income,"
American Economic Review,
American Economic Association, vol. 81(4), pages 979-84, September.
- Besley, T. & Coate, S., 1989. "Public Provision Of Private Goods And The Redistribution Of Income," Papers 36, Princeton, Woodrow Wilson School - Discussion Paper.
- Janet Currie & Jonathan Gruber, 1997. "The Technology of Birth: Health Insurance, Medical Interventions, and Infant Health," NBER Working Papers 5985, National Bureau of Economic Research, Inc.
- Currie, Janet & Gruber, Jonathan, 1996. "Saving Babies: The Efficacy and Cost of Recent Changes in the Medicaid Eligibility of Pregnant Women," Journal of Political Economy, University of Chicago Press, vol. 104(6), pages 1263-96, December.
- Alonso-Ortiz, Jorge & Leal Ordonez, Julio, 2013. "The Elasticity of Informality to Taxes and Transfers," MPRA Paper 49568, University Library of Munich, Germany.
- Spenkuch, Jörg L., 2012. "Moral hazard and selection among the poor: Evidence from a randomized experiment," Journal of Health Economics, Elsevier, vol. 31(1), pages 72-85.
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