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Health shock, the Green for Grain Program and medical expenses: Empirical Evidence on the well-being of Chinese Farmers

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  • Lei, Quanyong
  • Qi, Chunjie
  • Ye, Cong
  • Fang, Guozhu

Abstract

Health shock is an important factor affecting the medical expenditure of farmers. As the largest environmental compensation project in China, the Green for Grain Program plays an important role in increasing the well-being of farmers. Based on the 2017–2019 China Household Finance Survey (CHFS) dataset, this paper constructs two balanced panel data, which adopts the differences-in-differences propensity score matching (PSM-DID) from the perspective of post-hoc. The method identified the effect of health shock on the level of household medical expenditure in peasant household. The findings suggest that health shock have significantly increased the level of medical expenditure in peasant household, and this conclusion remains true after a series of robustness tests. Specifically, the health impact can significantly increase household medical expenditure by 2270 RMB yuan. Further research found that the impact is significantly heterogeneous due to whether farmers participate in the Green for Grain Program. Specifically, under the impact of health shock, the increased amount of medical expenditure of farmers participating in the Green for Grain Program is relatively small, that is, there is a “well-being paradox” phenomenon. Therefore, this paper puts forward suggestions on improving the level of farmers’ health literacy, optimizing the compensation policy for the Green for Grain Program and developing the service industry policy in the areas where the Green for Grain Program is implemented. This study has certain policy guidance and reference value for the Chinese government to continue to consolidate the results of the Green for Grain Program to alleviate poverty and improve the well-being of farmers in developing countries.

Suggested Citation

  • Lei, Quanyong & Qi, Chunjie & Ye, Cong & Fang, Guozhu, 2023. "Health shock, the Green for Grain Program and medical expenses: Empirical Evidence on the well-being of Chinese Farmers," Economic Analysis and Policy, Elsevier, vol. 78(C), pages 406-418.
    • Handle: RePEc:eee:ecanpo:v:78:y:2023:i:c:p:406-418
    DOI: 10.1016/j.eap.2023.03.015
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    1. Wang, Xiuhong & Shen, Jianxiu & Zhang, Wei, 2014. "Emergy evaluation of agricultural sustainability of Northwest China before and after the grain-for-green policy," Energy Policy, Elsevier, vol. 67(C), pages 508-516.
    2. Sen, Amartya, 2001. "Development as Freedom," OUP Catalogue, Oxford University Press, number 9780192893307, Decembrie.
    3. Asfaw, Abay & von Braun, Joachim, 2004. "Is Consumption Insured against Illness? Evidence on Vulnerability of Households to Health Shocks in Rural Ethiopia," Economic Development and Cultural Change, University of Chicago Press, vol. 53(1), pages 115-129, October.
    4. Guanlong Fu & Emi Uchida & Muna Shah & Xiangzheng Deng, 2019. "Impact of the Grain for Green program on forest cover in China," Journal of Environmental Economics and Policy, Taylor & Francis Journals, vol. 8(3), pages 231-249, July.
    5. Liu, Zhen & Lan, Jing, 2015. "The Sloping Land Conversion Program in China: Effect on the Livelihood Diversification of Rural Households," World Development, Elsevier, vol. 70(C), pages 147-161.
    6. Keisuke Hirano & Guido W. Imbens & Geert Ridder, 2003. "Efficient Estimation of Average Treatment Effects Using the Estimated Propensity Score," Econometrica, Econometric Society, vol. 71(4), pages 1161-1189, July.
    7. Liu, Kai, 2016. "Insuring against health shocks: Health insurance and household choices," Journal of Health Economics, Elsevier, vol. 46(C), pages 16-32.
    8. Zhaoyi Wang & Qianru Yu & Luo Guo, 2020. "Quantifying the Impact of the Grain-for-Green Program on Ecosystem Health in the Typical Agro-Pastoral Ecotone: A Case Study in the Xilin Gol League, Inner Mongolia," IJERPH, MDPI, vol. 17(16), pages 1-19, August.
    9. Lucia Knight & Benjamin J. Roberts & J. Lawrence Aber & Linda Richter, 2015. "Household Shocks and Coping Strategies in Rural and Peri‐Urban South Africa: Baseline Data from the Size Study in Kwazulu‐Natal, South Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 27(2), pages 213-233, March.
    10. Adam Wagstaff & Magnus Lindelow, 2014. "Are Health Shocks Different? Evidence From A Multishock Survey In Laos," Health Economics, John Wiley & Sons, Ltd., vol. 23(6), pages 706-718, June.
    11. Thuong, Nguyen Thi Thu, 2021. "Catastrophic health expenditure and impoverishment in Vietnam: Evidence from national Household Living Standards Surveys 2008–2018," Economic Analysis and Policy, Elsevier, vol. 72(C), pages 668-684.
    12. Sophie Mitra & Michael Palmer & Daniel Mont & Nora Groce, 2016. "Can Households Cope with Health Shocks in Vietnam?," Health Economics, John Wiley & Sons, Ltd., vol. 25(7), pages 888-907, July.
    13. Rui Han & Luo Guo & NuanYin Xu & Dan Wang, 2019. "The Effect of the Grain for Green Program on Ecosystem Health in the Upper Reaches of the Yangtze River Basin: A Case Study of Eastern Sichuan, China," IJERPH, MDPI, vol. 16(12), pages 1-19, June.
    14. Xu, Zhigang & Xu, Jintao & Deng, Xiangzheng & Huang, Jikun & Uchida, Emi & Rozelle, Scott, 2006. "Grain for Green versus Grain: Conflict between Food Security and Conservation Set-Aside in China," World Development, Elsevier, vol. 34(1), pages 130-148, January.
    15. Alix-Garcia, Jennifer & Wolff, Hendrik, 2014. "Payment for Ecosystem Services from Forests," IZA Discussion Papers 8179, Institute of Labor Economics (IZA).
    16. Jennifer Alix-Garcia & Hendrik Wolff, 2014. "Payment for Ecosystem Services from Forests," Annual Review of Resource Economics, Annual Reviews, vol. 6(1), pages 361-380, October.
    17. Zhen Liu & Arne Henningsen, 2016. "The effects of China's Sloping Land Conversion Program on agricultural households," Agricultural Economics, International Association of Agricultural Economists, vol. 47(3), pages 295-307, May.
    18. Uchida, Emi & Xu, Jintao & Xu, Zhigang & Rozelle, Scott, 2007. "Are the poor benefiting from China's land conservation program?," Environment and Development Economics, Cambridge University Press, vol. 12(4), pages 593-620, August.
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