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Disasters and health insurance: Evidence from Louisiana

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  • Barnes, Stephen
  • Joshi, Swarup
  • Terrell, Dek

Abstract

Natural disasters can have important impacts on an individual’s decision to purchase insurance. The literature primarily focuses on the impact of natural disasters on the decision to buy flood or property insurance policies that would compensate the policyholder during a similar event. This paper explores the impact of a series of disasters (hurricanes and floods) striking the state of Louisiana in the decision to purchase health insurance. Using the staggered difference-in-differences method, we find that health insurance rates rise for those impacted by natural disasters. We also find a positive relationship between disaster aid (at the parish level) and health insurance take-up rates. The study confirms the economic theory of risk perception and insurance demand, while also highlighting the role of governance and institutions during crises (such as natural disasters) by providing evidence that fiscal policy disaster relief can have a second-order effect on health insurance take-up rates.

Suggested Citation

  • Barnes, Stephen & Joshi, Swarup & Terrell, Dek, 2023. "Disasters and health insurance: Evidence from Louisiana," Economic Modelling, Elsevier, vol. 128(C).
    • Handle: RePEc:eee:ecmode:v:128:y:2023:i:c:s0264999323003280
    DOI: 10.1016/j.econmod.2023.106516
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    References listed on IDEAS

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    1. Benedikte Bjerge & Neda Trifkovic, 2018. "Extreme weather and demand for index insurance in rural India," European Review of Agricultural Economics, Oxford University Press and the European Agricultural and Applied Economics Publications Foundation, vol. 45(3), pages 397-431.
    2. Heckman, James J. & Urzúa, Sergio, 2010. "Comparing IV with structural models: What simple IV can and cannot identify," Journal of Econometrics, Elsevier, vol. 156(1), pages 27-37, May.
    3. Angus Deaton, 2009. "Instruments of development: Randomization in the tropics, and the search for the elusive keys to economic development," Working Papers 1128, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    4. Clément de Chaisemartin & Xavier D'Haultfœuille, 2020. "Two-Way Fixed Effects Estimators with Heterogeneous Treatment Effects," American Economic Review, American Economic Association, vol. 110(9), pages 2964-2996, September.
    5. Kimball, Miles S, 1993. "Standard Risk Aversion," Econometrica, Econometric Society, vol. 61(3), pages 589-611, May.
    6. Amanda Kowalski, 2016. "Doing more when you're running LATE: Applying marginal treatment effect methods to examine treatment effect heterogeneity in experiments," Artefactual Field Experiments 00560, The Field Experiments Website.
    7. Hainmueller, Jens, 2012. "Entropy Balancing for Causal Effects: A Multivariate Reweighting Method to Produce Balanced Samples in Observational Studies," Political Analysis, Cambridge University Press, vol. 20(1), pages 25-46, January.
    8. Cai, Jing & Song, Changcheng, 2017. "Do disaster experience and knowledge affect insurance take-up decisions?," Journal of Development Economics, Elsevier, vol. 124(C), pages 83-94.
    9. Abouk, Rahi & Courtemanche, Charles & Dave, Dhaval & Feng, Bo & Friedman, Abigail S. & Maclean, Johanna Catherine & Pesko, Michael F. & Sabia, Joseph J. & Safford, Samuel, 2023. "Intended and unintended effects of e-cigarette taxes on youth tobacco use," Journal of Health Economics, Elsevier, vol. 87(C).
    10. Van de Ven, Wynand P. M. M. & Van Praag, Bernard M. S., 1981. "The demand for deductibles in private health insurance : A probit model with sample selection," Journal of Econometrics, Elsevier, vol. 17(2), pages 229-252, November.
    11. Jha, Chandan Kumar & Panda, Bibhudutta & Sahu, Santosh Kumar, 2022. "Institutions and conflict," Economic Modelling, Elsevier, vol. 113(C).
    12. Guido W. Imbens, 2010. "Better LATE Than Nothing: Some Comments on Deaton (2009) and Heckman and Urzua (2009)," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 399-423, June.
    13. Browne, Mark J & Hoyt, Robert E, 2000. "The Demand for Flood Insurance: Empirical Evidence," Journal of Risk and Uncertainty, Springer, vol. 20(3), pages 291-306, May.
    14. Lo Sasso, Anthony T. & Buchmueller, Thomas C., 2004. "The effect of the state children's health insurance program on health insurance coverage," Journal of Health Economics, Elsevier, vol. 23(5), pages 1059-1082, September.
    15. Elif S. Filiz, 2022. "Does it Payoff to be Blond in a Non-Blond Neighborhood? Eye Color, Hair Color, Ethnic Composition and Starting Wages," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 48(1), pages 122-146, January.
    16. Swarup Joshi & Stephen Barnes, 2021. "Impact of a Low-Cost Postsecondary Enrollment Intervention: Evidence from Louisiana," Education Finance and Policy, MIT Press, vol. 16(3), pages 493-515, Summer.
    17. Allison B. Rosen & Jerry S. Tsai & Stephen M. Downs, 2003. "Variations in Risk Attitude across Race, Gender, and Education," Medical Decision Making, , vol. 23(6), pages 511-517, November.
    18. Patricia Born & W. Viscusi, 2006. "The catastrophic effects of natural disasters on insurance markets," Journal of Risk and Uncertainty, Springer, vol. 33(1), pages 55-72, September.
    19. Justin Gallagher & Daniel Hartley & Shawn Rohlin, 2023. "Weathering an Unexpected Financial Shock: The Role of Federal Disaster Assistance on Household Finance and Business Survival," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 10(2), pages 525-567.
    20. Stephen Barnes & Dek Terrell, 2009. "The Impact of the Labor Market on Health Insurance," Journal of Labor Research, Springer, vol. 30(4), pages 328-339, December.
    21. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    22. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    23. Laura E. Grube & Rosemarie Fike & Virgil Henry Storr, 2018. "Navigating Disaster: An Empirical Study of Federal Assistance Following Hurricane Sandy," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 44(4), pages 576-593, September.
    24. Kunreuther, Howard, 1996. "Mitigating Disaster Losses through Insurance," Journal of Risk and Uncertainty, Springer, vol. 12(2-3), pages 171-187, May.
    25. Liu, Tsai-Ching & Chen, Chin-Shyan, 2002. "An analysis of private health insurance purchasing decisions with national health insurance in Taiwan," Social Science & Medicine, Elsevier, vol. 55(5), pages 755-774, September.
    26. Pratt, John W & Zeckhauser, Richard J, 1987. "Proper Risk Aversion," Econometrica, Econometric Society, vol. 55(1), pages 143-154, January.
    27. Baryshnikova, Nadezhda V. & Pham, Ngoc T.A., 2019. "Natural disasters and mental health: A quantile approach," Economics Letters, Elsevier, vol. 180(C), pages 62-66.
    28. Imbens, Guido W & Angrist, Joshua D, 1994. "Identification and Estimation of Local Average Treatment Effects," Econometrica, Econometric Society, vol. 62(2), pages 467-475, March.
    29. Hosoya, Kei, 2019. "Importance of a victim-oriented recovery policy after major disasters," Economic Modelling, Elsevier, vol. 78(C), pages 1-10.
    30. Amy Finkelstein & Nathaniel Hendren & Mark Shepard, 2019. "Subsidizing Health Insurance for Low-Income Adults: Evidence from Massachusetts," American Economic Review, American Economic Association, vol. 109(4), pages 1530-1567, April.
    31. Bos, Jaap W.B. & Li, Runliang & Sanders, Mark W.J.L., 2022. "Hazardous lending: The impact of natural disasters on bank asset portfolio," Economic Modelling, Elsevier, vol. 108(C).
    32. Adam, Antonis & Tsavou, Evi, 2022. "Do natural disasters fuel terrorism? The role of state capacity," Economic Modelling, Elsevier, vol. 115(C).
    33. Tatyana Deryugina, 2017. "The Fiscal Cost of Hurricanes: Disaster Aid versus Social Insurance," American Economic Journal: Economic Policy, American Economic Association, vol. 9(3), pages 168-198, August.
    34. Dhaval Dave & Monica Deza & Brady Horn, 2021. "Prescription drug monitoring programs, opioid abuse, and crime," Southern Economic Journal, John Wiley & Sons, vol. 87(3), pages 808-848, January.
    35. Christoph Hambel & Holger Kraft & Lorenz S. Schendel & Mogens Steffensen, 2017. "Life Insurance Demand Under Health Shock Risk," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 84(4), pages 1171-1202, December.
    36. Nick Carroll & Paul Frijters & Michael Shields, 2009. "Quantifying the costs of drought: new evidence from life satisfaction data," Journal of Population Economics, Springer;European Society for Population Economics, vol. 22(2), pages 445-461, April.
    37. repec:pri:rpdevs:instruments_of_development.pdf is not listed on IDEAS
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    Cited by:

    1. Nguyen, Ha Trong & Mitrou, Francis, 2025. "Natural disasters and the demand for health insurance," Journal of Environmental Economics and Management, Elsevier, vol. 130(C).
    2. Cooray, Arusha & Jha, Chandan Kumar & Sarangi, Sudipta, 2024. "Good governance in troubled times: What we know and what experts say," Economic Modelling, Elsevier, vol. 136(C).

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    More about this item

    Keywords

    Health insurance; Crisis; Governance; Risk;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • G41 - Financial Economics - - Behavioral Finance - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making in Financial Markets
    • Q54 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Climate; Natural Disasters and their Management; Global Warming

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