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The largest insurance program in history: Saving one million lives per year in China

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  • Gruber, Jonathan
  • Lin, Mengyun
  • Yi, Junjian

Abstract

The New Cooperative Medical Scheme (NCMS), rolled out in China from 2003–2008, provided insurance to 800 million rural Chinese. We combine aggregate mortality data with individual survey data, and identify the impact of the NCMS from program rollout and heterogeneity across areas in their rural share. We find that there was a significant decline in aggregate mortality, with the program saving more than one million lives per year at its peak, and explaining 78% of the entire increase in life expectancy in China over this period. We confirm these mortality effects using micro-data on mortality, other health outcomes, and utilization.

Suggested Citation

  • Gruber, Jonathan & Lin, Mengyun & Yi, Junjian, 2023. "The largest insurance program in history: Saving one million lives per year in China," Journal of Public Economics, Elsevier, vol. 226(C).
    • Handle: RePEc:eee:pubeco:v:226:y:2023:i:c:s0047272723001810
    DOI: 10.1016/j.jpubeco.2023.104999
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    More about this item

    Keywords

    Public health insurance; Health outcomes; Mortality rate; Life expectancy; New cooperative medical scheme;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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