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The Long-Term Effect of Health Insurance on Near-Elderly Health and Mortality

Author

Listed:
  • Bernard Black

    (Northwestern University, Pritzker School of Law and Kellogg School of Management)

  • José-Antonio Espín-Sánchez

    (Yale University, Department of Economics)

  • Eric French

    (University College London, Department of Economics, and Federal Reserve Bank of Chicago)

  • Kate Litvak

    (Northwestern University, Pritzker School of Law)

Abstract

We use the best available longitudinal data set, the Health and Retirement Study, and a battery of causal inference methods to provide both central estimates and bounds for the long-term effect of health insurance on health and mortality among the near-elderly (initial age 50–61) over a 20-year period. Compared with matched insured persons, those uninsured in 1992 consume fewer health-care services, but their health (while alive) does not deteriorate relative to the insured, and, in our central estimates, they do not die significantly faster than the insured. Our upper and lower bounds suggest that prior studies have greatly overestimated the health and mortality benefits of providing health insurance to the uninsured.

Suggested Citation

  • Bernard Black & José-Antonio Espín-Sánchez & Eric French & Kate Litvak, 2017. "The Long-Term Effect of Health Insurance on Near-Elderly Health and Mortality," American Journal of Health Economics, University of Chicago Press, vol. 3(3), pages 281-311, Summer.
  • Handle: RePEc:ucp:amjhec:v:3:y:2017:i:3:p:281-311
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    More about this item

    Keywords

    health insurance; mortality;

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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