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Assurance maladie : la gestion du risque long


  • Geoffard, P.-Y.


This paper offers a theoretical investigation of long term coverage of health risks. I focus upon two key features in a long term perspective: first, individuals bear the risk that their risk category may change through time ; second, in the long run, uncertainty may be " radical, " i.e., difficult to probabilise. After briefly summarising the dynamic elements of theories of solidarity (according to Léon Bourgeois and John Rawls), the second part presents recent economic approaches of long term risk management, and reviews the solutions that have been offered in the area of health care. The third part attempts to apply these solutions to the French health insurance system made of two parts : mandatory public insurance, and private supplementary insurance, regulated by the Loi Evin. Lastly, the final section offers a first examination, both theoretical and descriptive, of the comparative advantages of mutuals (non profit) and insurance companies (for profit), two forms of private institutions involved in health insurance, focusing on the long term aspects of this activity. The conclusion insists on the limits of the analysis, and suggests paths for future research.

Suggested Citation

  • Geoffard, P.-Y., 2000. "Assurance maladie : la gestion du risque long," DELTA Working Papers 2000-12, DELTA (Ecole normale supérieure).
  • Handle: RePEc:del:abcdef:2000-12

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    References listed on IDEAS

    1. Christina Paxson, 1990. "Borrowing Constraints and Portfolio Choice," The Quarterly Journal of Economics, Oxford University Press, vol. 105(2), pages 535-543.
    2. King, Mervyn A. & Leape, Jonathan I., 1998. "Wealth and portfolio composition: Theory and evidence," Journal of Public Economics, Elsevier, vol. 69(2), pages 155-193, June.
    3. Fu, Yuming, 1991. "A Model of Housing Tenure Choice: Comment," American Economic Review, American Economic Association, vol. 81(1), pages 381-383, March.
    4. Hausman, Jerry, 2015. "Specification tests in econometrics," Applied Econometrics, Publishing House "SINERGIA PRESS", vol. 38(2), pages 112-134.
    5. Bodie, Zvi & Merton, Robert C. & Samuelson, William F., 1992. "Labor supply flexibility and portfolio choice in a life cycle model," Journal of Economic Dynamics and Control, Elsevier, vol. 16(3-4), pages 427-449.
    6. Ioannides, Yannis M., 1989. "Housing, other real estate, and wealth portfolios : An empirical investigation based on the 1983 Survey of Consumer Finances," Regional Science and Urban Economics, Elsevier, vol. 19(2), pages 259-280, May.
    7. Brueckner, Jan K., 1986. "The downpayment constraint and housing tenure choice : A simplified exposition," Regional Science and Urban Economics, Elsevier, vol. 16(4), pages 519-525, November.
    8. Brueckner, Jan K, 1997. "Consumption and Investment Motives and the Portfolio Choices of Homeowners," The Journal of Real Estate Finance and Economics, Springer, vol. 15(2), pages 159-180, October.
    9. repec:adr:anecst:y:1990:i:17:p:01 is not listed on IDEAS
    10. Artle, Roland & Varaiya, Pravin, 1978. "Life cycle consumption and homeownership," Journal of Economic Theory, Elsevier, vol. 18(1), pages 38-58, June.
    11. Peter Linneman & Susan Wachter, 1989. "The Impacts of Borrowing Constraints on Homeownership," Real Estate Economics, American Real Estate and Urban Economics Association, vol. 17(4), pages 389-402.
    12. Kimball, Miles S, 1993. "Standard Risk Aversion," Econometrica, Econometric Society, vol. 61(3), pages 589-611, May.
    13. Sandmo, Agnar, 1969. "Capital Risk, Consumption, and Portfolio Choice," Econometrica, Econometric Society, vol. 37(4), pages 586-599, October.
    14. Smith, Lawrence B & Rosen, Kenneth T & Fallis, George, 1988. "Recent Developments in Economic Models of Housing Markets," Journal of Economic Literature, American Economic Association, vol. 26(1), pages 29-64, March.
    15. Ioannides, Yannis M & Rosenthal, Stuart S, 1994. "Estimating the Consumption and Investment Demands for Housing and Their Effect on Housing Tenure Status," The Review of Economics and Statistics, MIT Press, vol. 76(1), pages 127-141, February.
    16. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Publishing House "SINERGIA PRESS", vol. 31(3), pages 129-137.
    17. Henderson, J Vernon & Ioannides, Yannis M, 1983. "A Model of Housing Tenure Choice," American Economic Review, American Economic Association, vol. 73(1), pages 98-113, March.
    18. Henderson, J. Vernon & Ioannides, Yannis M., 1987. "Owner occupancy: Investment vs consumption demand," Journal of Urban Economics, Elsevier, vol. 21(2), pages 228-241, March.
    19. Luc Arrondel, 1996. "Patrimoine des ménages : toujours le logement, mais aussi les actifs de précaution," Économie et Statistique, Programme National Persée, vol. 296(1), pages 33-62.
    20. James R. Follain & David C. Ling, 1988. "Another Look at Tenure Choice, Inflation, and Taxes," Real Estate Economics, American Real Estate and Urban Economics Association, vol. 16(3), pages 207-229.
    21. Luc Arrondel & André Masson, 1996. "Gestion du risque et comportements patrimoniaux," Économie et Statistique, Programme National Persée, vol. 296(1), pages 63-89.
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    Cited by:

    1. Rémi Lardellier & Renaud Legal & Denis Raynaud & Guillaume Vidal, 2011. "Un outil pour l’étude des dépenses de santé et des « restes à charge » des ménages : le modèle Omar," Économie et Statistique, Programme National Persée, vol. 450(1), pages 47-77.

    More about this item



    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies


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