The health care system reform in China: effects on out-of-pocket expenses and saving
This paper aims at evaluating the impact of 1998 Chinese health care reform on out-of-pocket expenditure and on saving. Existing evidence on the results achieved by this reform in terms of reduction of out-of-pocket medical expenditures is still mixed and contradictory, and very little is known about the impact of these measures on the consumption and saving behavior of the Chinese population. To shed more light on this issue we use data collected by the Chinese Household Income Project (CHIP), through a series of questionnaire-based interviews conducted in urban areas in 1995 and 2002. Contrary to previous evidence, our ndings suggest that, once properly accounting for unobserved heterogeneity (health status), out-of-pocket medical expenses and saving rate are affected by the reform in a differentiated way. In particular, we find that out-of-pocket expenses increase more for individuals with poor health status and the saving rate increases only for individual with good health status.
|Date of creation:||22 Oct 2013|
|Date of revision:||22 Oct 2013|
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- Pudney, Stephen, 2008. "Heaping and leaping: survey response behaviour and the dynamics of self-reported consumption expenditure," ISER Working Paper Series 2008-09, Institute for Social and Economic Research.
- Deb, Partha & Trivedi, Pravin K, 1997. "Demand for Medical Care by the Elderly: A Finite Mixture Approach," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 12(3), pages 313-36, May-June.
- Choukhmane, Taha & Coeurdacier, Nicolas & Jin, Keyu, 2013.
"The One-Child Policy and Household Savings,"
CEPR Discussion Papers
9688, C.E.P.R. Discussion Papers.
- Vincenzo Atella & Partha Deb, 2013. "Heterogeneity in Long Term Health Outcomes of Migrants within Italy," NBER Working Papers 19422, National Bureau of Economic Research, Inc.
- Franco Modigliani & Shi Larry Cao, 2004. "The Chinese Saving Puzzle and the Life-Cycle Hypothesis," Journal of Economic Literature, American Economic Association, vol. 42(1), pages 145-170, March.
- Wang, Yan, 1995. "Permanent Income and Wealth Accumulation: A Cross-Sectional Study of Chinese Urban and Rural Households," Economic Development and Cultural Change, University of Chicago Press, vol. 43(3), pages 523-50, April.
- Malhar S Nabar, 2011. "Targets, Interest Rates, and Household Saving in Urban China," IMF Working Papers 11/223, International Monetary Fund.
- Orazio P. Attanasio & Guglielmo Weber, 2010.
"Consumption and Saving: Models of Intertemporal Allocation and Their Implications for Public Policy,"
Journal of Economic Literature,
American Economic Association, vol. 48(3), pages 693-751, September.
- Orazio P. Attanasio & Guglielmo Weber, 2010. "Consumption and Saving: Models of Intertemporal Allocation and Their Implications for Public Policy," NBER Working Papers 15756, National Bureau of Economic Research, Inc.
- Zhong Zhao, 2008. "Health demand and health determinants in China," Journal of Chinese Economic and Business Studies, Taylor & Francis Journals, vol. 6(1), pages 77-98.
- Wagstaff, Adam & Lindelow, Magnus, 2005.
"Can insurance increase financial risk ? The curious case of health insurance in China,"
Policy Research Working Paper Series
3741, The World Bank.
- Wagstaff, Adam & Lindelow, Magnus, 2008. "Can insurance increase financial risk?: The curious case of health insurance in China," Journal of Health Economics, Elsevier, vol. 27(4), pages 990-1005, July.
- Feng, Jin & He, Lixin & Sato, Hiroshi, 2011.
"Public pension and household saving: Evidence from urban China,"
Journal of Comparative Economics,
Elsevier, vol. 39(4), pages 470-485.
- Jin Feng & Lixin He & Hiroshi Sato, 2009. "Public Pension and Household Saving: Evidence from urban China," Global COE Hi-Stat Discussion Paper Series gd08-030, Institute of Economic Research, Hitotsubashi University.
- Giulia Cifaldi & Andrea Neri, 2013. "Asking income and consumption questions in the same survey: what are the risks?," Temi di discussione (Economic working papers) 908, Bank of Italy, Economic Research and International Relations Area.
- Carrin, Guy & Ron, Aviva & Hui, Yang & Hong, Wang & Tuohong, Zhang & Licheng, Zhang & Shuo, Zhang & Yide, Ye & Jiaying, Chen & Qicheng, Jiang & Zhaoyang, Zhang & Jun, Yu & Xuesheng, Li, 1999. "The reform of the rural cooperative medical system in the People's Republic of China: interim experience in 14 pilot counties," Social Science & Medicine, Elsevier, vol. 48(7), pages 961-972, April.
- Aart Kraay, 2000. "Household Saving in China," World Bank Economic Review, World Bank Group, vol. 14(3), pages 545-570, September.
- Xin Wang & Yi Wen, 2011.
"Can rising housing prices explain China’s high household saving rate?,"
Federal Reserve Bank of St. Louis, issue Mar, pages 67-88.
- Xin Wang & Yi Wen, 2010. "Can rising housing prices explain China’s high household saving rate?," Working Papers 2010-048, Federal Reserve Bank of St. Louis.
- Rolf Aaberge & Yu Zhu, 1998.
"The Pattern of Household Savings during a Hyperinflation The Case of Urban China in the Late 1980s,"
217, Statistics Norway, Research Department.
- Aaberge, Rolf & Zhu, Yu, 2001. "The Pattern of Household Savings during a Hyperinflation: The Case of Urban China in the Late 1980s," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 47(2), pages 181-202, June.
- Gao, Jun & Raven, Joanna H. & Tang, Shenglan, 2007. "Hospitalisation among the elderly in urban China," Health Policy, Elsevier, vol. 84(2-3), pages 210-219, December.
- Adam Wagstaff & Winnie Yip & Magnus Lindelow & William C. Hsiao, 2009. "China's health system and its reform: a review of recent studies," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages S7-S23, July.
- Guonan Ma & Wang Yi, 2010.
"China’s High Saving Rate: Myth and Reality,"
CEPII research center, issue 122, pages 5–39.
- Richard J. Buttimer Jr. & Anthony Yanxiang Gu & Tyler T. Yang, 2004. "The Chinese Housing Provident Fund," International Real Estate Review, Asian Real Estate Society, vol. 7(1), pages 1-30.
- Shang-Jin Wei & Xiaobo Zhang, 2009.
"The Competitive Saving Motive: Evidence from Rising Sex Ratios and Savings Rates in China,"
NBER Working Papers
15093, National Bureau of Economic Research, Inc.
- Shang-Jin Wei & Xiaobo Zhang, 2011. "The Competitive Saving Motive: Evidence from Rising Sex Ratios and Savings Rates in China," Journal of Political Economy, University of Chicago Press, vol. 119(3), pages 511 - 564.
- Erich Battistin, 2002.
"Errors in Survey Reports of Consumption Expenditures,"
10th International Conference on Panel Data, Berlin, July 5-6, 2002
C4-2, International Conferences on Panel Data.
- Erich Battistin, 2003. "Errors in survey reports of consumption expenditures," IFS Working Papers W03/07, Institute for Fiscal Studies.
- Yip, Winnie & Hsiao, William, 2009. "China's health care reform: A tentative assessment," China Economic Review, Elsevier, vol. 20(4), pages 613-619, December.
- Emanuele Baldacci & Ding Ding & David Coady & Giovanni Callegari & Pietro Tommasino & Jaejoon Woo & Manmohan S. Kumar, 2010. "Public Expenditures on Social Programs and Household Consumption in China," IMF Working Papers 10/69, International Monetary Fund.
- Ya Ping Wang, 2000. "Social and Spatial Implications of Housing Reform in China," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 24(2), pages 397-417, 06.
- Steven A Barnett & Ray Brooks, 2010. "China; Does Government Health and Education Spending Boost Consumption?," IMF Working Papers 10/16, International Monetary Fund.
- Richard Herd & Hu-Wei Hu & Vincent Koen, 2010. "Providing Greater Old-Age Security in China," OECD Economics Department Working Papers 750, OECD Publishing.
- Yu-Wei Hu & Gregorio Impavido & Xiaohong Li, 2009. "Governance and Fund Management in the Chinese Pension System," IMF Working Papers 09/246, International Monetary Fund.
- Liu, Yuanli, 2002. "Reforming China's urban health insurance system," Health Policy, Elsevier, vol. 60(2), pages 133-150, May.
- Yingyi Qian, 1988. "Urban and Rural Household Saving in China," IMF Staff Papers, Palgrave Macmillan, vol. 35(4), pages 592-627, December.
- Perkins, Dwight H., 2012. "Rapid growth and changing economic structure: The expenditure side story and its implications for China," China Economic Review, Elsevier, vol. 23(3), pages 501-511.
- Chow, Gregory C, 1985. "A Model of Chinese National Income Determination," Journal of Political Economy, University of Chicago Press, vol. 93(4), pages 782-92, August.
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