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

Jonathan Gruber, Mengyun Lin and Junjian Yi

Journal of Public Economics, 2023, vol. 226, issue C

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.

Keywords: Public health insurance; Health outcomes; Mortality rate; Life expectancy; New cooperative medical scheme (search for similar items in EconPapers)
JEL-codes: I10 I13 I18 (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:pubeco:v:226:y:2023:i:c:s0047272723001810

DOI: 10.1016/j.jpubeco.2023.104999

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