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The Problem of the Uninsured

Isaac Ehrlich () and Yong Yin ()

No 6920, IZA Discussion Papers from Institute for the Study of Labor (IZA)

Abstract: The problem of the uninsured – those eschewing the purchase of health insurance policies – cannot be fully understood without considering informal alternatives to market insurance called "self-insurance" and "self-protection", including the publicly and charitably-financed safety-net health care system. This paper tackles the problem of the uninsured by formulating a "full-insurance" paradigm that includes all 4 measures of insurance as interacting components, and analyzing their interdependencies. We apply both a baseline and extended versions of the model through calibrated simulations to estimate the degree to which these non-market alternatives can account for the fraction of the non-elderly adults who are uninsured, and estimate their behavioral and policy ramifications. Our results indicate that policy analyses that do not consider the role of self-efforts to avoid health losses can grossly distort the success of the ACA mandate to insure the uninsured and to improve the health and welfare outcomes of the previously uninsured.

Keywords: health insurance; health care; uninsured; self-insurance; self-protection (search for similar items in EconPapers)
JEL-codes: G22 H42 I13 I28 (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-ias
Date: 2012-10
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Working Paper: The Problem of the Uninsured (2012) Downloads
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