Voluntary or compulsory? Exploring dynamics of mutual cooperative formation in Swedish health insurance at the turn of the twentieth century

Lars Fredrik Andersson and Liselotte Eriksson
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Lars Fredrik Andersson: Umeå University
Liselotte Eriksson: Umeå University

No 16007, Working Papers from Economic History Society

Abstract: "In this paper we explore the dynamics of mutual cooperative formation in Swedish health insurance during the period 1901 to 1910 ‐ a period where health insurance was in the making and organized along voluntary, ‘fraternal’ principles and compulsory, ‘factory scheme’ principles. Most previous studies on health insurance have addressed information asymmetry issues on either voluntary fraternal based societies or compulsory factory based societies, while few studies has compared the two forms of health insurance and their implications. By comparing the outcome in terms of sickness for the two forms of organization, this paper traces the efficiency in controlling for moral hazard and adverse selection across a large panel of voluntary and compulsory health insurance societies. We find that voluntary societies were equal to, or even more efficient, than compulsory societies suggesting that voluntary principles help mitigate moral hazard and select risk."

Keywords: "Mutual; Cooperative networks; Fraternalism; Heath Insurance; Sickness insurance" (search for similar items in EconPapers)
JEL-codes: N00 (search for similar items in EconPapers)
Date: 2016-04
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