Towards a general political economy of private supplementary health insurance

Claudio Lucarelli and Mark Pauly

Chapter 19 in Handbook on the Political Economy of Health Systems, 2023, pp 319-338 from Edward Elgar Publishing

Abstract: This chapter explores the political economy of private health insurance supplementation within a majoritarian democracy from a theoretical point of view. We look at the effect of private insurances on public spending and with that, the factors determining the level of political support for public and private systems. The chapter offers statistical analyses and several cases studies to offer factual evidence of what are the most likely political equilibria in a set of world-wide countries. Our findings show how in some political equilibria, the presence of private insurance supplementation for higher income people, does make lower income people better off.

Keywords: Economics and Finance; Politics and Public Policy Sociology and Social Policy (search for similar items in EconPapers)
Date: 2023
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