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The Theory of Demand for Health Insurance (Hardcover)
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The Theory of Demand for Health Insurance (Hardcover)
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Why do people buy health insurance? Conventional theory holds that
people purchase insurance because they prefer the certainty of
paying a small premium to the risk of getting sick and paying a
large medical bill. Conventional theory also holds that any
additional health care that consumers purchase because they have
insurance is not worth the cost of producing it. Therefore,
economists have promoted policies--copayments and managed care--to
reduce consumption of this additional, seemingly low-value care.
This book presents a new theory of consumer demand for health
insurance. It holds that people purchase insurance to obtain
additional income when they become ill. In effect, insurance
companies act to transfer insurance premiums from those who remain
healthy to those who become ill. This additional income generates
purchases of additional high-value care, often allowing sick
persons to obtain life-saving care that they could not otherwise
afford.
Regarding risk, the new theory relies on empirical studies showing
that consumers actually prefer the risk of a large loss to
incurring a smaller loss with certainty. Therefore, if consumers
purchase insurance, it is not because they desire to avoid risk.
Instead, the new theory suggests consumers simply pay a premium
when healthy in exchange for a claim on additional income (effected
when insurance pays for the medical care) if they become ill.
Health insurance is substantially more valuable to the consumer
under the new theory. The new theory moreover implies that
copayments and managed care--central health policies of the last 30
years--were directed at solving problems that largely did not
exist. Because these policies either reduced the amount of income
transferred to ill persons or limited access to valuable health
care, they may have done more harm than good. The new theory also
provides a solid theoretical justification for insuring the
uninsured and for implementing national health insurance.
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