44 Pages Posted: 16 Jul 2012 Last revised: 8 Apr 2016
Date Written: April 4, 2016
We use the best available longitudinal dataset, the Health and Retirement Survey, and a battery of causal inference methods to provide both central estimates and bounds on the effect of health insurance on health and mortality among the near elderly (initial age 50-61) over an 18-year period. Those uninsured in 1992 consume fewer healthcare services, but are not less healthy and, in our central estimates, do not die sooner than their insured counterparts. We discuss why a zero average effect of uninsurance on mortality and health is plausible, some selection effects that might explain our full results, and methodological concerns with prior studies.
The Appendix that accompanies this article is available on SSRN at http://ssrn.com/abstract=2758692.
Keywords: health insurance, Medicare, healthcare utilization
JEL Classification: H51, I12, I18, K32
Suggested Citation: Suggested Citation
Black, Bernard S. and Espín-Sánchez, José-Antonio and French, Eric and Litvak, Kate, The Long-Term Effect of Health Insurance on Near-Elderly Health and Mortality (April 4, 2016). Northwestern Law & Econ Research Paper 12-09. Available at SSRN: https://ssrn.com/abstract=2103669 or http://dx.doi.org/10.2139/ssrn.2103669