This article focuses on the redistributive effects of different measures to finance public health insurance. We analyse the implications of different financing options for public health insurance on the redistribution of income from good to bad health risks and from high-income to low-income individuals. The financing options considered are either income-related (namely income taxes, payroll taxes, and indirect taxes), health-related (co-insurance, deductibles, and no-claim), or neither (flat fee). We show that governments who treat access to health care as a basic right for everyone should consider redistributive effects when reforming health care financing.
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http://dx.doi.org/10.1007/s10198-008-0100-y | DOI Listing |
Health Policy
November 2024
Université catholique de Louvain, Institute of Health and Society (IRSS), Institute of Economic and Social Research (IRES) - LIDAM, Faculté de Santé Publique, Clos Chapelle-aux-Champs, 30, Box B1.30.01 B-1200 Brussels, Belgium. Electronic address:
This review summarises empirical studies on the progressivity and redistributive effects of healthcare financing mechanisms. The evidence varies significantly across countries and financing sources. Tax-based systems exhibit high progressivity, as direct taxes contribute to a favourable redistribution toward low-income households, often offsetting the regressive nature of indirect taxes.
View Article and Find Full Text PDFAm Psychol
November 2024
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University.
The psychological study of resilience has increasingly underscored the need for children and families to access material and psychological resources to positively adapt to significant stress. Redistributive policies-policies that downwardly reallocate society's social and economic resources-can offer economically disadvantaged families sustained access to these resources and mitigate the harmful impacts of adversity. This conceptual article builds upon and integrates insights from psychological and policy research to develop a unifying multilevel resilience framework, which we call the Social Determinants of Resilience.
View Article and Find Full Text PDFHealth Serv Res
December 2024
Department of Health Policy, London School of Economics and Political Science, London, UK.
Objective: To examine wealth-related inequalities in self-reported health status among older population in the United States and 14 European countries.
Data Sources And Study Setting: We used secondary individual-level data from Health and Retirement Survey (HRS) and the Survey of Health, Ageing, and Retirement in Europe (SHARE) in 2011 and 2019.
Study Design: In this cross-sectional study, we used two waves from HRS (wave 10 and 14) and SHARE (wave 4 and 8) to compare wealth-related health inequality across countries, age groups, and birth cohorts.
This article discusses the challenges and potential policy choices for levying progressive taxes and taxing the rich in Latin America, a region known for its high-income inequality, limited tax-collection capacity, and low share of taxes collected from personal income and wealth. Factors such as high exemption thresholds, low top marginal tax rates, and limited administrative capacity undermine the redistributive ability and revenue collection of the tax systems in the region. Moreover, the income composition for the top percentiles largely comes from capital, and the effective tax rates they face are often low due to the preferential treatment of capital income and wealth.
View Article and Find Full Text PDFPLoS One
May 2024
Dept. of Global Business & Economics, Changwon National University, Changwon, Republic of Korea.
This paper studies the redistributive effects of two major pay-as-you-go pension systems by constructing an intergenerational iterative model which does not only considers standard utility but also relative utility. The study find that the two main pay-as-you-go pension systems are both sustainable. If we consider different preferences, then the choice of pension system should depend on the question of whether individuals are more interested in the absolute level of consumption or in the consumption related to a reference group.
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