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Farmers' Health Insurance and Access to Health Care

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  • Xiaoyong Zheng
  • David M. Zimmer

Abstract

We estimate farmers' health care consumption given their insurance status, explicitly taking into account the possible endogeneity of insurance. Data come from the 1996–2001 waves of the Medical Expenditure Panel Survey conducted by the Agency for Healthcare Research and Quality. Results show that farmers have problems accessing affordable health insurance coverage, and these access problems lead to an overall reduction in the utilization of health care services by uninsured farmers. After controlling for selection, we observe quantitatively large and statistically significant direct effects of uninsurance on the utilization of health care services. Copyright 2008, Oxford University Press.

Suggested Citation

  • Xiaoyong Zheng & David M. Zimmer, 2008. "Farmers' Health Insurance and Access to Health Care," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 90(1), pages 267-279.
    • Handle: RePEc:oup:ajagec:v:90:y:2008:i:1:p:267-279
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    File URL: http://hdl.handle.net/10.1111/j.1467-8276.2007.01041.x
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    Citations

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    Cited by:

    1. Clara Delavallade, 2014. "Quality Healthcare and Health Insurance Retention: Evidence from a Randomized Experiment in the Kolkata Slums," Working Papers id:5916, eSocialSciences.
    2. Yang, Feng-An & Chang, Hung-Hao, 2023. "Impact of a pension program on healthcare utilization among older farmers: Empirical evidence from health claims data," World Development, Elsevier, vol. 169(C).
    3. Kuo-Liang Chang & George Langelett & Andrew Waugh, 2011. "Health, Health Insurance, and Decision to Exit from Farming," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 356-372, June.
    4. Gabriel Picone & Assi José Carlos Kimou & Désiré Kanga, 2023. "Medical emergencies and farm productivity in Côte d'Ivoire," Review of Development Economics, Wiley Blackwell, vol. 27(3), pages 1630-1648, August.
    5. Glenn P. Jenkins & Hope Amala Anyabolu & Pejman Bahramian, 2019. "Family decision-making for educational expenditure: new evidence from survey data for Nigeria," Applied Economics, Taylor & Francis Journals, vol. 51(52), pages 5663-5673, November.
    6. Hung‐Hao Chang, 2024. "The effects of land direct payment program on farm income and production practices," American Journal of Agricultural Economics, John Wiley & Sons, vol. 106(4), pages 1454-1476, August.
    7. Clara Delavallade, 2017. "Quality Health Care and Willingness to Pay for Health Insurance Retention: A Randomized Experiment in Kolkata Slums," Health Economics, John Wiley & Sons, Ltd., vol. 26(5), pages 619-638, May.
    8. Xiangping Liu & Danijel Nestic & Tomislav Vukina, 2012. "Estimating Adverse Selection And Moral Hazard Effects With Hospital Invoices Data In A Government‐Controlled Healthcare System," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 883-901, August.
    9. Giampiero Marra & Rosalba Radice & David M. Zimmer, 2020. "Estimating the binary endogenous effect of insurance on doctor visits by copula‐based regression additive models," Journal of the Royal Statistical Society Series C, Royal Statistical Society, vol. 69(4), pages 953-971, August.
    10. Wa Ntita Serge Kabongo & Josue Mbonigaba, 2017. "Demand-side Determinants of Access to Healthcare Services: Empirical Evidence from Africa," SPOUDAI Journal of Economics and Business, SPOUDAI Journal of Economics and Business, University of Piraeus, vol. 67(4), pages 3-22, October-D.
    11. Ahearn, Mary Clare & El-Osta, Hisham & Mishra, Ashok K., 2013. "Considerations in Work Choices of U.S. Farm Households: The Role of Health Insurance," Journal of Agricultural and Resource Economics, Western Agricultural Economics Association, vol. 38(1), pages 1-15, April.

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