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Age segmentation in the Chilean health system

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  • Marcelo Tokman R.

Abstract

A formal model of the Chilean dual health system is presented, which, for appropriate parameters, replicates the observed age segmentation of the population between the private insurance market and the public health insurance. The model is used to compare the level of welfare obtained in the current mixed system with the levels of welfare that could be obtained in alternative “pure” systems, either only private or only public. It is also used to determine how the result of this comparison is affected by intergenerational distribution of income. Finally, the model is used to show that the creation of a mandatory individual savings account to finance the elderly’s health insurance could improve the performance of the Chilean health sector by reducing intergenerational inequality.

Suggested Citation

  • Marcelo Tokman R., 2000. "Age segmentation in the Chilean health system," Estudios de Economia, University of Chile, Department of Economics, vol. 27(1 Year 20), pages 5-32, June.
  • Handle: RePEc:udc:esteco:v:27:y:2000:i:1:p:5-32
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    References listed on IDEAS

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    1. Ronald Fischer & Alejandra Mizala & Pilar Romaguera, 1998. "Alternativas de financiamiento de la salud en el sistema privado, para la tercera edad," Documentos de Trabajo 34, Centro de Economía Aplicada, Universidad de Chile.
    2. Ronald Fischer & Alejandra Mizala & Pilar Romaguera, 1998. "Financiamiento de la Salud en la Tercera Edad en el Sistema Isapre," Latin American Journal of Economics-formerly Cuadernos de Economía, Instituto de Economía. Pontificia Universidad Católica de Chile., vol. 35(104), pages 73-95.
    3. Ronald D. Fischer & Pablo Serra, 1997. "Análisis económico del sistema de seguros de salud en Chile," Documentos de Trabajo 17, Centro de Economía Aplicada, Universidad de Chile.
    4. Cochrane, John H, 1995. "Time-Consistent Health Insurance," Journal of Political Economy, University of Chicago Press, vol. 103(3), pages 445-473, June.
    5. Bitrán, Ricardo & Almarza, Francisco Xavier, 1997. "Las instituciones de salud previsional (ISAPRES) en Chile," Financiamiento para el Desarrollo 5265, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Health: Government Policy; Regulation; Public Health; Analysis of Health Care Markets; Distribution: General.;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • D30 - Microeconomics - - Distribution - - - General

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