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Social policy in economic development: The case of health and old age insurance

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  • Thiele, Rainer

Abstract

This paper analyzes possible justifications for government interventions in health and old age insurance and illustrates the theoretical considerations by the case of Chile where a comprehensive social sector reform took place in the 1980s. It is shown that health insurances can suffer from adverse selection and risk selection as well as from moral hazard. In dealing with adverse selection and risk selection, governments can choose between social insurance and regulated private insurance, depending on the relative weight given to equity and efficiency. The problem of moral hazard can be diminished by various supply and demand side cost-sharing devices. With respect to old age security, the case for the system of forced savings prevailing worldwide mainly relies on the hypothesis that people tend to undersave for retirement. Among the possible pension schemes, funded systems are likely to have advantages over PAYG systems in that they improve efficiency.

Suggested Citation

  • Thiele, Rainer, 1997. "Social policy in economic development: The case of health and old age insurance," Kiel Working Papers 811, Kiel Institute for the World Economy (IfW Kiel).
    • Handle: RePEc:zbw:ifwkwp:811
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    References listed on IDEAS

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    1. Alesina, Alberto & Perotti, Roberto, 1996. "Income distribution, political instability, and investment," European Economic Review, Elsevier, vol. 40(6), pages 1203-1228, June.
    2. Barro, Robert J, 1974. "Are Government Bonds Net Wealth?," Journal of Political Economy, University of Chicago Press, vol. 82(6), pages 1095-1117, Nov.-Dec..
    3. Feldstein, Martin, 1996. "Social Security and Saving: New Time Series Evidence," National Tax Journal, National Tax Association;National Tax Journal, vol. 49(2), pages 151-164, June.
    4. Roubini, Nouriel & Sala-i-Martin, Xavier, 1995. "A growth model of inflation, tax evasion, and financial repression," Journal of Monetary Economics, Elsevier, vol. 35(2), pages 275-301, April.
    5. Laurence J. Kotlikoff, 1998. "Simulating the Privatization of Social Security in General Equilibrium," NBER Chapters, in: Privatizing Social Security, pages 265-311, National Bureau of Economic Research, Inc.
    6. Heinrich, Ralph P. & Koop, Michael J. & Boss, Alfred & Gröhn, Andreas & Kopp, Andreas & Rosenschon, Astrid & Schmidt, Rainer, 1996. "Sozialpolitik im Transformationsprozeß Mittel- und Osteuropas," Open Access Publications from Kiel Institute for the World Economy 860, Kiel Institute for the World Economy (IfW Kiel).
    7. Danziger, Sheldon & Haveman, Robert & Plotnick, Robert, 1981. "How Income Transfer Programs Affect Work, Savings, and the Income Distribution: A Critical Review," Journal of Economic Literature, American Economic Association, vol. 19(3), pages 975-1028, September.
    8. Persson, Torsten & Tabellini, Guido, 1994. "Is Inequality Harmful for Growth?," American Economic Review, American Economic Association, vol. 84(3), pages 600-621, June.
    9. Altonji, Joseph G & Hayashi, Fumio & Kotlikoff, Laurence J, 1992. "Is the Extended Family Altruistically Linked? Direct Tests Using Micro Data," American Economic Review, American Economic Association, vol. 82(5), pages 1177-1198, December.
    10. Diamond, P. A., 1977. "A framework for social security analysis," Journal of Public Economics, Elsevier, vol. 8(3), pages 275-298, December.
    11. Spence, Michael, 1978. "Product differentiation and performance in insurance markets," Journal of Public Economics, Elsevier, vol. 10(3), pages 427-447, December.
    12. Sebastian Edwards, 1995. "Why are Saving Rates so Different Across Countries?: An International Comparative Analysis," NBER Working Papers 5097, National Bureau of Economic Research, Inc.
    13. Feldstein, Martin S, 1974. "Social Security, Induced Retirement, and Aggregate Capital Accumulation," Journal of Political Economy, University of Chicago Press, vol. 82(5), pages 905-926, Sept./Oct.
    14. Feldstein, Martin, 1996. "Social Security and Saving: New Time Series Evidence," National Tax Journal, National Tax Association, vol. 49(2), pages 151-64, June.
    15. Randall P. Ellis & Thomas G. McGuire, 1993. "Supply-Side and Demand-Side Cost Sharing in Health Care," Journal of Economic Perspectives, American Economic Association, vol. 7(4), pages 135-151, Fall.
    16. Cox, Donald & Jimenez, Emmanuel, 1989. "Private transfers and public policy in developing countries : a case study for Peru," Policy Research Working Paper Series 345, The World Bank.
    17. Roubini, Nouriel & Sala-i-Martin, Xavier, 1992. "Financial repression and economic growth," Journal of Development Economics, Elsevier, vol. 39(1), pages 5-30, July.
    18. Perotti, Roberto, 1996. "Growth, Income Distribution, and Democracy: What the Data Say," Journal of Economic Growth, Springer, vol. 1(2), pages 149-187, June.
    19. Robert Holzmann, 1997. "Pension Reform, Financial Market Development, and Economic Growth: Preliminary Evidence from Chile," IMF Staff Papers, Palgrave Macmillan, vol. 44(2), pages 149-178, June.
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    Cited by:

    1. Rabindra Nath Chakraborty, 1999. "Finanzkrise und der Aufbau der Alterssicherung: Das Beispiel Thailand," Vierteljahrshefte zur Wirtschaftsforschung / Quarterly Journal of Economic Research, DIW Berlin, German Institute for Economic Research, vol. 68(1), pages 36-50.

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