NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

Bribery in Health Care in Peru and Uganda

Jennifer Hunt

NBER Working Paper No. 13034
Issued in April 2007
NBER Program(s):   LS   PE   HC

In this paper, I examine the role of household income in determining who bribes and how much they bribe in health care in Peru and Uganda. I find that rich patients are more likely than other patients to bribe in public health care: doubling household consumption increases the bribery probability by 0.2-0.4 percentage points in Peru, compared to a bribery rate of 0.8%; doubling household expenditure in Uganda increases the bribery probability by 1.2 percentage points compared to a bribery rate of 17%. The income elasticity of the bribe amount cannot be precisely estimated in Peru, but is about 0.37 in Uganda. Bribes in the Ugandan public sector appear to be fees-for-service extorted from the richer patients amongst those exempted by government policy from paying the official fees. Bribes in the private sector appear to be flat-rate fees paid by patients who do not pay official fees. I do not find evidence that the public health care sector in either Peru or Uganda is able to price-discriminate less effectively than public institutions with less competition from the private sector.

download in pdf format
   (269 K)

email paper

The NBER Bulletin on Aging and Health provides summaries of publications like this.  You can sign up to receive the NBER Bulletin on Aging and Health by email.

This paper is available as PDF (269 K) or via email.

Acknowledgments

Machine-readable bibliographic record - MARC, RIS, BibTeX

Document Object Identifier (DOI): 10.3386/w13034

Users who downloaded this paper also downloaded these:
Hunt and Laszlo w11635 Bribery: Who Pays, Who Refuses, What Are the Payoffs?
Hunt w10510 Trust and Bribery: The Role of the Quid Pro Quo and the Link with Crime
Kaufmann and Wei w7093 Does "Grease Money" Speed Up the Wheels of Commerce?
Mocan w10460 What Determines Corruption? International Evidence from Micro Data
Hunt w11595 Why Are Some Public Officials more Corrupt Than Others?
 
Publications
Activities
Meetings
Data
People
About

Support
National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138; 617-868-3900; email: info@nber.org

Contact Us