NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

Universal Public Health Insurance and Private Coverage: Externalities in Health Care Consumption

Sherry A. Glied

NBER Working Paper No. 13885
Issued in March 2008
NBER Program(s):   HC   HE   PE

Inequality in access to health care services, through private purchase, appears to pose policy challenges greater than inequality in other spheres. This paper explores how inequality in access to health care services relates to social welfare. I examine the sources of private demand for health insurance and the ramifications of this demand for health, for patterns for government spending on health care services, and for individual and social well-being. Finally, I evaluate the implications of a health tax as a response to the externalities of health service consumption, and provide a rough measure of the tax in the context of the Canadian publicly-financed health care system.

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Document Object Identifier (DOI): 10.3386/w13885

Published: Universal Public Health Insurance and Private Coverage: Externalities in Health Care Consumption Sherry Glied Canadian Public Policy / Analyse de Politiques , Vol. 34, No. 3 (Sep., 2008), pp. 345-357 Published by: University of Toronto Press on behalf of Canadian Public Policy

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