TY - JOUR AU - Chou,Shin-Yi AU - Liu,Jin-Tan AU - Hammitt,James K. TI - Health Insurance and Households' Precautionary Behaviors - An Unusual Natural Experiment JF - National Bureau of Economic Research Working Paper Series VL - No. 9394 PY - 2002 Y2 - December 2002 UR - http://www.nber.org/papers/w9394 L1 - http://www.nber.org/papers/w9394.pdf N1 - Author contact info: Shin-Yi Chou Department of Economics College of Business and Economics Lehigh University 621 Taylor Street Bethlehem, PA 18015-3117 Tel: 610/758-3444 Fax: NA E-Mail: syc2@lehigh.edu Jin-Tan Liu Department of Economics National Taiwan University 21 Hsu-Chow Road Taipei (100), TAIWAN Tel: 886-2-23519641/520 Fax: 886-2-2351-1826 E-Mail: liujt@ntu.edu.tw AB - By reducing risk of large out-of-pocket medical expenses, comprehensive social health insurance may reduce households' motivation to engage in precautionary behaviors such as saving, procurement of private insurance, and spousal labor-force participation. We use the natural experiment provided by the 1995 introduction of National Health Insurance in Taiwan to examine these effects, using pre-existing differences in access to health insurance (tied to the household head's and spouse's joint employment status) to identify the effects of increasing insurance coverage. We find that comprehensive health insurance has a statistically significant and large effect on household savings and purchase of private accident insurance, but no significant effect on spousal employment. ER -