Should I stay or should I go? Exit options within mixed systems of public and private health care finance
Mixed public–private finance is widespread in health care systems internationally. In one variant of mixed finance, some countries (e.g., Germany) allow eligible beneficiaries to fully exit from the public (social insurance) system and purchase private insurance. Using a controlled laboratory experi...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Published: |
Elsevier BV * North-Holland
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/50766 |
| _version_ | 1848758532307943424 |
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| author | Buckley, N. Cuff, K. Hurley, J. Mestelman, S. Thomas, Stephanie Cameron, D. |
| author_facet | Buckley, N. Cuff, K. Hurley, J. Mestelman, S. Thomas, Stephanie Cameron, D. |
| author_sort | Buckley, N. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Mixed public–private finance is widespread in health care systems internationally. In one variant of mixed finance, some countries (e.g., Germany) allow eligible beneficiaries to fully exit from the public (social insurance) system and purchase private insurance. Using a controlled laboratory experiment, we empirically investigate the predictions of a political economy model of mixed systems of public and private finance with two types of exit: universal-exit, when all individuals can choose to exit the public system, and conditional-exit, when only individuals with an income at or above a threshold income level can choose to exit. We find that high-income individuals are less likely to exit under universal-exit than under conditional-exit, despite having the same incentive to exit in both treatments. Sensitivity treatments suggests that a number of factors may be at play in explaining this result, including learning effects, a priming effect and a framing effect, but that other-regarding preferences do not appear to be an important factor. |
| first_indexed | 2025-11-14T09:45:29Z |
| format | Journal Article |
| id | curtin-20.500.11937-50766 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:45:29Z |
| publishDate | 2016 |
| publisher | Elsevier BV * North-Holland |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-507662018-03-06T05:40:33Z Should I stay or should I go? Exit options within mixed systems of public and private health care finance Buckley, N. Cuff, K. Hurley, J. Mestelman, S. Thomas, Stephanie Cameron, D. Mixed public–private finance is widespread in health care systems internationally. In one variant of mixed finance, some countries (e.g., Germany) allow eligible beneficiaries to fully exit from the public (social insurance) system and purchase private insurance. Using a controlled laboratory experiment, we empirically investigate the predictions of a political economy model of mixed systems of public and private finance with two types of exit: universal-exit, when all individuals can choose to exit the public system, and conditional-exit, when only individuals with an income at or above a threshold income level can choose to exit. We find that high-income individuals are less likely to exit under universal-exit than under conditional-exit, despite having the same incentive to exit in both treatments. Sensitivity treatments suggests that a number of factors may be at play in explaining this result, including learning effects, a priming effect and a framing effect, but that other-regarding preferences do not appear to be an important factor. 2016 Journal Article http://hdl.handle.net/20.500.11937/50766 10.1016/j.jebo.2016.05.013 Elsevier BV * North-Holland fulltext |
| spellingShingle | Buckley, N. Cuff, K. Hurley, J. Mestelman, S. Thomas, Stephanie Cameron, D. Should I stay or should I go? Exit options within mixed systems of public and private health care finance |
| title | Should I stay or should I go? Exit options within mixed systems of public and private health care finance |
| title_full | Should I stay or should I go? Exit options within mixed systems of public and private health care finance |
| title_fullStr | Should I stay or should I go? Exit options within mixed systems of public and private health care finance |
| title_full_unstemmed | Should I stay or should I go? Exit options within mixed systems of public and private health care finance |
| title_short | Should I stay or should I go? Exit options within mixed systems of public and private health care finance |
| title_sort | should i stay or should i go? exit options within mixed systems of public and private health care finance |
| url | http://hdl.handle.net/20.500.11937/50766 |