Bismarck's Health Insurance and the Mortality Decline

@article{Bauernschuster2019BismarcksHI,
  title={Bismarck's Health Insurance and the Mortality Decline},
  author={Stefan Bauernschuster and Anastasia Driva and Erik Hornung},
  journal={Health Economics eJournal},
  year={2019}
}
We study the impact of social health insurance on mortality. Using the introduction of compulsory health insurance in the German Empire in 1884 as a natural experiment, we estimate difference-in-differences and regional fixed effects models exploiting variation in eligibility for insurance across occupations. Our findings suggest that Bismarck’s health insurance generated a significant mortality reduction. Despite the absence of antibiotics and most vaccines, we find the results to be largely… 

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References

SHOWING 1-10 OF 196 REFERENCES

The Contributions of Early Health-Insurance Programs to Mortality Declines in Pre-World War I Europe: Evidence from Fixed-Effects Models☆☆☆

It is concluded that the expanding population coverage of these early government-sponsored health-insurance programs contributed significantly to the observed declines in mortality.

The Roots of Health Inequality and the Value of Intra-Family Expertise

It is shown that having a doctor in the family raises preventive health investments throughout the life cycle, improves physical health, and prolongs life, and suggests that socioeconomic differences in exposure to health-related expertise may meaningfully contribute to health inequality.

The Decline in Infant Death Rates, 1878–1913: The Role of Early Sickness Insurance Programs

  • J. Bowblis
  • History, Economics
    The Journal of Economic History
  • 2010
he causes of the decline in mortality rates experienced by Europe in the nineteenth and twentieth centuries are still debated. One understudied cause that contributed to the decline in mortality is

The Aggregate Effects of Health Insurance: Evidence from the Introduction of Medicare

The impact of Medicare on hospital spending is over six times larger than what the evidence from individual-level changes in health insurance would have predicted and the overall spread of health insurance between 1950 and 1990 may be able to explain about half of the increase in real per capita health spending over this time period.

Health and economic development—evidence from the introduction of public health care

It is documented that the introduction of public health care systems had a significant immediate effect on health dynamics proxied by infant mortality and crude death rates.

Accounting for the Effect of Health on Economic Growth

This work uses a variety of methods to construct estimates of the return to health, which is combined with cross-country and historical data on several health indicators including height, adult survival, and age at menarche, to construct macroeconomic Estimates of the proximate effect of health on GDP per capita.

Disease and Development: The Effect of Life Expectancy on Economic Growth

We exploit the major international health improvements from the 1940s to estimate the effect of life expectancy on economic performance. We construct predicted mortality using preintervention

Public Insurance and Mortality: Evidence from Medicaid Implementation

Evidence is provided that Medicaid’s introduction reduced infant and child mortality in the 1960s and 1970s and that mortality fell more rapidly among children and infants in high-Medicaid-eligibility states.

Health Insurance Eligibility, Utilization of Medical Care, and Child Health

Examination of the utilization and health effects of eligibility for public insurance in the U.S. finds that eligibility for Medicaid significantly increased the utilization of medical care along a number of dimensions, and rising Medicaid eligibility is associated with reductions in racial disparities in the number of visits and in child inequalities in the site at which care is delivered.
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