Impact of the Integration of Urban and Rural Residents' Basic Medical Insurance on Residents' Consumption: An Empirical Study Based on CFPS Data

Wanxin  Zhang

doi:10.54691/2cjmbx72

Authors

Wanxin Zhang

DOI:

https://doi.org/10.54691/2cjmbx72

Keywords:

Integration of urban and rural medical insurance; Residents' consumption; Difference-in-differences model; Consumption inequality.

Abstract

This paper uses the balanced panel data of the China Family Panel Studies (CFPS) from 2010 to 2022 and applies the difference-in-differences model (DID) to conduct an empirical exploration of the impact of the integration of urban and rural medical insurance on residents' consumption. The study finds that the medical insurance co-ordination policy has significantly increased the household consumption level of rural residents, but has no significant impact on the consumption of urban residents. The mechanism analysis shows that the medical insurance co-ordination affects high-debt and high-income families more significantly through channels such as reducing the risk of medical expenses and optimizing the household consumption structure. The heterogeneity analysis shows that the policy effect is more prominent in medium-low health, medium health, high-saving families, and remote western regions. The research indicates that the medical insurance integration policy helps to narrow the urban-rural consumption gap, but it is still necessary to further optimize the system design to benefit a wider range of groups.

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References

[1] Liu Chang. An Empirical Analysis of the Impact of Social Security Level on Residents' Consumption[J]. Consumption Economy, 2008,(03):75 - 77.

[2] Chen Binkai. Income Distribution and Chinese Residents' Consumption: Theoretical and Empirical Research Based on China[J]. Nankai Economic Studies, 2012,(01):33 - 49. DOI:10.14116/j. nkes.2012.01.002.

[3] Cheng Wangming, Jin Yanhong, Gai Qing'en, et al. Rural Poverty Reduction: Should We Pay More Attention to Education or Health? - An Empirical Study from the Dual Perspectives of Income Growth and Gap Narrowing[J]. Economic Research Journal, 2014,49(11):130 - 144.

[4] Yi Xingjian, Zhou Li. Does the Development of Digital Inclusive Finance Significantly Affect Residents' Consumption? - Micro - evidence from Chinese Families[J]. Journal of Financial Research, 2018,(11):47 - 67.

[5] Gan Li, Liu Guo'en, Ma Shuang. The Impact of Basic Medical Insurance on Promoting Household Consumption[J]. Economic Research Journal, 2010,45(S1):30 - 38.

[6] Huang Jialin, Fu Hongqiao, Song Ze. The Impact of Supplementary Medical Insurance on Residents' Consumption - Evidence from the Critical Illness Insurance for Urban and Rural Residents[J]. Journal of Financial Research, 2022,(10):58 - 76.

[7] Feng Jin, Yu Yangyang. Income Gap and Health in Rural China[J]. Economic Research Journal, 2007,(01):79 - 88.

[8] Qiu Yulin, Zhang Pengfei. From "Universal Medical Insurance" to "Fair Medical Insurance": Current Situation Assessment and Path Analysis of the Integration of Urban and Rural Residents' Medical Insurance Systems in China[J]. Journal of Hebei University (Philosophy and Social Science Edition), 2019,44(02):128 - 138.

[9] Leland, H. E. Saving and Uncertainty: The Precautionary Demand for Saving[J]. Quarterly Journal of Economics, 1968.

[10] Li Hua, Li Zhipeng. Has the Integration of Urban and Rural Residents' Medical Insurance Alleviated Rural Poverty Caused by Illness?[J]. Modern Economic Research, 2021,(07):31 - 39. DOI:10.13891/j.cnki.mer.2021.07.005.

[11] Hong Haoqi, Ning Manxiu, Luo Ye. Has the Integration of Urban and Rural Residents' Medical Insurance Inhibited the Health Deterioration of Middle - aged and Elderly People in Rural Areas?[J]. Chinese Rural Economy, 2021,(06):128 - 144. DOI:10.20077/j.cnki.11 - 1262/f.2021.06.009.

[12] Samuelson, P. A., & Nordhaus, W. D. (2004). Economics (18th ed.). McGraw - Hill.

[13] Deaton A. Understanding Consumption[M]. Oxford University Press, 1992.

[14] Carroll, C. D. (2001). A Theory of the Consumption Function, with and without Liquidity Constraints. Journal of Economic Perspectives, 15 (3), 23 - 45.

[15] Arrow, K. J. (1963). Uncertainty and the Welfare Economics of Medical Care. The American Economic Review, 53 (5), 941 - 973.

[16] Feldstein, M. S. (1973). The Welfare Loss of Excess Health Insurance. Journal of Political Economy, 81 (2), 251 - 280.

[17] Cutler, D. M., & Zeckhauser, R. (2000). The Anatomy of Health Insurance. In A. J. Culyer & J. P. Newhouse (Eds.), Handbook of Health Economics (Vol. 1, pp. 563 - 643). Elsevier.

[18] Zheng Gongcheng. Reform and System Construction of China's Social Security[J]. Journal of Renmin University of China, 2003,(01):17 - 25.

[19] [25] Zuo Xuejin, Hu Suyun. The Reform of the Urban Medical Insurance System: The Roles of the Government and the Market[J]. Social Sciences in China, 2001,(05):102 - 111 + 206 - 207.

[20] Cao Jing. Analysis of the Reform Process of China's Basic Medical Insurance System from the Perspective of Social Fairness and Justice[J]. Social Security Studies, 2019,(01):26 - 32.

[21] Gu Xin. Moving towards Universal Health Insurance: On the Transformation of China's Medical Security System[J]. Chinese Public Administration, 2012,(08):64 - 69.

[22] [30] Card, D., Dobkin, C., & Maestas, N. (2009). The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare. American Economic Journal: Economic Policy, 1 (1), 1 - 28.

[23] Long Zhihe, Zhou Haoming. An Empirical Study on the Precautionary Savings of Chinese Urban Residents[J]. Economic Research Journal, 2000,(11):33 - 38 + 79.

[24] Friedman, M. A Theory of the Consumption Function[M]. Princeton University Press, 1957.

[25] Deaton, A., & Muellbauer, J. Economics and Consumer Behavior[M]. Cambridge: Cambridge University Press, 1980

[26] Kimball, M. S. Precautionary Saving in the Small and in the Large[J]. Econometrica, 1990.