The impact of the correlation between health expenditure and survival probability on the demand for insurance

This paper studies the effects of health shocks on the demand for health insurance and annuities, along with precautionary saving in a dynamic life-cycle model. I argue that when the health shock can simultaneously increase health expenses and reduce longevity, rational agents would neither fully insure their uncertain health expenses nor fully annuitize their wealth because the correlation between health expenses and longevity provides a self-insurance channel for both uncertainties. That is, when the agent is hit by a health shock (which simultaneously increases health expenses and reduces longevity), she can use the resources originally saved for consumption in the reduced period of life to pay for the increased health expenses. Since the two uncertainties partially offset each other, the precautionary saving generated in the model should be smaller than in a standard model without the correlation between health expenses and longevity. In a quantitative life-cycle model calibrated using the Medical Expenditure Panel Survey dataset, I find that the health expenses are highly correlated with the survival probabilities, and this correlation significantly reduces the demand for actuarially fair health insurance, while its impact on the demand for annuities and precautionary saving is relatively small.     

健康的不确定性与预防性劳动力供给——来自中国农村地区的经验证据

文章采用理论分析和实证研究相结合的方法,在经济学效用函数理论框架内考察健康不确定,巨对中国农村非农劳动力供给行为的影响.理论分析表明,在健康存在不确定性的情况下,农村非农劳动力供给存在预防性劳动力供给现象,拥有医疗保险可以显著降低预防性劳动力供给.采用CHNS数据的实证研究结果支持预防性劳动力供给的理论推断.     

Reverse Capital Deepening and the Numeraire: a note

The orthodox theory of precautionary saving fails to distinguish risk from uncertainty, and thus assumes the existence of a probability distribution governing an individual's future income prospects. The individual is assumed to be motivated to save by the dispersion in the distribution of future income, and researchers have therefore attempted to correlate saving with income variance. However, the empirical evidence tends to refute any such correlation. This paper proposes a concept of futility to describe actions that cannot affect the external environment, and demonstrates that precautionary saving in the orthodox sense is futile inasmuch as saving cannot alter the dispersion of resources around an expected future value. Despite the inadequacy of orthodox theory, the theory is perpetuated because even futile behaviour is consistent with the neoclassical notion of rationality. The retention of an invalid theory of precaution provides a faulty basis for both empirical research and policy analysis; thus, the present paper suggests an alternative approach to precaution based on the work of Knight and Shackle, in which decisions are made under conditions of uncertainty rather than risk.     

Precautionary saving under liquidity constraints: Evidence from rural Pakistan

This paper investigates precautionary saving under liquidity constraints in Pakistan using household panel data. In particular, while it estimates Kimball's [Kimball, M.S. Precautionary saving in the small and in the large. Econometrica 1990; 58; 53–73.] prudence parameter based on a framework that is similar to Dynan [Dynan, K.E. How prudent are consumers? Journal of Political Economy 1993; 101; 1104–1113.], this study deviates from the framework by explicitly considering liquidity constraints, as in Zeldes [Zeldes, S.P. Consumption and liquidity constraints: an empirical investigation. Journal of Political Economy 1989; 97; 305–346.]. By doing so, this paper attempts to differentiate the standard precautionary saving caused by uncertainty from that caused by liquidity constraints. Furthermore, endogenous liquidity constraints are used in order to resolve issues of selection biases. We find substantial evidence of the presence of precautionary saving in Pakistan. More specifically, the estimated prudence is significantly higher for liquidity-constrained households as compared with unconstrained ones. The finding suggests that the precautionary saving motives appear stronger when households see that their access to credit markets is limited.     

A simple explanation of some key time preference anomalies

Abstract Individual time discounting behaviour experimentally exhibits important anomalies that are inconsistent with the standard discounted utility model. These include the time preference reversal characteristic of hyperbolic discounting, the magnitude effect and the extreme sign effect. I propose a simple explanation of discounting that accounts for these three anomalies simultaneously, within the context of the expected utility model with uncertainty, risk aversion, and preference for precautionary saving.     

Precautionary saving in the presence of labor income and interest rate risks

This paper deals with the classic issue of precautionary saving in a standard two-period setting. The literature has identified conditions on the individual??s utility function under which either labor income uncertainty or interest-rate uncertainty can lead to positive precautionary saving. We allow for both sources of uncertainty simultaneously. We extend the Jensen inequality from one risk to two positively quadrant dependent risks. The main result of the paper is that ??positive quadrant dependent?? uncertainty raises saving if and only if ??partial relative prudence?? is larger than 2. We characterize the condition that ??partial relative prudence?? exceeds 2 via preferences over simple binary lotteries, in the style of Eeckhoudt and Schlesinger (Am Econ Rev 96:280?C289, 2006).     

UNCERTAINTY AND CONSUMPTION: NEW EVIDENCE IN OECD COUNTRIES

This work analyses the empirical evidence about precautionary saving in OECD countries in the period 1955–2000. Unlike the previous literature, we perform the test using a measure of uncertainty allowing for heterogeneity in stochastic processes which generate data for each country and selecting for each economy the autoregressive moving average process which best describes the series. The results obtained support the main conclusion of precautionary saving theory, showing that a greater degree of uncertainty increases saving. A less clear conclusion is obtained with reference to the effect of uncertainty on consumption growth, which does not seem to be strongly supported by the data.     

中国城市居民预防性储蓄及预防性动机强度:1999-2003

中国居民储蓄的超常增长近年来成为一个被普遍关注的问题 ,而居民储蓄动机更是成为人们关注的焦点。一个普遍的看法是 ,预防性储蓄动机在中国居民储蓄决策中起重要作用。本文从标准的消费者预期效用最大化模型出发 ,推导出收入不确定性条件下消费函数的显式解和衡量预防性动机强度的公式 ;然后用我国 3 5个大中城市1 999— 2 0 0 3年的数据进行计量分析 ,结果发现 3 5个大中城市的居民储蓄行为中的确存在预防性动机 ,但预防性动机并非如人们预期的那么强。在对该结果的可能原因进行分析后 ,本文给出了若干政策建议。     

东中西部地区农村居民预防性储蓄比较分析

本文运用预防性储蓄的基本原理从影响居民储蓄的经济因素角度即收入、消费以及收入分配状况等三个重要方面对东、中、西部地区农村居民的预防性储蓄状况进行了初步的比较分析,并通过典型地区经验数据的验证得出中西部地区农村居民预防性储蓄大于东部地区的结论,提出促进农村居民收入稳定持续增长、加快社会保障制度改革、建立健全农村消费信贷制度以及完善农村税收体系等政策建议以减少中西部地区农村居民预防性储蓄,增加中西部地区农村居民的消费。     

不同养老保障机制与家庭储蓄率——基于世代交叠模型的实证研究

目前,我国的养老保障机制采用以社会养老保险为基础的多渠道养老保险机制,家庭成员赡养、个人金融投资和养老保险就成为了三种主要方式。这一结论已经得到了学术界的广泛认可,然而我国不同养老渠道之间的比例和关系尚缺乏实证研究。家庭自主的金融资产投资、家庭成员之间的赡养效果还没有得到充分的检验。文章基于2008年和2009年的中国家庭追踪调查(CFPS)数据,首次运用2005年政策调整后的数据进行实证研究,对我国养老金财富、个人金融投资以及家庭成员赡养率之间的关系进行了分析研究。文章根据传统的世代交叠模型,针对现有数据,建立了一个三期世代交叠模型,然后分析了不同渠道养老保险收入对家庭储蓄率的影响。研究结果表明,基本养老金财富与个人金融投资对非退休人群的储蓄有显著的负向影响,退休者的储蓄率主要受家庭成员赡养影响,并且呈负相关的关系。     

股票财富、信号传递与中国城镇居民消费

本文尝试在消费者最优选择模型基础上,通过引入居民的借贷约束和预防性储蓄,推导出能够检验股市的财富效应、信号传递效应和不对称效应的实证分析框架,并利用中国的季度数据考察中国股市变动对居民消费的影响。与国内相关文献所得结论不同,本文的研究表明:如果不仅考虑股票价格变动的财富效应,而且考虑其信号传递效应,那么中国股票市场对城镇居民消费存在着较为明显的影响。分析也表明,如果用工资而不是人均可支配收入度量人力资本回报,中国股票市场同样存在正的财富效应,且这种财富效应具有明显的不对称性,反映经济基本面变化的股价变动对中国居民消费具有长期影响,投机因素引起的股价变动对中国居民消费的影响甚微。     

A general formula for the optimal level of social insurance

In an influential paper, Baily (1978) showed that the optimal level of unemployment insurance (UI) in a stylized static model depends on only three parameters: risk aversion, the consumption-smoothing benefit of UI, and the elasticity of unemployment durations with respect to the benefit rate. This paper examines the key economic assumptions under which these parameters determine the optimal level of social insurance. I show that a Baily-type expression, with an adjustment for precautionary saving motives, holds in a general class of dynamic models subject to weak regularity conditions. For example, the simple reduced-form formula derived here applies with arbitrary borrowing constraints, durable consumption goods, private insurance arrangements, and search and leisure benefits of unemployment.     

HOW WELL DO WE MEASURE EMPLOYER-PROVIDED HEALTH INSURANCE COVERAGE?

Using data from the Current Population Survey and a new matched survey of employers and employees, this paper investigates error in the measurement of employer-provided health insurance. The often-used March CPS gives lower coverage estimates than the April/May CPS, which focuses on employer-provided coverage. In addition, individuals who are in both the March CPS and April/May CPS often give inconsistent responses on their health insurance status, perhaps due to differences in the wording of the health insurance questions. A new survey shows that workers tend to report higher rates of coverage than do firms and that many individuals also disagree with their employers about their coverage. The differences in the firm and worker reports of coverage are uncorrelated with standard worker and firm characteristics, suggesting classical measurement error that does not bias the parameters of models explaining health coverage. When health insurance is used as an explanatory variable, however, measurement error results in significant bias toward zero.     

The surprisingly low importance of income uncertainty for precaution

While it is common to use income uncertainty to explain household saving decisions, there is much disagreement about the importance of precautionary saving. This paper suggests that income uncertainty is not an important motive for saving, although households do have other precautionary reasons to save. Using a question from the Survey of Consumer Finances that asks how much households want for precautionary purposes, this paper shows that expressed household preferences, and liquid savings, are much lower than predicted by standard modeling assumptions. Households rarely list unemployment as a reason to save. Perceived income uncertainty does not affect liquid savings or precautionary preferences. Neither does being in an occupation with higher income volatility. Instead, households seem very concerned with expenditure shocks.     

Survival of the gene,intergenerational transfers and precautionary saving

This paper provides a model of bequest and investment in children's human capital at low incomes. It posits that parents and children are linked through their common concern of grandchildren and intergenerational transfers provide a material basis for the perpetuation of the family line. The model characterizes intergenerational strategic interactions in a dynamic game theoretical framework. Moreover, it explores intergenerational uncertainty as a source of precautionary saving. In contrast with the existing literature, the model implies that there are qualitative differences between precautionary saving from one's own income uncertainty and precautionary bequests from children's income uncertainty.     

FISCAL CONSOLIDATION PROGRAMS AND INCOME INEQUALITY

We document a strong empirical relationship between higher income inequality and stronger recessive impacts of fiscal consolidation episodes across time and space. To explain this finding, we develop a life‐cycle economy with uninsurable income risk. We calibrate our model to match key characteristics of several European economies, including inequality and fiscal structures, and study the effects of fiscal consolidation programs. In our model, higher income risk induces precautionary savings behavior, which decreases the proportion of credit‐constrained agents in the economy. These agents have less elastic labor supply responses to fiscal consolidations, which explain the correlation with inequality in the data.     

URBANIZATION AND HEALTH CARE IN RURAL CHINA

Strong economic growth has led to remarkable urbanization in China. Using the China Health and Nutrition Survey, this study provides the first empirical evidence documenting the impact of urbanization on rural health care and insurance. The primary finding is that urbanization leads to a significant and equitable increase in insurance coverage, which in turn plays a critical role in access to care. In addition, adverse selection exists in the demand for insurance. Income is also a significant determinant of insurance coverage. This study concludes that urbanization can help make substantial changes in rural health care and insurance status.     

A new interpretation for the precautionary saving motive: a note

This paper proposes a new interpretation for the precautionary saving motive: when future income is uncertain, agents increase saving in order to cause a reduction in the disutility due to uncertainty. Furthermore, the paper shows that the usual necessary and sufficient condition for precautionary saving is the condition ensuring this effect to occur and gives new insights into the relationship between risk aversion indexes and precautionary saving.      

Macroeconomic Volatility and the Current Account: Evidence from a Panel of OECD Countries

ABSTRACT

This paper investigates the relationship between macroeconomic volatility and the current account. Using quarterly data for a panel of OECD economies, time-varying relative volatility measures are constructed for GDP, net output, and government consumption. The empirical evidence suggests that current account balances are positively affected by all three volatility measures. Moreover, the current account balance is found to be related positively to output growth and negatively to the growth of government consumption. Evidence from saving and investment rates also suggests that the precautionary saving motive is part of (though perhaps not the entire) mechanism that relates output volatility and the current account. Broadly consistent with the predictions of the standard theoretical model, these estimates are sizable, statistically significant, and robust.     

Supplementary private health insurance and health care utilization of people aged 50+

Does supplementary private health insurance (PHI) coverage influence health care utilization in countries where the coverage ratio with public health insurance is high? I estimate this effect using the Survey of Health, Ageing and Retirement in Europe. Handling the potential endogeneity of supplementary insurance coverage and the large fraction of zero observations in the utilization models influences the empirical results. I show that the effect of PHI coverage on inpatient and outpatient care utilization is not trivial even in countries with generous public health funding. The main finding is that supplementary PHI coverage increases dental care utilization, but decreases the visits to general practitioners. Private insurance is estimated to have little and insignificant influence on the utilization of inpatient care and outpatient specialist care. The magnitude of the effect of supplementary PHI on health care utilization varies with the characteristics of the health care systems.