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Do time preferences explain low health insurance take-up?
Journal article   Open access   Peer reviewed

Do time preferences explain low health insurance take-up?

Aurélien Baillon, Owen O'Donnell, Stella Quimbo and Kim van Wilgenburg
Journal of Risk and Insurance, Vol.89(4), pp.951-983
01/12/2022

Abstract

health insurance liquidity constraint preference elicitation present bias Prospect Theory time preference
Low insurance take-up in low-income populations is not easily explained by the standard single-period expected utility model of insurance that overlooks the relevance of time preference when liquidity is constrained. We design field survey instruments to elicit quasi-hyperbolic time preferences, as well as prospect theory risk preferences, and use them to examine whether time preferences explain health insurance behavior of low-income Filipinos. Consistent with theory, those with stronger parameterized time preference are less likely to insure and the partial association is most pronounced at low wealth where liquidity is most likely to be constrained. Among those with better understanding of insurance, lower take-up is also associated with present bias. We do not find that insurance is significantly associated with risk preferences.
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Collaboration types
Domestic collaboration
International collaboration
Citation topics
6 Social Sciences
6.122 Economic Theory
6.122.1287 Risk Preferences
Web of Science research areas
Business, Finance
Economics
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