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Resource centre on India's rural distress
 
 

Health Insurance, Health Access and Financial Risk Protection -Shailender Kumar Hooda

-Economic and Political Weekly

Drawing from the 60th and 68th rounds of National Sample Survey Office, this study evaluates the impact of different (social, commercial and target-oriented) health insurance schemes on access to healthcare use, and cost of care and financing of medical expenses. The results show that though these schemes promote access to healthcare, they also increase the costs manifold. The commercial insurers have not been effective at pooling financial risks and seem to be indulging in maximising individual gain. Given the intrinsic market-failure and information asymmetry between the principal and the agents and difficulties in regulating the insurance-base system, this study advocates financing healthcare through a tax-based system which can be cost-effective for achieving universal healthcare access in India.

Shailender Kumar Hooda (skhooda.jnu@gmail.com) is with the Institute for Studies in Industrial Development, New Delhi.

The author is grateful to the copy editor and an anonymous referee of this journal for their valuable comments and suggestions. Usual disclaimers apply.

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