Minority Health Archive

Insurance Expansions: Do They Hurt Those They Are Designed To Help?

Richman, Barak D. (2007) Insurance Expansions: Do They Hurt Those They Are Designed To Help? Health Affairs, 26 (5). pp. 1345-1357.

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Seeking to redress health disparities across income and race, many policy-makers mandate health insurance benefits, presuming that equalized benefits will help equalize use of beneficial health services. This paper tests that presumption by measuring health care use by a diverse population with comprehensive health insurance. Focusing on use of mental health care and pharmaceuticals, it finds that even when insurance benefits and access are constant, whites and those with high incomes consume more of these benefits than other people do. This suggests that privileged classes extract more health care services even when everyone pays equal premiums for equal insurance coverage.

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Item Type: Article
Additional Information: Access to full text is subject to the publisher's access restrictions.
Uncontrolled Keywords: health disparities; equalized benefits; beneficial health services; health insurance; insurance benefits
Subjects: Health > Health Equity > Access To Healthcare
Health > Disparities
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Depositing User: Users 141 not found.
Date Deposited: 06 Dec 2008
Last Modified: 12 May 2011 11:28
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1169

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