Health Insurance and the Aging

Evidence From the Seguro Popular Program in Mexico

Susan W. Parker, Joseph Saenz, Rebeca Wong

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Aimed at covering the large fraction of workers in the informal sector without access to a social security program, the Mexican public health insurance program Seguro Popular began in 2002 and now reaches more than 50 million individuals. We estimate impacts of Seguro Popular for the population aged 50 and older on a set of indicators related to health care including utilization, diagnostic/preventive tests, and treatment conditional on being ill. Using the longitudinal Mexican Health and Aging Study over the period 2001–2012, we conduct before and after difference-in-difference matching impact estimators. Our results suggest large and important effects of the Program on utilization and diagnostic tests. We find overall smaller effects on the probability of being in treatment for individuals with chronic diseases, but these effects are concentrated in rural areas with relatively more health services versus rural areas with lower levels of health services. These results suggest that, to the extent that health services become more available in rural areas lacking services, effects of health insurance may increase.

Original languageEnglish (US)
Pages (from-to)1-26
Number of pages26
JournalDemography
DOIs
StateAccepted/In press - Jan 22 2018

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health insurance
Mexico
health service
rural area
evidence
diagnostic
utilization
informal sector
social security
public health
health care
Disease
worker
health

Keywords

  • Aging
  • Evaluation
  • Health insurance
  • Mexico
  • MHAS

ASJC Scopus subject areas

  • Demography

Cite this

Health Insurance and the Aging : Evidence From the Seguro Popular Program in Mexico. / Parker, Susan W.; Saenz, Joseph; Wong, Rebeca.

In: Demography, 22.01.2018, p. 1-26.

Research output: Contribution to journalArticle

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