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Extracts from the 4th European Conference of Health Economics, Paris, 7-10 July 2002. - Is the French Health Insurance an efficient instrument for intergenerational income redistribution ?

Titre traduit : L'assurance maladie française constitue-t-elle un instrument efficace de redistribution intragénérationnelle des revenus ?
Ville du congrès : Paris
Date de congrès : 2002/07/07-10
Auteurs physiques : JUSOT (F.)
Titre du périodique : JOURNAL D'ECONOMIE MEDICALE
Volume, numéro : 22
Numéro du fascicule : 3
Année d'édition : 2004/05
Pagination : 99-118, rés., tabl.
ISSN : 0294-0736
ISBN : 2-7472-0676-9
Résumé : Income redistribution is one of the traditional arguments in favour of public provision of health insurance. This instrument is theoretically justified by population targeting, through the negative correlation between income and morbidity. This paper explores the consequences of the correlation between income and mortality on health insurance progressivity. In a life-cycle analysis, differential mortality reduces the intragenerational redistribution, given some reasonable profiles on health consumption and contributions. The validity of this proposition is tested by an empirical study of the link between permanent income opportunities and male mortality in France, based on a case-control study constructed with fiscal data. Our results suggest that the strong social inaquality of mortality in France limits the lifetime redistributive impact of health insurance. (résumé d'auteur)
Mots-clés : France, Assurance maladie, Financement, Mortalité différentielle, Revenu, Redistribution, Espérance vie, Méthodologie, France région
Localisation : ORSRA : 7505, ORSRA