Happiness Insurance

Charles Kenny points to research showing that, while having health insurance doesn’t always lead to better health outcomes, it does seem to make people happier:

The study suggested, unsurprisingly, that in places where out-of-pocket expenditures constitute a large portion of total health cost—compared to insurance and government financing—more households are burdened by high medical bills. In Brazil and Vietnam, out-of-pocket expenditures account for the considerable majority of total health spending, compared to about one-fifth of spending in the U.S. and less than 10 percent in the U.K. or Germany.

So perhaps it isn’t a surprise that expanding access to health insurance leads to fewer “catastrophic” expenditures—and greater happiness. In Thailand in the year 2000, 31 percent of households in which a member had required inpatient care faced health bills of more than 10 percent of the household’s total yearly consumption. The passage of a universal health insurance policy in 2001 reduced that proportion by half, to 15 percent.  And Patrick Asuming at Columbia University, who studied (PDF) a health insurance scheme in Ghana that covered hospital and clinic visits alongside approved medications, found that offering a random group of recipients subsidies for insurance led to more people getting insurance, better self-reported health (including fewer days feeling ill), and greater levels of contentment. Having such insurance increased the chance that recipients reported themselves happy or very happy by 22 percent.