Crowding out Effect of Commercial Insurance Holding on Residents' Self-funded Preventive Health Investment
Main Article Content
Keywords
commercial insurance, extrusion effect, health investment, behavioral finance
Abstract
In recent years, according to the national health development strategy, the national health literacy level has improved compared with the past, and residents' willingness to purchase commercial insurance has increased, but the groups with chronic diseases and sub-health status are still expanding. The purchase of commercial insurance should play a role in promoting self-funded preventive health investment, but in fact there is indeed a crowding-out effect. Based on this, this paper analyzes the relevant mechanisms and reasons from the perspectives of family asset allocation theory and behavioral finance. It is found that the purchase of commercial insurance can bring a certain role to residents. For risk-averse residents, the purchase of insurance can gain short-term benefits in limited expenditure, so residents will subjectively think that insurance is more cost-effective than self-funded preventive health investment, which brings long-term and hidden benefits. The crowding-out effect brought by the holding of commercial insurance will also bring practical harm such as increasing the risk of chronic diseases and compressing the coverage of commercial insurance with the increase of the degree.
References
- [1]Grossman, M. (1972). On the concept of health capital and the demand for health. Journal of Political economy, 80(2), 223-255.https://www.journals.uchicago.edu/doi/abs/10.1086/259880
- [2]Chen Ying & Zhao Guiqin. (2022). Social medical insurance, self-protection and commercial health insurance. Financial Theory and Practice, 43 (5), 42-48. https://doi.org/10.16339/j.cnki.hdxbcjb.2022.05.006.
- [3]Xing Xiaowei & Kuang Xianming. (2024). Crowding in or Crowding out: Analysis on the Effect of Basic Medical and Health Services on Commercial Health Insurance Consumption. Insurance Research, (3), 71-86. https://doi.org/10.13497/j.cnki.is.2024.03.006.
- [4]Xiong Deping, Sun Yilei, Yang Mengyuan & Huang Jirong. (2026). Health investment promotes intergenerational income mobility: prevention or treatment? . Contemporary Economic Science, 48 (2), 146-158. https://doi.org/10.20069/j.cnki.djkx.2026022.
- [5]Ehrlich, I., & Becker, G. S. (1972). Market insurance, self-insurance, and self-protection. Journal of political Economy, 80(4), 623-648.https://www.journals.uchicago.edu/doi/abs/10.1086/259916
- [6]Campbell, J. Y. (2006). Household finance. The journal of finance, 61(4), 1553-1604.https://onlinelibrary.wiley.com/doi/full/10.1111/j.1540-6261.2006.00883.x
- [7]Ru Weixin. (2024). Study on the Influence of Family Structure and Asset Allocation on the Demand of Commercial Medical Insurance (Master's Dissertation, Guangdong University of Finance and Economics). Master's degree in https://doi.org/10.27734/d.cnki.ggdsx.2024.000797.
- [8]Hua Qiuling, Han Yaduo, Huang Cairui & An Yu. (2023). Health Risk Impact and Family Asset Allocation. Journal of Social Sciences, Jilin University, 63 (4), 158-173+240. https://doi.org/10.15939/j.jujsse.2023.00020202023
- [9]Zhou Huijun, Shen Ji & Gong Liutang. (2020). The health status of middle-aged and elderly people and the allocation of family assets-from the perspective of asset mobility. Economic Research, 55(10),193-208. https://kns.cnki.net/kcms2/article/abstract?v=HTCMX8yYpPGrEhnkspVjmW0t86duPuyXJccsmOjl1XtsbYXuCq56UOeQ-_bzWHEAU_Og9pbMh-WhmI9ypdR-izGR5iIS5cEP7MDqQML4oS1mcMveBmKHc9oEwoT9pgohcTVwUxt4tY5oFzb5r2tj1-5B6keojyGDG70EdvjVaIfesPsqq-yErA==&uniplatform=NZKPT&language=CHS
- [10]Hu Zhihao & Liu Qian. (2022). Behavioral Finance Explanation of Market Volatility Anomalies under Heterogeneous Subjects —— Based on Computational Finance. Economics Trends, (7),90-108. https://kns.cnki.net/kcms2/article/abstract?v=5NzxYzB6HGqcuLdqBiZMtnOf0mswNR8MXSGyDW_9d7LDc53n0VyIQh2z7WAxL54DeLc7NN6dBWIAwpDW3x264nilDzfDogIxPYamO5Vfg3ZlocUt4q6diy3IaOogqqcsn0brY-ZsClYYqotuAA5Vnvl06VcvlY_82WaSNNSQXu0=&uniplatform=NZKPT
- [11]Bian Shu&Li Dongyang. (2021). The Influence of Participating in Commercial Medical Insurance on the Consumption of Middle-aged and Elderly Families —— An Empirical Analysis Based on CHARLS Data. Journal of Jiangxi University of Finance and Economics, (1), 68-79. https://doi.org/10.13676/j.cnki.cn36-1224/f.2006.
