We use the roll-out of the national health insurance in Ghana to assess the cushioning effect of coverage on the financial consequences of health shocks and resulting changes in coping behaviors. We find a strong reduction in medical expenditures, preventing households from cutting non-food consumption and causing a decrease in the volume of received remittances as well as labor supply of healthy adult household members. Moreover, we present evidence that the insurance scheme reduced the likelihood that households experiencing a health shock pulled their children out of school in order to put them to work. Avoidance of such costly coping mechanisms is potentially an important part of the social value of formal health insurance.

Child labor, Ghana, Health shocks, Insurance, Social protection
Household Behavior and Family Economics: General (jel D10), Microeconomic Analyses of Economic Development (jel O12), Health Insurance, Public and Private (jel I13)
dx.doi.org/10.1016/j.jpubeco.2020.104314, hdl.handle.net/1765/133999
Journal of Public Economics
Erasmus University Rotterdam

Garcia-Mandicó, S. (Sílvia), Reichert, A. (Arndt), & Strupat, C. (2021). The Social Value of Health Insurance: Results from Ghana. Journal of Public Economics, 194. doi:10.1016/j.jpubeco.2020.104314