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dc.contributor.authorBuckley, N.
dc.contributor.authorCuff, K.
dc.contributor.authorHurley, J.
dc.contributor.authorMestelman, S.
dc.contributor.authorThomas, Stephanie
dc.contributor.authorCameron, D.
dc.identifier.citationBuckley, N. and Cuff, K. and Hurley, J. and Mestelman, S. and Thomas, S. and Cameron, D. 2016. Should I stay or should I go? Exit options within mixed systems of public and private health care finance. Journal of Economic Behavior & Organization. 131 (Part B): pp. 62-77.

Mixed public–private finance is widespread in health care systems internationally. In one variant of mixed finance, some countries (e.g., Germany) allow eligible beneficiaries to fully exit from the public (social insurance) system and purchase private insurance. Using a controlled laboratory experiment, we empirically investigate the predictions of a political economy model of mixed systems of public and private finance with two types of exit: universal-exit, when all individuals can choose to exit the public system, and conditional-exit, when only individuals with an income at or above a threshold income level can choose to exit. We find that high-income individuals are less likely to exit under universal-exit than under conditional-exit, despite having the same incentive to exit in both treatments. Sensitivity treatments suggests that a number of factors may be at play in explaining this result, including learning effects, a priming effect and a framing effect, but that other-regarding preferences do not appear to be an important factor.

dc.publisherElsevier BV * North-Holland
dc.titleShould I stay or should I go? Exit options within mixed systems of public and private health care finance
dc.typeJournal Article
dcterms.source.titleJournal of Economic Behavior & Organization
curtin.departmentSchool of Economics and Finance
curtin.accessStatusOpen access

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