Arbeitspapier

Bismarck's Health Insurance and the Mortality Decline

We study the impact of social health insurance on mortality. Using the introduction of compulsory health insurance in the German Empire in 1884 as a natural experiment, we estimate flexible difference-in-differences models exploiting variation in eligibility for insurance across occupations. Our findings suggest that Bismarck's health insurance generated a significant mortality reduction. Despite the absence of antibiotics and most vaccines, we find the results to be largely driven by a decline of deaths from infectious diseases. We present evidence suggesting that the decline is associated with access to health services but not sick pay. This finding may be explained by insurance fund physicians transmitting new knowledge on infectious disease prevention.

Sprache
Englisch

Erschienen in
Series: IZA Discussion Papers ; No. 11628

Klassifikation
Wirtschaft
Health Insurance, Public and Private
Health: Government Policy; Regulation; Public Health
Economic History: Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy: Europe: Pre-1913
Demographic Trends, Macroeconomic Effects, and Forecasts
Thema
health insurance
mortality
demographic transition
Prussia

Ereignis
Geistige Schöpfung
(wer)
Bauernschuster, Stefan
Driva, Anastasia
Hornung, Erik
Ereignis
Veröffentlichung
(wer)
Institute of Labor Economics (IZA)
(wo)
Bonn
(wann)
2018

Handle
Letzte Aktualisierung
20.09.2024, 08:22 MESZ

Datenpartner

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Objekttyp

  • Arbeitspapier

Beteiligte

  • Bauernschuster, Stefan
  • Driva, Anastasia
  • Hornung, Erik
  • Institute of Labor Economics (IZA)

Entstanden

  • 2018

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