nep-fle New Economics Papers
on Financial Literacy and Education
Issue of 2025–01–06
one paper chosen by
Viviana Di Giovinazzo, Università degli Studi di Milano-Bicocca


  1. Magnitude and Social Correlates of Poor Decisions in Health Insurance By Lan Zou; Christian Biener

  1. By: Lan Zou (University of St.Gallen); Christian Biener (Institute of Insurance Economics, University of St. Gallen; Swiss Finance Institute; University of St.Gallen)
    Abstract: Existing research documents that consumers frequently make mistakes in health insurance markets, leading to price distortions and inefficient resource allocation. However, less attention is paid to how such mistakes contribute to health inequality, particularly when economically disadvantaged populations are more likely to make poor decisions. This study examines the distribution of choice quality in the Swiss health insurance market, using two sets of administrative linked survey data. We find that economically disadvantaged populations-those with lower incomes and less educationare significantly more likely to choose higher-coverage plans that are suboptimal given their health risks. Specifically, 49 percent of the population chooses plans that result in financial losses, with average foregone savings ranging from CHF 382 to CHF 457 annually. These suboptimal choices contribute to widening disparities in financial wellbeing.
    Keywords: health inequality, choice quality
    JEL: D81 D91 I18 I13
    Date: 2024–09
    URL: https://d.repec.org/n?u=RePEc:chf:rpseri:rp24104

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