Follow us
Publications Commentary Research People Events News Resources and Videos About IFS
Home Publications Public and private choice in UK health insurance

Public and private choice in UK health insurance

John Hall and Ian Preston
IFS Working Paper W98/19
Many parts of the public sector coexist with private provision of similar services and in such circumstances we may expect to find interaction between public and private choices. Quality of publicly provided services will be a central influence on decisions whether to make use of private substitutes and use of private substitutes will feed back into attitudes towards the level of public spending. In this paper we present evidence using the British Social Attitudes Survey to show that individual take up of private medical insurance inhibits support for spending on the public health sector. Such effects have been shown to be appreciable and allowance for the joint determination of insurance decisions and attitudes magnifies the size of the estimated effects.

More on this topic

Journal article
Using mortality registers and administrative data on income and population, we develop new evidence on the magnitude of life expectancy inequality in Hungary and the scope for health policy in mitigating this. We document considerable inequalities in life expectancy at age 45 across ...
Book chapter
We study the relationship between health and firm characteristics, primarily ownership using administrative data from Hungary.
Book chapter
We examine geographic and income-related inequalities in health and healthcare spending and the relationship between these two dimensions of inequality using administrative data from Hungary.
Book chapter
We use the comprehensive national individual-level mortality registers administrative data, and settlement-level and microregion-level administrative data on population characteristics and income to examine inequalities in Hungary during the 2011–2016 period in mortality rates, life expectancy, ...
Journal article | The Lancet: Regional Health Europe
We describe the association between recent changes in socioeconomic inequality and trends in mortality disparities for different age and sex groups at small-area level in England.