Abstract
Prior studies indicate that perceived health is strongly associated with a sense of well-being. The effect of health insurance is much less clear: there has been little rigorous empirical research assessing whether health coverage has an independent impact on individual happiness. This topic is especially important in the US where recently an estimated 18 % of the non-elderly were uninsured and extension of coverage through means such as the Affordable Care Act has been controversial. The present study addresses this question. Drawing from a large survey that collected comprehensive health and personal information about the US adult population, controlling for a wide variety of factors known to influence well-being, and addressing the possible endogeneity of having health insurance, we find that individuals without health insurance coverage were less likely to be “very satisfied” or “satisfied” with life. This may be because health insurance reduces uncertainty. Regardless of other benefits it may bring, the expansion of health insurance coverage should increase the life satisfaction of American society.
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Ben-Shalom, Y., Moffitt, R. A., & Scholz, J. K. (2011). An assessment of the effectiveness of anti-poverty programs in the United States. NBER Working Paper Series. Working Paper 17042.
Blanchflower, D. (2009). Happiness and health care coverage. Institute for the Study of Labor, Discussion Paper No. 4450. http://iza.org/dp4450.pdf
Blanchflower, D., & Oswald, A. (2002). Well-being over time in Britain and the USA. Journal of Public Economics, 88(7–8), 1359–1386.
Bok, D. (2010). The politics of happiness: What government can learn from the new research on well-being. New Jersey: Princeton University Press.
Bottan, N., & Truglia, R. (2011). Deconstructing the hedonic treadmill: Is happiness autoregressive? The Journal of Socio-Economics, 40, 224–236.
Cameron, A. C., & Trivedi, P. K. (2010). Microeconomics using Stata. College Station: Stata Press.
Center for Disease Control and Prevention. (2010). Behavioral Risk Factor Surveillance System Survey Data. U.S. Department of Health and Human Services. Atlanta: Georgia. http://www.cdc.gov/brfss/annual_data/annual_2010.htm
Collins, S., Rasmussen, P., & Doty, M. (2014). Gaining ground: Americans’ health insurance coverage and access to care after the Affordable care Act’s first open enrollment period. http://www.commonwealthfund.org/~/media/files/publications/issue-brief/2014/jul/1760_collins_gaining_ground_tracking_survey.pdf
Congressional Budget Office. (2012). Estimates for the insurance coverage provisions of the Affordable Care Act updated for the recent supreme court decision. http://www.cbo.gov/sites/default/files/cbofiles/attachments/43472-07-24-2012-CoverageEstimates.pdf
Congressional Budget Office. (2013). The budget and economic outlook: fiscal years 2013 to 2023. http://www.cbo.gov/sites/default/files/cbofiles/attachments/43907_Outlook_2012-2-5_Corrected.pdf
Council of Economic Advisers. (2009). The economic case for health care reform. Executive Office of the President of the United States. http://www.whitehouse.gov/assets/documents/CEA_Health_Care_Report.pdf
DeNavas-Walt, C., Proctor, B., & Smith, J. (2012). Income, poverty, and health insurance coverage in the United States: 2011. United States Census Bureau and U.S. Department of Commerce. http://www.census.gov/prod/2012pubs/p60-243.pdf
Di Tella, R., MacCulloch, R., & Oswald, A. (2002). The macroeconomics of happiness. Journal Review of Economics and Statistics, 85(4), 809–827.
Diener, E., Suh, E., Lucas, R., & Smith, H. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125(2), 276–302.
Dolan, P., Peasgood, T., & White, M. (2008). Do we really know what makes us happy? A review of the economic literature on the factors associated with subjective well-being. Journal of Economic Psychology, 29, 94–122.
Earth Institute. (2012). World happiness report. Columbia University. http://www.earth.columbia.edu/sitefiles/file/Sachs%20Writing/2012/World%20Happiness%20Report.pdf
Easterlin, R. A. (1974). Does economic growth improve the human lot? Some empirical evidence. In P. A. David & M. W. Reder (Eds.), Nations and households in economic growth: essays in honor of Moses Abramowitz (pp. 89–125). New York: Academic Press.
Eid, M., & Larsen, R. (2008). The science of subjective well-being. New York: The Guillford Press.
Frey, B., & Stutzer, A. (2001). What can economists learn from happiness research? Journal of Economic Literature, 40, 402–435.
Frey, B., & Stutzer, A. (2002). Happiness & economics: How the economy and institutions affect human well-being. New Jersey: Princeton University Press.
Graham, C. (2008). Happiness and health: Lessons—And questions—For public policy. Health Affairs, 27(1), 72–87.
Graham, C. (2011). The pursuit of happiness: An economy of well-being. Washington, DC: Brookings Institution Press.
Gruber, J. (2008). Covering the Uninsured in the United States. Journal of Economic Literature, 46(3), 571–606.
Hadley, J. (2003). Sicker and poorer—The consequences of being uninsured: A review of the research on the relationship between health insurance, medical care use, health, work, and income. Medical Care Research and Review, 60(2), 3S–75S.
Headey, B., & Wooden, M. (2004). The effects of wealth and income on subjective well-being and ill-being. Institute for the Study of Labor, 1–23. http://papers.ssrn.com/sol3/papers.cfm?abstract_id=516883
Howard, C. (2007). The welfare state nobody knows: debunking myths about U.S. social policy. Princeton: Princeton University Press.
Institute of Medicine. (2003). Hidden costs, value lost: Uninsurance in America. Washington, DC: The National Academies Press.
Kahneman, D., Diener, E., & Schwarz, N. (1999). Well-being: The foundations of hedonic psychology. New York: Russell Sage Foundation.
Kaiser Family Foundation. (2012). The uninsured: A primer—Key facts about Americans without health insurance. http://www.kff.org/uninsured/upload/7451-08.pdf
Kaiser Family Foundation. (2013). The uninsured: A primer—Key facts about health insurance on the eve of health reform. http://kaiserfamilyfoundation.files.wordpress.com/2013/10/7451-09-the-uninsured-a-primer-e28093-key-facts-about-health-insurance2.pdf
Layard, R. (2005). Happiness: Lessons from a new science. New York: Penguin Books.
Lucas, R., Diener, E., & Suh, E. (1996). Discriminant validity of well-being measures. Journal of Personality and Social Psychology, 71(3), 616–628.
New Economics Foundation. (2012). Well-being evidence for policy: A review. http://www.neweconomics.org/sites/neweconomics.org/files/Well-being_Evidence_for_Policy_final.pdf
Salinas-Jimenez, M., Artes, J., & Salinas-Jimenez, J. (2010). Income, motivation, and satisfaction with life: An empirical analysis. Journal of Happiness Studies, 11(6), 779–793.
Sharpe, A., Ghanghro, A., & Johnson, E. (2010). Does money matter? Determining the happiness of Canadians. Center for the Study of Living Standards, Report No. 2010-09. http://www.csls.ca/reports/csls2010-09.pdf
Sirgy, J. (2012). The psychology of quality of life: Hedonic well-being, life satisfaction and eudaimonia. New York: Springer.
Stack, S., & Eshleman, R. (1998). Marital status and happiness: A 17-nation study. Journal of Marriage and the Family, 60(2), 527–536.
Weintraub, D. (2014). The conversation: It takes a lot more than care to keep us healthy. Sacramento Bee, April 6. http://www.sacbee.com/2014/04/06/6297168/it-takes-a-lot-more-than-care.html
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Tran, N.L.T., Wassmer, R.W. & Lascher, E.L. The Health Insurance and Life Satisfaction Connection. J Happiness Stud 18, 409–426 (2017). https://doi.org/10.1007/s10902-016-9729-x
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DOI: https://doi.org/10.1007/s10902-016-9729-x