The Birth and Growth of the Social Insurance State: Explaining Old Age and Medical Insurance Across Countries

B-Tier
Journal: Public Choice
Year: 2004
Volume: 120
Issue: 1_2
Pages: 87-121

Authors (2)

David M. Cutler (Harvard University) Richard Johnson (not in RePEc)

Score contribution per author:

1.009 = (α=2.02 / 2 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

We examine the factors leading to creation and growth of national Old-Age Insurance (OAI) and Health Insurance schemes. None of the theories we test fit the data very well. There is weak evidence that the probability of adopting a system declines in a country's wealth and in the ethnic heterogeneity of its population. Catholic countries are more likely to create earnings-related OAI systems. The growth of OAI spending since 1960 has varied considerably across countries, with fast growth in countries emerging from dictatorship and non-English speaking countries. We conclude that social insurance can be politically expedient for many different reasons.

Technical Details

RePEc Handle
repec:kap:pubcho:v:120:y:2004:i:1_2:p:87-121
Journal Field
Public
Author Count
2
Added to Database
2026-01-25