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    Who pays for health care in Asia?

    Published online in Journal of Health Economics

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    O'Donnell, Owen, Eddy van Doorslaer, Ravi P. Rannan-Eliya, Aparnaa Somanathan, Shiva Raj Adhikari, Baktygul Akkazieva, Deni Harbianto, Shamsia Ibragimova, Charu C. Garg, Piya Hanvoravongchai, Alejandro N. Herrin, Mohammed N. Huq, Shamsia Ibragimova, Anup Karan, Soon-man Kwon, Gabriel M. Leung, Jui-fen Rachel Lu, Yasushi Ohkusa, Badri Raj Pande, Rachel Racelis, Keith Tin, Kanjana Tisayaticorn, Laksono Trisnantoro, Quan Wan, Bong-Min Yang, and Yuxin Zhao
    1 Mar 2008 | 16 pages

    Abstract: We estimate the distributional incidence of health care financing in 13 Asian territories that account for 55% of the Asian population. In all territories, higher-income households contribute more to the financing of health care. The better-off contribute more as a proportion of ability to pay in most low- and lower-middle-income territories. Health care financing is slightly regressive in three high-income economies with universal social insurance. Direct taxation is the most progressive source of finance and is most so in poorer economies. In universal systems, social insurance is proportional to regressive. In high-income economies, the out-of-pocket (OOP) payments are proportional or regressive while in low-income economies the better-off spend relatively more OOP. But in most low-/middle-income countries, the better-off not only pay more, they also get more health care.




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