Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?

Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?

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One of the main functions of health care systems is to collect enough revenue to finance health expenditures. This revenue can be obtained through different sources (taxes, social insurance contributions, out-of-pocket payments, donations), each of which has different implications in terms of equity...

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Main Author: Aurelio Mejía Mejía
Format: Article
Language:English
Published: Universidad de Antioquia 2013-06-01
Series:Lecturas de Economía
Subjects:
health systems financing
progressivity
equity
Online Access:http://aprendeenlinea.udea.edu.co/revistas/index.php/lecturasdeeconomia/article/view/15770/13666
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spelling doaj-d53457c411f3425c98e213ad4f19d6972020-11-25T03:02:55ZengUniversidad de AntioquiaLecturas de Economía0120-25962013-06-017878229239Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?Aurelio Mejía MejíaOne of the main functions of health care systems is to collect enough revenue to finance health expenditures. This revenue can be obtained through different sources (taxes, social insurance contributions, out-of-pocket payments, donations), each of which has different implications in terms of equity. The equity implications of the different forms of revenue collection are an important component of health systems performance evaluation. The international evidence suggests that tax funded systems seem to be a more progressive health care financing mechanism than systems based on social insurance in low- and middle-income countries. However, progressivity results are sensitive to the choice of ability to pay measures and, therefore, policy makers must be aware of this fact when interpreting results of studies on health care financing.http://aprendeenlinea.udea.edu.co/revistas/index.php/lecturasdeeconomia/article/view/15770/13666health systems financingprogressivityequity
collection DOAJ
language English
format Article
sources DOAJ
author Aurelio Mejía Mejía
spellingShingle Aurelio Mejía Mejía
Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?
Lecturas de Economía
health systems financing
progressivity
equity
author_facet Aurelio Mejía Mejía
author_sort Aurelio Mejía Mejía
title Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?
title_short Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?
title_full Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?
title_fullStr Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?
title_full_unstemmed Is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?
title_sort is tax funding of health care more likely to be regressive than systems based on social insurance in low- and middle-income countries?
publisher Universidad de Antioquia
series Lecturas de Economía
issn 0120-2596
publishDate 2013-06-01
description One of the main functions of health care systems is to collect enough revenue to finance health expenditures. This revenue can be obtained through different sources (taxes, social insurance contributions, out-of-pocket payments, donations), each of which has different implications in terms of equity. The equity implications of the different forms of revenue collection are an important component of health systems performance evaluation. The international evidence suggests that tax funded systems seem to be a more progressive health care financing mechanism than systems based on social insurance in low- and middle-income countries. However, progressivity results are sensitive to the choice of ability to pay measures and, therefore, policy makers must be aware of this fact when interpreting results of studies on health care financing.
topic health systems financing
progressivity
equity
url http://aprendeenlinea.udea.edu.co/revistas/index.php/lecturasdeeconomia/article/view/15770/13666
work_keys_str_mv AT aureliomejiamejia istaxfundingofhealthcaremorelikelytoberegressivethansystemsbasedonsocialinsuranceinlowandmiddleincomecountries
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