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Health Insurance

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Find your role and sit at the indicated seat.

Don’t disturb the materials.

Name Role Name Role Name Role

Abdimajid Abdirahman Consumer 1 Coleman Drake Consumer 11 Julia Novitskaia Insurer 1

Adriano Gianturco Gulisano Consumer 1 Colin Keesee Consumer 11 Julio Padilla Insurer 1

Aida Ibricevic Consumer 2 Crane Sorensen Consumer 12 Kareem Khalaf Insurer 2

Alejandro Komai Consumer 2 Daniel Piedra Consumer 12 Kathryn Isaacson Insurer 2

Allen Mendenhall Consumer 3 Daniel Suddes Consumer 13 Lai Xu Insurer 3

Anamaria Boioglu Consumer 3 Daniel Sockwell Consumer 13 Larisa Burakova Insurer 3

Andrew Seremetis Consumer 4 Denis Clijsters Consumer 14 Liliya Leontyeva Insurer 4

Ariel Goldring Consumer 4 Dominic Foppoli Consumer 14 Margaret Gales Insurer 4

Arya Morshed Consumer 5 Dustin Robinson Consumer 15 Theodore Dasher Insurer 5

Babatunde Rosanwo Consumer 5 Eleanor Smith Consumer 15 Mark Yager Insurer 5

Benjamin Eisen Consumer 6 Emilie Maes Consumer 16 David Hendricks Insurer 6

Brandon Peterson Consumer 6 Yashua Bhatti Consumer 16 Michal Kuz Insurer 6

Brian Stacy Consumer 7 Enrique Angulo Consumer 17 Mike Tellier Insurer 7

Bridgette Richey Consumer 7 Eric Sosnoff Consumer 17 Milko Markov Insurer 7

Caitlin McLean Consumer 8 Jens Moens Consumer 18 Nicholas Dunn Insurer 8

Candice Malcolm Consumer 8 Joseph Corey Consumer 19 Oliver Cooper Insurer 8

Carlos Ormachea Consumer 9 Ryan Biese Consumer 19 Patricio Echagüe Insurer 9

Charlotte Rommerskirchen Consumer 9 Joseph Foutch Consumer 20 Philippe Caeymaex Insurer 9

Chris Knudsen Consumer 10 Yashua Bhatti Consumer 20 Rossen Valchev Insurer 10

Claire Litherland Consumer 10 Ryan Lynch Insurer 10









www.antolin-davies.com

The purpose of this simulation is to create a

competitive market and to observe the market as it

achieves equilibrium.





In this simulation, you will experience real market

forces. The same human traits and behaviors that

govern real markets exist in the simulation.





What are artificial are your surroundings. The market

forces are real.





www.antolin-davies.com 2

The Players and the Goals





In this experiment, there are CONSUMERS and INSURERS.









INSURERS sell INSURANCE.









CONSUMERS buy FOOD and INSURANCE.







www.antolin-davies.com 3

Consumers



Each consumer has $20 to spend.



A unit of food costs $1.









The more food the consumer eats, the happier the consumer

becomes.









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Consumers: The Catch





Each consumer faces some risk of badness.





If badness befalls the consumer, the consumer loses all of the

purchased food.







vs.







www.antolin-davies.com 5

Consumers: The Insurance





But, consumers can purchase insurance contracts from the

insurance companies.



Each contract pays the consumer one unit of food if badness

befalls that consumer.









www.antolin-davies.com 6

Consumers: Example





Suppose a consumer can purchase insurance contracts at a

price of $0.50 each (the price of food is always $1 each).



Suppose that the consumer spends $5 on insurance contracts.

The remaining $15 is automatically spent on food.



10 insurance contracts 15 food









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Accounting Phase









Consumers report:

• Contracts purchased, cost, and from which

insurer(s)









www.antolin-davies.com 40

Consumer Badness

45

1 no

40

2 YES

3 no

35

4 no

5 YES 30

6 no

7 no 25



8 no

20

9 no

10 no 15

11 YES

12 no 10

13 no

5

14 YES

15 YES 0

16 no 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

17 no Consumer #

18 no

19 no Food Purchased Contracts Purchased Food Consumed

20 YES









www.antolin-davies.com 41

Consumer Badness

$80.00

1 no

2 YES $60.00

3 no

4 no

$40.00

5 YES

6 no

7 no $20.00

8 no

9 no $0.00

10 no 1 2 3 4 5 6 7 8 9 10

11 YES

-$20.00

12 no

13 no

14 YES -$40.00

15 YES

16 no -$60.00

17 no Insurer #

18 no

19 no

Revenue Indemnities Profit

20 YES









www.antolin-davies.com 42

Results…





www.antolin-davies.com 43

Insurance Contracts Purchased

120



100



80



60



40



20



0

Type 1 Type 2 Type 3 Type 4 Type 5





Free Ma rket Ma nda ted Ma nda tory









www.antolin-davies.com 44

Insurance Contracts Purchased

800

700

600

500

400

300

200

100

0

Type 1 Type 2 Type 3 Type 4 Type 5



Free Ma rket Ma nda ted Ma nda tory









www.antolin-davies.com 45

Food Purchased

90

80

70

60

50

40

30

20

10

0

Type 1 Type 2 Type 3 Type 4 Type 5



Free Ma rket Ma nda ted Ma nda tory









www.antolin-davies.com 46

Food Purchased

450

400

350

300

250

200

150

100

50

0

Type 1 Type 2 Type 3 Type 4 Type 5



Free Ma rket Ma nda ted Ma nda tory









www.antolin-davies.com 47

Insurance Price per Contract

$0.40

$0.35

$0.30

$0.25

$0.20

$0.15

$0.10

$0.05

$0.00

Free Mkt Mandated Mandatory









www.antolin-davies.com 48

Insurance Price per Contract

$0.45

$0.40

$0.35

$0.30

$0.25

$0.20

$0.15

$0.10

$0.05

$0.00

Free Market Mandated Mandatory









www.antolin-davies.com 49

Insurance Profits

$20.00



$10.00



$0.00

Type 1 Type 2 Type 3 Type 4 Type 5

-$10.00



-$20.00



-$30.00



-$40.00



Free Ma rket Ma nda ted Ma nda tory









www.antolin-davies.com 50

Insurance Profits

$100.00

$80.00

$60.00

$40.00

$20.00

$0.00

($20.00) Type 1 Type 2 Type 3 Type 4 Type 5

($40.00)

($60.00)

($80.00)

($100.00)



Free Ma rket Ma nda ted Ma nda tory









www.antolin-davies.com 51

Insurance Contracts Purchased

800

700

600

500

400

300

200

100

0

Type 1 Type 2 Type 3 Type 4 Type 5



Free Ma rket (ful l i nfo) Free Ma rket Ma nda ted Ma nda tory









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Food Purchased

450

400

350

300

250

200

150

100

50

0

Type 1 Type 2 Type 3 Type 4 Type 5



Free Ma rket (ful l i nfo) Free Ma rket Ma nda ted Ma nda tory









www.antolin-davies.com 53

Insurance Price per Contract

$0.45

$0.40

$0.35

$0.30

$0.25

$0.20

$0.15

$0.10

$0.05

$0.00

Free Market (full info) Free Market Mandated Mandatory









www.antolin-davies.com 54

What is the effect of insurance mandates?

• Forces lower risk people to consume

quantities of goods that they may not want

to consume.

• End result is a transfer of wealth from low

risk to high risk people.

• A better solution is simply to tax the low

risk people, give the money to the high risk

people and let them buy what they want.



www.antolin-davies.com 55

But, we have to do something!

Look at what has been happening to the cost

of health care over time!









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400.0

Price of medical care has increased 349% since 1980 versus 135%

for other consumer prices.

350.0



300.0



250.0



200.0



150.0



100.0



50.0



0.0

1981



1983

1984





1986







1989



1991





1993

1994



1996



1998

1999





2001





2003

2004



2006

1980





1982







1985





1987







1990





1992







1995





1997







2000





2002







2005

1988









Price of Medical Care Consumer Prices Excluding Medical Care



Source: Bureau of Labor Statistics (www.economy.com)









www.antolin-davies.com 57

500.0

Hospital services + 576%

450.0

Drugs and supplies + 402%

400.0

Physician services + 282%

350.0

Other consumer prices + 135%

300.0

250.0

200.0

150.0

100.0

50.0

0.0

1981





1983

1984





1986







1989



1991





1993

1994



1996



1998

1999





2001





2003

2004



2006

1980





1982







1985





1987







1990





1992







1995





1997







2000





2002







2005

1988









Price of Physicians Services

Price of Hospital Services

Price of Prescription Drugs and Medical Supplies



Source: Bureau of Labor Statistics (www.economy.com)









www.antolin-davies.com 58

Growth in Prices 1980 - 2006









0%

400%









200%

600%









-800%

-400%









-600%

-200%









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College Tuition





Medical Care





State/Local Gov't (per-capita)









Source: Bureau of Labor Statistics (www.economy.com)

Federal Gov't (per-capita)





Housing





Food





Gasoline





New Cars





1 GHz of Computing Power

59

But, the cost of health care is only half of

the picture.

What has been happening to the quality of

health care?









www.antolin-davies.com 60

How do we measure the quality of health care?





1. What is “quality?”



2. How do we account for health care that has

become routine but didn’t exist in the past

(e.g., pre-natal care)?





3. How do we weigh qualities across different

types of care (e.g., glasses vs. heart

transplant)?

www.antolin-davies.com 61

How does one measure the quality of health care?



An easy and composite measure of the

effectiveness of health care is the mortality rate.



Some health care may have little or no impact on

the mortality rate (e.g., orthodonture).



But, it is not unreasonable to assume that the

qualities of other types of health care grow at

similar rates.



www.antolin-davies.com 62

10.0







9.5







9.0







8.5







8.0







7.5

1960



1970







1974



1976







1980







1984



1986







1990



1992







1996



1998







2002



2004

1972









1978







1982









1988









1994









2000









2006

Deaths per 1,000 People



Source: Statistical Abstract of the United States, 2008, Table 77.









www.antolin-davies.com 63

30.0





25.0





20.0





15.0





10.0





5.0





0.0

1960



1970







1974



1976







1980







1984



1986







1990



1992







1996



1998







2002



2004

1972









1978







1982









1988









1994









2000









2006

Infant Mortality per 1,000 Live Births



Source: Statistical Abstract of the United States, 2008, Table 77.









www.antolin-davies.com 64

60.0





50.0





40.0





30.0





20.0





10.0





0.0

1962

1964





1968

1970

1972





1976

1978





1982

1984









1990

1992





1996

1998





2002

2004

1960









1966









1974









1980









1986

1988









1994









2000

by Influence and Pneumonia (per 100,000 population)

Deaths by Influenza and Pneumonia (per 100,000 population)



Source: Statistical Abstract of the United States, 2008, Table 110.









www.antolin-davies.com 65

2.9

Millions What does increased cost of health care buy us?

2.7



2.5



2.3



2.1 400,000 lives saved annually



1.9



1.7



1.5

1960

1970

1972

1974









1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

1976

1978

1980

1982









2006

Actual Deaths in the Current Year Deaths at the 1960 Mortality Rate

Source: Derived from Statistical Abstract of the United States, and the Bureau of Economic Analysis.









www.antolin-davies.com 66

But, what about the uninsured?



They aren’t sharing in this increased quality of

health care.









www.antolin-davies.com 67

18%

16%

14%

12%

10%

The percentage of the population that is uninsured has remained stable over time.

8%

6%

4%

2%

0%

1987

1988

1989





1991





1993

1994

1995

1996





1998

1999

2000

2001





2003





2005

2006

2007

1990





1992









1997









2002





2004

Source: Income, Poverty, and Health Insurance Coverage in the U.S.: 2006, US Census Bureau.









www.antolin-davies.com 68

35.0%

Percentage of uninsured has remained relatively constant for the young and

the old – the two groups for whom there is the least incentive to tradeoff

30.0% health care for spending on other things.





25.0%





20.0%





15.0%





10.0%





5.0%





0.0%

1999 2000 2001 2002 2003 2004 2005 2006



Under 18 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64



Source: Income, Poverty, and Health Insurance Coverage in the U.S.: 2006, US Census Bureau.









www.antolin-davies.com 69

6%

Pattern of uninsured is commensurate with the hypothesis that, as the price of

health care rises, the more healthy willingly choose not to be insured.

5%



4%



3%



2%



1%



0%

Under 18 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64

-1%



-2%



Change in % of Uninsured 1999 to 2006

Source: Income, Poverty, and Health Insurance Coverage in the U.S.: 2006, US Census Bureau.









www.antolin-davies.com 70

Voting for the “right” amount of insurance



A free choice to purchase is a vote, but with three important differences.





Political vote: One size fits all.

Free market vote: Multiple sizes for multiple recipients.





Political vote: Speed of change is driven by the election cycle.

Free market vote: Speed of change is driven by the accounting cycle.





Political vote: Signal is distorted because the vote is for a “bundle” of

issues embodied by one candidate.

Free market vote: Signal is clear because the vote is for a specific issue.









www.antolin-davies.com 71



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