Employment Rank and the Choice of Health Insurance Benefit Scheme among Bangladeshi Civil Servants

Author:

Hamid Syed Abdul1ORCID,Begum Afroza2,Ahsan Syed M3,Howlader Sushil Ranjan1,Uddin Azhar4,Rahman Taslima5,Rahman Md. Hafizur6

Affiliation:

1. Professor, Institute of Health Economics , University of Dhaka , Dhaka 1000 , Bangladesh

2. Assistant Professor, Department of Statistics , University of Chittagong , Chittagong 4331 , Bangladesh

3. Emeritus Professor, Department of Economics , Concordia University , Montreal , Canada

4. Assistant Professor, Institute of Health Economics , University of Dhaka , Dhaka 1000 , Bangladesh

5. Associate Professor, Institute of Health Economics , University of Dhaka , Dhaka 1000 , Bangladesh

6. Additional Secretary, Ministry of Commerce , Government of Bangladesh , Dhaka 1000 , Bangladesh

Abstract

Abstract This study surveys 622 Bangladeshi civil servants of all administrative jurisdictions and elicits their preference for health insurance schemes. The latter vary in the amount of sum assured as well as in terms of premium sharing rules with the government. The paper also explores the financial burden that the premium subsidy may impose on the exchequer and the state’s fiscal capacity to shoulder it. We discover a very high willingness to join the scheme. Though all three premium-sharing options posit flat rates common for all employment ranks, respondents appear to prefer premiums proportional to their basic salary.

Publisher

Walter de Gruyter GmbH

Reference49 articles.

1. Agago, T. A., M. Woldie, and S. Ololo. 2014. “Willingness to Join and Pay for Newly Proposed Social Health Insurance Among Teachers in Wolaita Sodo Town, South Ethiopia.” Ethiopian Journal of Health Sciences 24 (3): 195–202.

2. Ahmed, S., M. E. Hoque, A. R. Sarker, M. Sultana, Z. Islam, R. Gazi, and J. A. Khan. 2016. “Willingness-to-pay for Community-Based Health Insurance Among Informal Workers in Urban Bangladesh.” PloS One 11 (2): e0148211. https://doi.org/10.1371/journal.pone.0148211.

3. Ahsan, S. M., M. A. Khalily, S. A. Hamid, Shu. Barua, and Su. Barua. 2013. “The Microinsurance Market in Bangladesh: An Analytical Overview.” Bangladesh Development Studies 36 (1): 1–54.

4. Arrow, K. J. 1963. “Uncertainty and the Welfare Economics of Medical Care.” The American Economic Review 53 (5): 941–73.

5. Arrow, K. J. 1965. Aspects of the Theory of Risk-Bearing. Helsinki: Yrjo Jahnsson Saatio.

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