Bankruptcy, medical insurance, and a law with unintended consequences

Health Econ. 2014 Nov;23(11):1326-39. doi: 10.1002/hec.2985. Epub 2013 Sep 4.

Abstract

Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in 1986, guaranteeing a standard of medical care to anyone who entered an emergency room. This guarantee made default a more reliable substitute for medical insurance. I construct a tractable structural model of the medical insurance market and find that repealing EMTALA would increase the fraction of the population with insurance while decreasing its price.

Keywords: EMTALA. 1.5; adverse selection; bankruptcy; bankruptcy and default; health insurance; medical insurance.

MeSH terms

  • Bankruptcy*
  • Emergency Medical Services / legislation & jurisprudence*
  • Health Policy
  • Humans
  • Insurance, Health / economics*
  • Insurance, Health / legislation & jurisprudence*
  • Insurance, Health / statistics & numerical data
  • Models, Econometric*
  • Patient Transfer / legislation & jurisprudence
  • United States