Uterus at a Price: Disability Insurance and Hysterectomy
Open guest seminar with Ching-to Albert Ma, Boston University and University of Oslo. Coffee and tea at 14. 00, the seminar starts at 14.15.
Three social disability programs in Taiwan (Government Employee Insurance, Labor Insurance, and Farmer Insurance) provide compensation equal to about five months of salary to women who become infertile due to hysterectomy and oophorectomy when these treatments happen before the 45th birthday. These programs create incentives for more and earlier treatments, which we call, respectively, the inducement and timing effects.
Using medical records from 1997 to 2011 from Taiwan National Health Insurance Administration, we track experiences of enrollees and the uninsured between their 40th and 50th birthdays. We use difference-in-difference and nonparametric methods to estimate inducement and timing effects of hysterectomy and oophorectomy hazards. Disability insurance increases 11-12% additional hysterectomies for enrollees in Labor Insurance and Government Employee Insurance, but only 3% for enrollees in Farmer Insurance. For oophorectomy, inducement and timing effects are negligible.