Protection in Good and Bad Times? The Turkish Green Card Health Program

This paper evaluates the equity and financial protection implications of the expansion of the Green Card (Yesil Kart) non-contributory health insurance program in Turkey during the growth years from 2003 to 2008. It also considers the program's protective impact during the economic crisis in 2009. The authors find that the rapid expansion of the program between 2003 and 2008 was highly progressive. It led to significant gains in coverage of the poor but offered limited financial protection as out-of-pocket expenditures even before the introduction of the program had been limited. Using a specialized welfare monitoring survey, fielded in 2009, the authors estimate the impact of the program on household level health care utilization during the first phase of the economic slowdown in Turkey. Using three different estimation techniques, they find that the Green Card program had a significantly positive impact on protecting health care utilization during the crisis.

Bibliographic Details

Main Authors:	Aran, Meltem A., Hentschel, Jesko S.
Language:	English en_US
Published:	2012-08
Subjects:	BEDROOMS, CATASTROPHIC EXPENDITURE, CATASTROPHIC HEALTH SPENDING, CITIES, CURATIVE HEALTH CARE, DISTRICTS, ECONOMIC POLICY, ELDERLY PEOPLE, EMPLOYMENT, EXPENDITURES, FEMALE, FINANCIAL PROTECTION, FORMAL LABOR MARKET, GENDER, HEALTH AFFAIRS, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE SERVICES, HEALTH CARE SPENDING, HEALTH CARE UTILIZATION, HEALTH COSTS, HEALTH DEMAND, HEALTH EXPENDITURES, HEALTH FINANCING, HEALTH FINANCING SYSTEM, HEALTH INSURANCE, HEALTH INSURANCE COVERAGE, HEALTH INSURANCE PLAN, HEALTH INSURANCE PROGRAM, HEALTH INSURANCE SCHEME, HEALTH INSURANCE SCHEMES, HEALTH SERVICES, HEALTH SPENDING, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTHCARE, HOSPITALS, HOUSEHOLD EXPENDITURE, HOUSEHOLD INCOME, HOUSEHOLDS, HOUSING, HOUSING CONDITIONS, HUMAN DEVELOPMENT, INCOME, INFANTS, INFORMAL SECTOR, INPATIENT CARE, INSURANCE PLAN, LIVING STANDARDS, MEDICAL CARE, MEDICAL CARE FOR THE POOR, OUTPATIENT CARE, POCKET PAYMENTS, POCKET PAYMENTS FOR HEALTH CARE, POLICY DISCUSSIONS, POLICY RESEARCH, PRESCRIPTION DRUGS, PREVENTIVE CARE, PREVENTIVE HEALTH CARE, PREVENTIVE HEALTH SERVICES, PRIVATE HEALTH SERVICES, PRIVATE INSURANCE, PRIVATE SECTOR, PROBABILITY, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, QUALITY OF CARE, SAFETY, SOCIAL INSURANCE, SOCIAL POLICY, SOCIAL SECURITY, SOCIAL SECURITY HEALTH INSURANCE, URBAN POPULATION, USE OF HEALTH SERVICES, VISITS,
Online Access:	http://documents.worldbank.org/curated/en/2012/08/16627384/protection-good-bad-times-turkish-green-card-health-program https://hdl.handle.net/10986/12024
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