Research on the Impact of Integration of Medical Insurance for Urban and Rural Residents and the Relative Poverty Risk of Rural Elderly People
Based on the perspective of feasible ability theory,this article constructs two periods of balanced panel data using the China Health and Retirement Tracking Survey(CHARLS)data from 2013 and 2018.The relative poverty risk of rural elderly is measured by poverty vulnerability,and the PSM-DID model and stepwise mediation model are used to empirically study the impact and mechanism of urban-rural resident medical insurance integration on the relative poverty risk of rural elderly.Research has found that the integration of medical insurance for urban and rural residents significantly reduces the relative poverty risk of rural elderly people,reducing their probability of falling into relative poverty in the future by 3.89%;heterogeneity analysis shows that the integration of medical insurance for urban and rural residents has a better inhibitory effect on relative poverty risk in rural elder-ly populations with higher incomes or those affected by major diseases;mechanism testing shows that improving savings and health levels is an important channel for the integration of medical insurance for urban and rural residents to affect the relative poverty risk of rural elderly people.Based on this,the article proposes policy recommendations around feasible capabilities,such as accel-erating the equalization of basic public services between urban and rural areas,improving the dynamic monitoring and assistance mechanism for relative poverty among rural elderly,and timely adjusting the medical insurance benefits for the elderly.
integration of medical insurancefeasible abilityrelative poverty vulnerabilitydouble difference propensity score matchingmediating effect