AccScience Publishing / GHES / Online First / DOI: 10.36922/ghes.2001

The effect of the 2009 cancer coverage expansion policy in Korea

Changwoo Lee1*
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1 Department of Economics, Boston University, Boston, Massachusetts, United States of America
Submitted: 10 October 2023 | Accepted: 19 February 2024 | Published: 4 June 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( )

This study focuses on the effect of coverage expansion policy on medical expenditures at each initial medical expenditure level. More specifically, how each structural change, such as the enforcement of coverage expansion policy and other observable factors, influences the spending on medical care using the relatively recently developed decomposition technique was investigated in the study. The results showed that those at the lowest or highest medical cost level benefited most from the policy change. The observable variables seemed to affect the overall differences in the cancer inpatient cost for those at the middle medical cost level, and the structural changes seemed to account for the overall change in the cancer inpatient cost for those at the lowest or the highest medical cost level. The findings of this study offer an explanation for why the coverage expansion policy could not affect the equity in health utilization and financial burden reported in previous literature.

Expansion of health insurance coverage
Medical expenditure

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Conflict of interest
The author declares no conflicts of interest.
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Global Health Economics and Sustainability, Electronic ISSN: 2972-4570 Published by AccScience Publishing