Abstract:

Based on the China Household Financial Survey data, this paper thoroughly investigates the impact of the multilevel medical insurance system on residents' family well–being and its underlying mechanism. The findings show that the multilevel medical insurance system can significantly enhance the happiness of residents' families. The mechanism test indicates that the multi–tiered health insurance system affects the happiness of households by improving the health status of households and reducing the financial vulnerability of households. Heterogeneity studies show that the effects of the multilevel health insurance system on the well–being of households are heterogeneous across household registration, health level, and health care burden. Further research shows that there are differences in the effects and transmission channels of different health insurance programs in the multilevel health insurance system. In this regard, this study provides a new research perspective and policy reference for building a sustainable social security system.

Key words:

multi-tiered medical insurance system, residents' family well-being, health status, financial vulnerability