PEDIATRICS Vol. 75 No. 5 May 1985, pp. 969-971
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The Rand Health Insurance Experiment for Children

ROBERT J. HAGGERTY MD1

1 President, William T. Grant Foundation, President, American Academy of Pediatrics

Results of the Rand Health Insurance Experiment (the largest controlled trial of the impact of different amounts of copayment for child health services ever conducted) published in this issue of Pediatrics1 are a cause for concern among pediatricians. Two questions are posed by these studies. First, is the use of child health services price dependent or, in other words, do children use less health care if there is more out-of-pocket cost? The answer is yes, but mainly for office visits, not hospitalizations, for older children. This finding does not surprise most pediatricians. Most goods and services in our society are sensitive to price.




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