亚开行-中国农村养老金、家庭内部谈判与老年医疗支出（英）-2023.9-55页

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ASIAN DEVELOPMENT BANK

6 ADB Avenue, Mandaluyong City

1550 Metro Manila, Philippines

www.adb.org

RURAL PENSIONS, INTRAHOUSEHOLD

BARGAINING, AND ELDERLY MEDICAL

EXPENDITURE IN THE

PEOPLE’S REPUBLIC OF CHINA

Zeyuan Chen and Albert Park

ADB ECONOMICS

WORKING PAPER SERIES

NO. 

September 2023

Rural Pensions, Intra-Household Bargaining, and Elderly Medical Expenditure

in the People’s Republic of China

This study investigates the impact of a new social pension program in the People’s Republic of China on

the health expenditures of rural elderly people. Results show that receiving pension payments increases

outpatient care utilization and expenditures among ill elderly people. Pensions improve bargaining power

for elderly people who live with their children or grandchildren. This enables elderly people to spend more

on health care. However, pensions have no signiﬁcant eect on medical expenditures of elderly people

who live independently.

About the Asian Development Bank

ADB is committed to achieving a prosperous, inclusive, resilient, and sustainable Asia and the Paciﬁc,

while sustaining its eorts to eradicate extreme poverty. Established in 1966, it is owned by 68 members

—49 from the region. Its main instruments for helping its developing member countries are policy dialogue,

loans, equity investments, guarantees, grants, and technical assistance.

ASIAN DEVELOPMENT BANK

The ADB Economics Working Paper Series

presents research in progress to elicit comments

and encourage debate on development issues

in Asia and the Paciﬁc. The views expressed

are those of the authors and do not necessarily

reﬂect the views and policies of ADB or

its Board of Governors or the governments

they represent.

ADB Economics Working Paper Series

Rural Pensions, Intra-Household Bargaining, and Elderly

Medical Expenditure in the People’s Republic of China

Zeyuan Chen and Albert Park

No. 693 | September 2023

Zeyuan Chen (zychen@swufe.edu.cn) is an assistant

professor at the School of Public Administration,

Southwestern University of Finance and Economics,

Chengdu, People’s Republic of China. Albert Park

(afpark@adb.org) is the Chief Economist and Director

General of the Economic Research and Development

Impact Department, Asian Development Bank.

Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO)

6 ADB Avenue, Mandaluyong City, 1550 Metro Manila, Philippines

Tel +63 2 8632 4444; Fax +63 2 8636 2444

www.adb.org

Some rights reserved. Published in 2023.

ISSN 2313-6537 (print), 2313-6545 (electronic)

Publication Stock No. WPS230373-2

DOI: http://dx.doi.org/10.22617/WPS230373-2

The views expressed in this publication are those of the authors and do not necessarily reﬂect the views and policies

ofthe Asian Development Bank (ADB) or its Board of Governors or the governments they represent.

ADB does not guarantee the accuracy of the data included in this publication and accepts no responsibility for any

consequence of their use. The mention of speciﬁc companies or products of manufacturers does not imply that they

are endorsed or recommended by ADB in preference to others of a similar nature that are not mentioned.

By making any designation of or reference to a particular territory or geographic area, or by using the term “country”

inthis publication, ADB does not intend to make any judgments as to the legal or other status of any territory or area.

This publication is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO)

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Notes:

In this publication, “$“ refers to United States dollars and “CNY” refers to yuan.

ADB recognizes “China” as the People’s Republic of China.

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ASIANDEVELOPMENTBANKASIANDEVELOPMENTBANK6ADBAvenue,MandaluyongCity1550MetroManila,Philippineswww.adb.orgRURALPENSIONS,INTRAHOUSEHOLDBARGAINING,ANDELDERLYMEDICALEXPENDITUREINTHEPEOPLE’SREPUBLICOFCHINAZeyuanChenandAlbertParkADBECONOMICSWORKINGPAPERSERIESNO.September2023RuralPensions,Intra-Househol...

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