@TechReport{iza:izadps:dp18255,
            	author={Antonini, Marcello and Costa-Font, Joan},
            	title={Healthy Self-Interest? Health Dependent Preferences for Fairer Health Care},
            	year={2025},
	month={Nov},
            	institution={Institute of Labor Economics (IZA)},
            	address={Bonn},
            	type={IZA Discussion Paper},
            	number={18255},
            	url={https://www.iza.org/publications/dp18255},
	abstract={Health status can alter individuals’ social preferences, and specifically individuals' preferences regarding fairness in the access to and financing of health care.  We draw on a dataset of 73,452 individuals across 22 countries and a novel instrumental variable strategy that exploits variation in health status resulting from cross-country exposure to the national childhood Bacillus Calmette–Guérin (BCG) vaccination schedules. We document causal evidence consistent with the unhealthy self-interest hypothesis, which indicates that better health increases preferences for a fairer health care system. We estimate that a one-unit increase in self-reported health increases support for fair health care access by 11% and the willingness to support fair financing by 8%. Our findings suggest that improving population health, they may give rise to stronger support for interventions to improve equitable health system access and financing.},
	keywords={willingness to pay;social preferences;instrumental variables;BCG vaccine;preferences for healthcare financing fairness;health status},
            }