ABSTRACT This paper explores the impact of the critical illness insurance (CII) on rural household consumption. We use data from the 2011–2018 China Health and Retirement Longitudinal Study (CHARLS), which covers 28 provinces, and apply a staggered difference-in-differences method to evaluate the effects of the CII over the entire policy period. This approach can provide nationally representative findings and address the limitations of previous studies. Our results indicate that the CII increases rural household consumption by approximately 8.5%. This effect is primarily driven by improved household expectations regarding reduced future medical expenses. Consequently, precautionary savings decrease, increasing consumption. The heterogeneity analysis reveals that the consumption-promoting effect of the CII is more pronounced in eastern regions and among middle-income rural households. These findings contribute to the literature by providing empirical evidence on the mechanisms and regional variations of the CII’s impact. They also offer policy implications for countries aiming to expand the CII coverage and enhance household consumption.
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