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Between voluntarism and compulsion: Membership in mutual health insurance societies in Swedish manufacturing, c. 1900

Stanfors, Maria LU ; Karlsson, Tobias LU ; Andersson, Lars-Fredrik and Eriksson, Liselotte (2023) In Economic History Review
Abstract
Membership in mutual health insurance societies spread among industrial workers in the late nineteenth century. We study determinants of such membership among male workers in Swedish manufacturing by using matched employer–employee data from three industries covering all workers (i.e. members and non-members, N > 12 000) and firms around 1900. We find remarkably high rates of membership overall, and especially among married workers. The association between marital status and health insurance suggests that selection into health insurance societies was ‘propitious’ rather than ‘adverse’. Many workers became members well before the age of 40 years, when their health began to deteriorate, and this coincided with the average age of first... (More)
Membership in mutual health insurance societies spread among industrial workers in the late nineteenth century. We study determinants of such membership among male workers in Swedish manufacturing by using matched employer–employee data from three industries covering all workers (i.e. members and non-members, N > 12 000) and firms around 1900. We find remarkably high rates of membership overall, and especially among married workers. The association between marital status and health insurance suggests that selection into health insurance societies was ‘propitious’ rather than ‘adverse’. Many workers became members well before the age of 40 years, when their health began to deteriorate, and this coincided with the average age of first marriage for men, occurring in their late twenties. Being married and having membership was more marked in firms with voluntary membership and was important for the viability of the mix of voluntary and compulsory health insurance societies emerging in Nordic countries around 1900. Findings support the idea that health insurance can attract high levels of membership under voluntary schemes and suggest why it took so long before statutory health insurance covering sickness absence and workplace accidents was introduced in Sweden. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Economic History Review
publisher
Wiley-Blackwell
external identifiers
  • scopus:85163702261
ISSN
1468-0289
DOI
10.1111/ehr.13271
project
Stronger together? A micro-history of collective action and working life in turn of the last century Sweden
language
English
LU publication?
yes
id
d027a424-e19e-4e86-b5a5-b49219fecd85
date added to LUP
2023-07-04 09:50:39
date last changed
2023-10-08 04:00:25
@article{d027a424-e19e-4e86-b5a5-b49219fecd85,
  abstract     = {{Membership in mutual health insurance societies spread among industrial workers in the late nineteenth century. We study determinants of such membership among male workers in Swedish manufacturing by using matched employer–employee data from three industries covering all workers (i.e. members and non-members, N > 12 000) and firms around 1900. We find remarkably high rates of membership overall, and especially among married workers. The association between marital status and health insurance suggests that selection into health insurance societies was ‘propitious’ rather than ‘adverse’. Many workers became members well before the age of 40 years, when their health began to deteriorate, and this coincided with the average age of first marriage for men, occurring in their late twenties. Being married and having membership was more marked in firms with voluntary membership and was important for the viability of the mix of voluntary and compulsory health insurance societies emerging in Nordic countries around 1900. Findings support the idea that health insurance can attract high levels of membership under voluntary schemes and suggest why it took so long before statutory health insurance covering sickness absence and workplace accidents was introduced in Sweden.}},
  author       = {{Stanfors, Maria and Karlsson, Tobias and Andersson, Lars-Fredrik and Eriksson, Liselotte}},
  issn         = {{1468-0289}},
  language     = {{eng}},
  month        = {{07}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Economic History Review}},
  title        = {{Between voluntarism and compulsion: Membership in mutual health insurance societies in Swedish manufacturing, c. 1900}},
  url          = {{http://dx.doi.org/10.1111/ehr.13271}},
  doi          = {{10.1111/ehr.13271}},
  year         = {{2023}},
}