| The task of poverty eradication in China has been successfully completed by2020 when a moderately prosperous society will be fully built,which indicates that the problem of absolute poverty has now been completely solved in China,but it does not mean that the phenomenon of poverty has disappeared,which only indicates that China has now entered a brand new stage characterized by relative poverty,multidimensional poverty and dynamic poverty,and it is necessary to establish a long-term mechanism to prevent the return of poverty in this stage.Vulnerability to poverty is the most widely used measure of poverty today.It is a forward-looking measure of an individual’s or household’s likelihood of becoming poor in the future,and a necessary way to prevent a return to poverty and build a strong socialist country is to reduce the vulnerability of households to poverty.While many studies have confirmed the effectiveness of health and agricultural insurance in important areas such as reducing the risk of poverty,reducing the number of people living in poverty and discouraging those who have left poverty from returning to poverty,there is a lack of research on the effects of commercial health insurance on poverty reduction,and there is an urgent need for empirical research on the effects of commercial health insurance on household poverty vulnerability.Therefore,studying the effect of commercial health insurance on household health poverty vulnerability is both consistent with the practical need to prevent the return to poverty and has theoretical implications to improve existing research on poverty vulnerability.This paper adopts micro-econometric and literature research methods,and the sample of the study is the national micro household survey data from the China Household Financial Survey and Research Center(CHFS)of Southwest University of Finance and Economics.Finally,the propensity score matching method(PSM)was applied to test the effect of commercial health insurance on household health poverty vulnerability,and the results were analysed for heterogeneity and robustness.The experimental results show that the average treatment effect of commercial health insurance is 0.091 higher for households that do not purchase commercial health insurance than for those that do,i.e.commercial health insurance significantly reduces the health poverty vulnerability of households;the effect of commercial health insurance on reducing the health poverty vulnerability of households in the central and western regions is more pronounced than that of households in the eastern and north-eastern regions;the lower the annual per capita income of households,the greater the effect of commercial health insurance on reducing the health poverty vulnerability of households;and the greater the effect of commercial health insurance on reducing the health poverty vulnerability of households.The lower the annual household income per capita,the greater the effect of commercial health insurance on the reduction of household health poverty vulnerability;the replacement of the poverty line also led to the consistent conclusion that the higher the poverty line standard,the more significant the effect of commercial health insurance on the reduction of household health poverty vulnerability.In addition to exploring the effect of commercial health insurance on the vulnerability of households to health poverty,this paper also proposes targeted countermeasures to reduce the vulnerability of households to health poverty according to the characteristics of poverty in China at this stage.On the one hand,it is to alleviate the impact of health risks on households,enhance households’ awareness of insurance,purchase the optimal combination of insurance coverage,and adopt a skewed insurance poverty alleviation policy focusing on supporting the central and western regions;on the other hand,it is to enhance the ability of poor households to acquire livelihood capital,guarantee the basic working ability of household members,improve the education level of household members,and develop industrial poverty alleviation policies according to the geographical characteristics of poor regions. |