Replication Data for: What Do Microinsurance and Medicare Have in Common? The Dual Benefit Principle in Health Insurance
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This repository accompanies the manuscript "What Do Microinsurance and Medicare Have in Common? The Dual Benefit Principle in Health Insurance," revised and resubmitted to Social Science & Medicine following major-revision peer review (February 2026). The paper tests the Dual Benefit Principle (DBP) — which posits that sustainable collective institutions require participants to perceive both social benefits ("good for us") and private benefits ("good for me") — in the domain of national health financing. Using pooled International Social Survey Programme (ISSP) Health data from 2011 (ZA5800) and 2021 (ZA8000), the study examines whether three belief patterns (zero-sum thinking, perceived free-riding, and contested deservingness) predict public confidence in health systems across 21 countries (N = 70,027). Version 2 changes (responding to peer review): Education variable corrected: years of full-time schooling (EDUCYRS) replaces the incompatible DEGREE/ISCED scales, which were pooled in v1. A robustness check with a harmonized categorical measure (DEGREE/EDULEVEL) confirms substantively identical results. Three new supplementary analyses were added: Table S9 (political orientation and social position controls), Table S10 (disaggregated accommodation dimensions), and Table S11 (self-rated health robustness check). New predictor variables added to the analysis dataset: subjective social position (TOPBOT), political orientation (PARTY_LR), and self-rated health. Additional output files include a correlation matrix, VIF diagnostics, effect sizes, and expanded robustness checks. All file paths converted to relative references for full portability. The repository contains: (1) raw ISSP source data extracts for the two waves; (2) the constructed analysis-ready pooled dataset of 70,027 respondents across 21 countries; (3) the complete R replication pipeline (master script plus six modular analysis scripts) reproducing all tables, figures, and robustness checks reported in the revised manuscript; and (4) full documentation including a README with table-to-file mapping and a codebook. Revised and resubmitted to Social Science & Medicine, February 2026 (major revision). After publication, this metadata will be updated with the article DOI. Version 2 incorporates revisions in response to peer review, including corrected educational measurement, additional robustness analyses, and expanded control variables.



