Working paper · Health economics · Human capital

Securing the Care Workforce

How Public Insurance Commitments Reshape Human Capital Pipelines

Tongpu ZhaoSole authorReject and Resubmit at Management Science

Can a credible public commitment reshape a workforce pipeline before posted wages visibly adjust?

Using China’s Long-Term Care Insurance pilots and nationwide college-admissions data, this paper studies how the creation of a durable payer changes who enters nursing and how the selectivity and composition of the training pipeline respond.

Research question

Commitment before compensation.

The paper focuses on the labor-supply side of care capacity. Rather than asking only whether insurance raises utilization, it asks whether a credible public financing commitment changes educational choices upstream of the labor market.

This makes the human-capital pipeline itself an outcome of policy design.

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