Elderly chronic diseases and catastrophic health expenditure: an important cause of Borderline Poor Families’ return to poverty in rural China

Abstract The huge health expenditure for chronic diseases in the elderly is one of uncertain factors that may cause Borderline poor families to return poverty after China fully lifts itself out 2020, especially rural low-income areas. Based on latest data released by Health and Retirement Longitudinal Study, this paper used two-part model analyze impact catastrophic China. Some interesting results were found. For example, such as stroke hepatic disease have a large expenditures edge Therefore, government should drive middle-aged people actively participate physical exercise prevent high incidence elderly. Furthermore, improve medical insurance system provide solid support other vulnerable groups avoid returning poverty.