are tax subsidies for private medical insurance self financing evidence from a microsimulation model outpatient and inpatient episodes ángel lópez nicolás universitat pompeu fabra dee cres universidad politécnica de cartagena angel lopez upf edu marcos vera hernández carlos iii madrid institute fiscal studies ifs org uk first version july 2002 this october 2004 abstract paper develops an empirical strategy to estimate whether in countries where public health coexist we construct simulation routine based on micro econometric discrete choice that allows us evaluate the impact of premium changes utilisation care services as application simulate main feature 1999 spanish income reform abolished individual deduction expenditures find suggesting subsidy is far result driven by fact holders make concurrent use low price elasticity demand policies jel codes h24 i18 c25 keywords