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Welfare Reform and Health

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  • Marianne P. Bitler
  • Jonah B. Gelbach
  • Hilary W. Hoynes

Abstract

We investigate the impact of welfare reform on health insurance coverage and healthcare utilization of single women aged 20–45, using nationally representative data from the Behavioral Risk Factor Surveillance System. We present estimates from both difference-in-difference models and difference-in-difference-in-difference models (using married women as a comparison group). We find that welfare reform is associated with reductions in health insurance coverage and specific measures of healthcare utilization, as well as an increase in the likelihood of needing care but finding it unaffordable. Overall, effects are somewhat larger for Hispanics compared with blacks and low-educated women.

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Bibliographic Info

Article provided by University of Wisconsin Press in its journal Journal of Human Resources.

Volume (Year): 40 (2005)
Issue (Month): 2 ()
Pages:

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Handle: RePEc:uwp:jhriss:v:40:y:2005:i:2:p309-334

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References

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  1. Ruhm, Christopher J. & Black, William E., 2002. "Does drinking really decrease in bad times?," Journal of Health Economics, Elsevier, Elsevier, vol. 21(4), pages 659-678, July.
  2. Janet Currie & Jeffrey Grogger, 2000. "Medicaid Expansions and Welfare Contractions: Offsetting Effects on Prenatal Care and Infant Health?," NBER Working Papers 7667, National Bureau of Economic Research, Inc.
  3. Marianne P. Bitler & Jonah B. Gelbach & Hilary W. Hoynes, 2003. "What Mean Impacts Miss: Distributional Effects of Welfare Reform Experiments," Working Papers, RAND Corporation Publications Department 109, RAND Corporation Publications Department.
  4. Robert Kaestner & Neeraj Kaushal, 2003. "Welfare Reform and Health Insurance Coverage of Low-Income Families," NBER Working Papers 10033, National Bureau of Economic Research, Inc.
  5. Jeffrey Grogger & Steven J. Haider & Jacob Klerman, 2003. "Why Did the Welfare Rolls Fall During the 1990's? The Importance of Entry," American Economic Review, American Economic Association, American Economic Association, vol. 93(2), pages 288-292, May.
  6. Christopher J. Ruhm, 1996. "Are Recessions Good For Your Health?," NBER Working Papers 5570, National Bureau of Economic Research, Inc.
  7. William N. Evans & Jeanne S. Ringel & Diana Stech, 1999. "Tobacco Taxes and Public Policy to Discourage Smoking," NBER Chapters, National Bureau of Economic Research, Inc, in: Tax Policy and the Economy, volume 13, pages 1-56 National Bureau of Economic Research, Inc.
  8. Janet Currie & Aaron Yelowitz, 1999. "Health Insurance and Less Skilled Workers," NBER Working Papers 7291, National Bureau of Economic Research, Inc.
  9. Meyer, Bruce D. & Rosenbaum, Dan T., 2000. "Making Single Mothers Work: Recent Tax and Welfare Policy and its Effects," National Tax Journal, National Tax Association, vol. 53(n. 4), pages 1027-62, December.
  10. Marianne P. Bitler & Jonah B. Gelbach & Hilary W. Hoynes, 2003. "Some Evidence on Race, Welfare Reform, and Household Income," American Economic Review, American Economic Association, American Economic Association, vol. 93(2), pages 293-298, May.
  11. George J. Borjas, 2003. "Welfare Reform, Labor Supply, and Health Insurance in the Immigrant Population," NBER Working Papers 9781, National Bureau of Economic Research, Inc.
  12. Bruce D. Meyer & Dan T. Rosenbaum, 2000. "Making Single Mothers Work: Recent Tax and Welfare Policy and its Effects," NBER Working Papers 7491, National Bureau of Economic Research, Inc.
  13. Rebecca M. Blank, 2002. "Evaluating Welfare Reform in the United States," NBER Working Papers 8983, National Bureau of Economic Research, Inc.
  14. Thomas S. Dee, 2001. "Alcohol abuse and economic conditions: Evidence from repeated cross-sections of individual-level data," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 10(3), pages 257-270.
  15. Robert Kaestner & Elizabeth Tarlov, 2006. "Changes in the welfare caseload and the health of low-educated mothers," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 25(3), pages 623-643.
  16. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, Elsevier, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408 Elsevier.
  17. Robert Moffitt, 2002. "Welfare Programs and Labor Supply," NBER Working Papers 9168, National Bureau of Economic Research, Inc.
  18. Busch, Susan H. & Duchovny, Noelia, 2005. "Family coverage expansions: Impact on insurance coverage and health care utilization of parents," Journal of Health Economics, Elsevier, Elsevier, vol. 24(5), pages 876-890, September.
  19. Robert Kaestner & Won Chan Lee, 2005. "The effect of welfare reform on prenatal care and birth weight," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 14(5), pages 497-511.
  20. Anna Aizer & Jeffrey Grogger, 2003. "Parental Medicaid Expansions and Health Insurance Coverage," NBER Working Papers 9907, National Bureau of Economic Research, Inc.
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