Advanced Search
MyIDEAS: Login

Medicaid Stigma

Contents:

Author Info

Abstract

This paper uses the National Survey of America's Families (NSAF) to examine whether the low take-up rate for publicly provided health insurance is caused by welfare stigma that people associate with those programs. The NSAF asks several questions related to welfare stigma, including whether respondents believe that welfare makes people work less, or whether welfare helps people get back "on their feet." If stigma plays a role in take-up, then among eligible patients, those who neglect to enroll in Medicaid will have more negative attitudes towards welfare, all else equal. As a second approach, we test the predictions of a Moffitt (1983) utility function, with fixed and variable stigma from public benefits. In the end, we believe we can demonstrate that stigma plays a large and statistically significant role in deterring Medicaid take-up, but we cannot distinguish responses to Medicaid benefits (which should have no variable stigma) from responses to Food Stamps (which should have large variable stigma). Finally, the results of this research, while of academic interest in their own right, also have substantial policy implications. If low Medicaid take-up is caused by welfare stigma, the policy prescription is much different than if low take-up is caused by paperwork hassles, lack of information, or perceived low quality of care.

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL: http://www8.georgetown.edu/departments/economics/pdf/406.pdf
File Function: Full text
Download Restriction: None

Bibliographic Info

Paper provided by Georgetown University, Department of Economics in its series Working Papers with number gueconwpa~04-04-06.

as in new window
Length:
Date of creation: 06 Apr 2004
Date of revision:
Handle: RePEc:geo:guwopa:gueconwpa~04-04-06

Contact details of provider:
Postal: Georgetown University Department of Economics Washington, DC 20057-1036
Phone: 202-687-6074
Fax: 202-687-6102
Email:
Web page: http://econ.georgetown.edu/

Order Information:
Postal: Marcia Suss Administrative Officer Georgetown University Department of Economics Washington, DC 20057-1036
Email:
Web: http://econ.georgetown.edu/

Related research

Keywords:

Find related papers by JEL classification:

References

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
as in new window
  1. Moffitt, Robert, 1983. "An Economic Model of Welfare Stigma," American Economic Review, American Economic Association, vol. 73(5), pages 1023-35, December.
Full references (including those not matched with items on IDEAS)

Citations

Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
as in new window

Cited by:
  1. Ewoudou, Jacques & Tsimpo, Clarence & Wodon, Quentin, 2009. "Stigma and the take-up of social programs," Policy Research Working Paper Series 4962, The World Bank.
  2. Sean Orzol, 2013. "Proven Strategies for Missouri Health Care Covergage: Program Outreach and Enrollment," Mathematica Policy Research Reports 7810, Mathematica Policy Research.
  3. Alberto Chong & Hugo Nopo & Vanessa Rios, 2009. "Do Welfare Programs Damage Interpersonal Trust? Experimental Evidence from Representative Samples for Four Latin American Cities," Research Department Publications 4609, Inter-American Development Bank, Research Department.
  4. Sean Orzol & Linda Barterian & Michael Barna, 2012. "Proven Strategies in Health Care Coverage Program Outreach and Enrollment," Mathematica Policy Research Reports 7819, Mathematica Policy Research.

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:geo:guwopa:gueconwpa~04-04-06. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Marcia Suss).

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.