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Public Health Insurance and Private Savings Author info | Abstract | Publisher info | Download info | Related research | Statistics J. Gruber
A. Yelowitz
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Recent theoretical work suggests that means and asset-tested social insurance programs can explain the low savings of lower income households in the United States. We assess the validity of this hypothesis by investigating the effect of Medicaid, the health insurance program for low-income women and children, on savings behavior. We do so using data on asset holdings from the Survey of Income and Program Participation, and on consumption from the Consumer Expenditure Survey, matched to information on the eligibility of each household for Medicaid. Exogenous variation in Medicaid eligibility is provided by the dramatic expansion of this program over the 1984–1993 period. We document that Medicaid eligibility has a sizeable and significant negative effect on wealth holdings; we estimate that in 1993 the Medicaid program lowered wealth holdings by 17.7 percent among the eligible population. We confirm this finding by showing a strong positive association between Medicaid eligibility and consumption expenditures; in 1993, the program raised consumption expenditures among eligibles by 5.2 percent. We also exploit the fact that asset testing was phased out by the Medicaid program over this period to document that these Medicaid effects are stronger in the presence of an asset test, confirming the importance of asset testing for household savings decisions.
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Paper provided by University of Wisconsin Institute for Research on Poverty in its series Institute for Research on Poverty Discussion Papers with number
1135-97.
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Article Paper Jonathan Gruber & Aaron Yelowitz, 1997.
"Public Health Insurance and Private Savings ,"
NBER Working Papers
6041, National Bureau of Economic Research, Inc.
[Downloadable!] (restricted) Jonathan Gruber & Aaron Yelowitz, 1997.
"Public Health Insurance and Private Savings ,"
UCLA Economics Working Papers
772, UCLA Department of Economics.
[Downloadable!] Jonathan Gruber & Aaron S. Yelowitz, 1998.
"Public Health Insurance and Private Savings ,"
JCPR Working Papers
42, Northwestern University/University of Chicago Joint Center for Poverty Research.
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UCLA Economics Working Papers
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A. S. Yelowitz, .
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Institute for Research on Poverty Discussion Papers
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Rodney L. White Center for Financial Research Working Papers
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Other versions:
Glenn R. Hubbard & Jonathan Skinner & Stephen P. Zeldes, .
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Rodney L. White Center for Financial Research Working Papers
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Other versions: Guiso, Luigi & Jappelli, Tullio & Terlizzese, Daniele, 1992.
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Journal of Monetary Economics ,
Elsevier, vol. 30(2), pages 307-337, November.
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Other versions:
Guiso, Luigi & Jappelli, Tullio & Terlizzese, Daniele, 1992.
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CEPR Discussion Papers
699, C.E.P.R. Discussion Papers.
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"Does means-testing welfare discourage saving? Evidence from the National Longitudinal Survey of Women ,"
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Cutler, David M & Gruber, Jonathan, 1996.
"The Effect of Medicaid Expansions on Public Insurance, Private Insurance, and Redistribution ,"
American Economic Review ,
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Hansen, Gary D & Imrohoroglu, Ayse, 1992.
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Journal of Political Economy ,
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Other versions: Gruber, Jonathan, 1994.
"The effect of competitive pressure on charity: Hospital responses to price shopping in California ,"
Journal of Health Economics ,
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Feldstein, Martin S, 1982.
"Social Security and Private Saving: Reply ,"
Journal of Political Economy ,
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"Health insurance and job mobility: The effects of public policy on job-lock ,"
Industrial and Labor Relations Review ,
ILR Review, ILR School, Cornell University, vol. 48(1), pages 86-102, October.
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Journal of Political Economy ,
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NBER Working Papers
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"Social Security, Induced Retirement, and Aggregate Capital Accumulation ,"
Journal of Political Economy ,
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"Precautionary Saving and Accidental Bequests ,"
American Economic Review ,
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[Downloadable!] (restricted)
Janet Currie & Jonathan Gruber, 1994.
"Saving Babies: The Efficacy and Cost of Recent Expansions of Medicaid Eligibility for Pregnant Women ,"
NBER Working Papers
4644, National Bureau of Economic Research, Inc.
[Downloadable!] (restricted)
Other versions: Eric M. Engen & Jonathan Gruber, 1995.
"Unemployment Insurance and Precautionary Saving ,"
NBER Working Papers
5252, National Bureau of Economic Research, Inc.
[Downloadable!] (restricted)
Cutler, David M & Gruber, Jonathan, 1996.
"Does Public Insurance Crowd Out Private Insurance? ,"
The Quarterly Journal of Economics ,
MIT Press, vol. 111(2), pages 391-430, May.
[Downloadable!] (restricted)
Other versions: Laurence J. Kotlikoff & John B. Shoven & Avia Spivak, 1987.
"Annuity Markets, Savings, and the Capital Stock ,"
NBER Working Papers
1250, National Bureau of Economic Research, Inc.
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"Consumption ,"
Papers
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Gruber, Jonathan, 1994.
"The Incidence of Mandated Maternity Benefits ,"
American Economic Review ,
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"Precautionary Savings under Income Uncertainty: A Cross-Sectional Analysis ,"
Applied Economics ,
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"Did Workers Pay for the Passage of Workers' Compensation Laws? ,"
The Quarterly Journal of Economics ,
MIT Press, vol. 110(3), pages 713-42, August.
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Other versions: Sheshinski, Eytan & Weiss, Yoram, 1981.
"Uncertainty and Optimal Social Security Systems ,"
The Quarterly Journal of Economics ,
MIT Press, vol. 96(2), pages 189-206, May.
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"The Incidence of Mandated Employer-Provided Insurance: Lessons from Workers' Compensation Insurance ,"
NBER Working Papers
3557, National Bureau of Economic Research, Inc.
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"How Prudent Are Consumers? ,"
Journal of Political Economy ,
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"Individual retirement and savings behavior ,"
Journal of Public Economics ,
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[Downloadable!] (restricted)
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