The Impact of Macroeconomic Conditions on the Health Insurance Coverage of Americans
In March 2001, the longest economic expansion in U.S. history ended, and an economic recession began. This paper seeks to provide a better understanding of the historical relationship between macroeconomic variables and health insurance coverage.We use data from two nationally representative samples: the Survey of Income and Program Participation (SIPP) and the National Longitudinal Survey of Youth (NLSY). The longitudinal nature of our data allows us to remove individual-specific, time-invariant heterogeneity and to focus on changes in health insurance status in response to changes in macroeconomic variables.The results confirm our prediction that the probability of any health insurance coverage is negatively associated with unemployment rate. We find that a one percentage point increase in the state unemployment rate is associated with a decrease in the probability of health insurance coverage, through any source, of 0.62 percent for men, 0.54 percent for women, and 1.1 percent for children. However, our prediction that an indicator variable for national recession would be negatively correlated with the probability of health insurance coverage is not supported by the data. We find that changes in employment status explain roughly one-quarter of the correlation between health insurance coverage and unemployment rates. Our estimates imply that 440,000 men, 436,000 women, and 494,000 children have lost health insurance coverage during the current recession.
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Volume (Year): 6 (2003)
Issue (Month): 1 (January)
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References listed on IDEAS
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- David M. Cutler, 2002.
"Employee Costs and the Decline in Health Insurance Coverage,"
NBER Working Papers
9036, National Bureau of Economic Research, Inc.
- David M. Cutler, 2003. "Employee Costs and the Decline in Health Insurance Coverage," NBER Chapters, in: Frontiers in Health Policy Research, Volume 6, pages 27-54 National Bureau of Economic Research, Inc.
- Theodore J. Joyce, 1989.
"A Time-Series Analysis of Unemployment and Health: The Case of Birth Outcomes in New York City,"
NBER Working Papers
2834, National Bureau of Economic Research, Inc.
- Joyce, Theodore, 1990. "A time-series analysis of unemployment and health : The case of birth outcomes in New York city," Journal of Health Economics, Elsevier, vol. 8(4), pages 419-436, February.
- Gruber, Jonathan & Madrian, Brigitte C., 1997. "Employment separation and health insurance coverage," Journal of Public Economics, Elsevier, vol. 66(3), pages 349-382, December.
- Christopher J. Ruhm, 2000.
"Are Recessions Good for Your Health?,"
The Quarterly Journal of Economics,
Oxford University Press, vol. 115(2), pages 617-650.
- Christopher J. Ruhm & William E. Black, 2001.
"Does Drinking Really Decrease in Bad Times?,"
NBER Working Papers
8511, National Bureau of Economic Research, Inc.
- Thomas S. Dee, 2001. "Alcohol abuse and economic conditions: Evidence from repeated cross-sections of individual-level data," Health Economics, John Wiley & Sons, Ltd., vol. 10(3), pages 257-270.
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