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Quantifying the impact of aid to dependent children: An epidemiological framework⁎

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  • Galofré Vilà, Gregori

Abstract

This paper shows that conditional cash transfers under Aid to Dependent Children (ADC), a main program of the 1935 Social Security Act, reduced infant, children and adult mortality. I take advantage of the transition from mothers’ pensions to ADC and the large differences in ADC payments and eligibility across 104 cities, 2,260 counties, and 49 states to estimate the impacts of cash transfers on mortality rates, by age, sex, race, and cause between 1929 and 1944. I find that ADC's expansion reduced infant and adult mortality by between 10 and 20 percent. This finding, based on an event-study design, is robust to a range of specifications, difference-and-differences, an instrumental variable strategy, a range of fixed effects, placebo tests and a border-pair policy discontinuity design. The largest mortality reductions came from drops in communicable and infectious diseases, such as influenza, pneumonia and tuberculosis.

Suggested Citation

  • Galofré Vilà, Gregori, 2020. "Quantifying the impact of aid to dependent children: An epidemiological framework⁎," Explorations in Economic History, Elsevier, vol. 77(C).
    • Handle: RePEc:eee:exehis:v:77:y:2020:i:c:s0014498320300188
    DOI: 10.1016/j.eeh.2020.101332
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    1. Moffitt, Robert, 1992. "Incentive Effects of the U.S. Welfare System: A Review," Journal of Economic Literature, American Economic Association, vol. 30(1), pages 1-61, March.
    2. Fogel,Robert William, 2004. "The Escape from Hunger and Premature Death, 1700–2100," Cambridge Books, Cambridge University Press, number 9780521808781, Enero-Abr.
    3. Fogel, Robert W. & Grotte, Nathaniel, 2011. "Major Findings from The Changing Body: Health, Nutrition, and Human Development in the Western World since 1700," The Journal of Economic Asymmetries, Elsevier, vol. 8(2), pages 1-9.
    4. Laura R. Wherry & Bruce D. Meyer, 2016. "Saving Teens: Using a Policy Discontinuity to Estimate the Effects of Medicaid Eligibility," Journal of Human Resources, University of Wisconsin Press, vol. 51(3), pages 556-588.
    5. Janet Currie & Jonathan Gruber, 1996. "Health Insurance Eligibility, Utilization of Medical Care, and Child Health," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 431-466.
    6. Hoehn-Velasco, Lauren, 2018. "Explaining declines in US rural mortality, 1910–1933: The role of county health departments," Explorations in Economic History, Elsevier, vol. 70(C), pages 42-72.
    7. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    8. Sonia Bhalotra & Atheendar Venkataramani, 2011. "The Captain of the Men of Death and His Shadow: Long-Run Impacts of Early Life Pneumonia Exposure," The Centre for Market and Public Organisation 11/273, The Centre for Market and Public Organisation, University of Bristol, UK.
    9. Floud,Roderick & Fogel,Robert W. & Harris,Bernard & Hong,Sok Chul, 2011. "The Changing Body," Cambridge Books, Cambridge University Press, number 9780521705615, Enero-Abr.
      • Floud,Roderick & Fogel,Robert W. & Harris,Bernard & Hong,Sok Chul, 2011. "The Changing Body," Cambridge Books, Cambridge University Press, number 9780521879750, Enero-Abr.
    10. Roderick Floud & Robert W. Fogel & Bernard Harris & Sok Chul Hong, 2011. "The Changing Body: Health, Nutrition, and Human Development in the Western World since 1700," NBER Books, National Bureau of Economic Research, Inc, number foge10-1, August.
    11. Robert Fogel & Dora Costa, 1997. "A theory of technophysio evolution, with some implications for forecasting population, health care costs, and pension costs," Demography, Springer;Population Association of America (PAA), vol. 34(1), pages 49-66, February.
    12. Daniel K. Fetter & Lee M. Lockwood, 2018. "Government Old-Age Support and Labor Supply: Evidence from the Old Age Assistance Program," American Economic Review, American Economic Association, vol. 108(8), pages 2174-2211, August.
    13. Janet Currie, 1998. "The Effect of Welfare on Child Outcomes: What We Know and What We Need to Know," JCPR Working Papers 26, Northwestern University/University of Chicago Joint Center for Poverty Research.
    14. Andrew Goodman-Bacon, 2018. "Public Insurance and Mortality: Evidence from Medicaid Implementation," Journal of Political Economy, University of Chicago Press, vol. 126(1), pages 216-262.
    15. Eichengreen, Barry, 2016. "Hall of Mirrors: The Great Depression, the Great Recession, and the Uses-and Misuses-of History," OUP Catalogue, Oxford University Press, number 9780190621070.
    16. Fogel,Robert W., 2012. "Explaining Long-Term Trends in Health and Longevity," Cambridge Books, Cambridge University Press, number 9781107665811, Enero-Abr.
    17. John Joseph Wallis & Wallace E. Oates & John Joseph Wallis & Wallace E. Oates, 2004. "The Impact of the New Deal on American Federalism," Chapters, in: Environmental Policy and Fiscal Federalism, chapter 19, pages 325-350, Edward Elgar Publishing.
    18. Currie, Janet & Gruber, Jonathan, 1996. "Saving Babies: The Efficacy and Cost of Recent Changes in the Medicaid Eligibility of Pregnant Women," Journal of Political Economy, University of Chicago Press, vol. 104(6), pages 1263-1296, December.
    19. Michael D. Bordo & Claudia Goldin & Eugene N. White, 1998. "The Defining Moment: The Great Depression and the American Economy in the Twentieth Century," NBER Books, National Bureau of Economic Research, Inc, number bord98-1, August.
    20. David Cutler & Grant Miller, 2005. "The role of public health improvements in health advances: The twentieth-century United States," Demography, Springer;Population Association of America (PAA), vol. 42(1), pages 1-22, February.
    21. Costa, Dora L., 1999. "A house of her own: old age assistance and the living arrangements of older nonmarried women," Journal of Public Economics, Elsevier, vol. 72(1), pages 39-59, April.
    22. Robert Fogel & Dora Costa, 1997. "Erratum to: A theory of technophysio, with come implications for forecasting population, health care costs, and pension costs," Demography, Springer;Population Association of America (PAA), vol. 34(2), pages 1-1, May.
    23. Melissa Schettini Kearney, 2004. "Is There an Effect of Incremental Welfare Benefits on Fertility Behavior?: A Look at the Family Cap," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    24. Anna Aizer & Shari Eli & Joseph Ferrie & Adriana Lleras-Muney, 2016. "The Long-Run Impact of Cash Transfers to Poor Families," American Economic Review, American Economic Association, vol. 106(4), pages 935-971, April.
    25. Daron Acemoglu & David H. Autor & David Lyle, 2004. "Women, War, and Wages: The Effect of Female Labor Supply on the Wage Structure at Midcentury," Journal of Political Economy, University of Chicago Press, vol. 112(3), pages 497-551, June.
    26. Alston, Lee J. & Ferrie, Joseph P., 1985. "Labor Costs, Paternalism, and Loyalty in Southern Agriculture: A Constraint on the Growth of the Welfare State," The Journal of Economic History, Cambridge University Press, vol. 45(1), pages 95-117, March.
    27. Matthias Doepke & Moshe Hazan & Yishay D. Maoz, 2015. "The Baby Boom and World War II: A Macroeconomic Analysis," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 82(3), pages 1031-1073.
    28. Goldin, Claudia D, 1991. "The Role of World War II in the Rise of Women's Employment," American Economic Review, American Economic Association, vol. 81(4), pages 741-756, September.
    29. Price V. Fishback & Werner Troesken & Trevor Kollmann & Michael Haines & Paul W. Rhode & Melissa Thomasson, 2011. "Information and the Impact of Climate and Weather on Mortality Rates during the Great Depression," NBER Chapters, in: The Economics of Climate Change: Adaptations Past and Present, pages 131-167, National Bureau of Economic Research, Inc.
    30. Carolyn Moehling & Melissa Thomasson, 2014. "Saving Babies: The Impact of Public Education Programs on Infant Mortality," Demography, Springer;Population Association of America (PAA), vol. 51(2), pages 367-386, April.
    31. Goldin, Claudia & Lleras-Muney, Adriana, 2019. "XX > XY?: The changing female advantage in life expectancy," Journal of Health Economics, Elsevier, vol. 67(C).
    32. Price V. Fishback & Michael R. Haines & Shawn Kantor, 2007. "Births, Deaths, and New Deal Relief during the Great Depression," The Review of Economics and Statistics, MIT Press, vol. 89(1), pages 1-14, February.
    33. Robert W. Fogel & Nathaniel Grotte, 2011. "An Overview of The Changing Body: Health, Nutrition, and Human Development in the Western World Since 1700," NBER Working Papers 16938, National Bureau of Economic Research, Inc.
    34. Sandra García & Juan Saavedra, 2017. "Educational Impacts and Cost-Effectiveness of Conditional Cash Transfer Programs in Developing Countries: A Meta-Analysis," NBER Working Papers 23594, National Bureau of Economic Research, Inc.
    35. Price Fishback, 2017. "How Successful Was the New Deal? The Microeconomic Impact of New Deal Spending and Lending Policies in the 1930s," Journal of Economic Literature, American Economic Association, vol. 55(4), pages 1435-1485, December.
    36. Lewis, Joshua, 2018. "Infant Health, Women's Fertility, and Rural Electrification in the United States, 1930–1960," The Journal of Economic History, Cambridge University Press, vol. 78(1), pages 118-154, March.
    37. Janet Currie & Firouz Gahvari, 2008. "Transfers in Cash and In-Kind: Theory Meets the Data," Journal of Economic Literature, American Economic Association, vol. 46(2), pages 333-383, June.
    38. Carolyn M. Moehling, 2007. "The American Welfare System and Family Structure: An Historical Perspective," Journal of Human Resources, University of Wisconsin Press, vol. 42(1).
    39. Marcella Alsan & Claudia Goldin, 2019. "Watersheds in Child Mortality: The Role of Effective Water and Sewerage Infrastructure, 1880–1920," Journal of Political Economy, University of Chicago Press, vol. 127(2), pages 586-638.
    40. Abhijit V. Banerjee & Rema Hanna & Gabriel E. Kreindler & Benjamin A. Olken, 2017. "Debunking the Stereotype of the Lazy Welfare Recipient: Evidence from Cash Transfer Programs," The World Bank Research Observer, World Bank, vol. 32(2), pages 155-184.
    41. Werner Troesken, 2006. "Regime Change and Corruption. A History of Public Utility Regulation," NBER Chapters, in: Corruption and Reform: Lessons from America's Economic History, pages 259-281, National Bureau of Economic Research, Inc.
    42. Goldin, Claudia D., 1991. "The Role of World War II in the Rise of Women's Employment," Scholarly Articles 30703972, Harvard University Department of Economics.
    43. Rebecca Dizon-Ross, 2019. "Parents' Beliefs about Their Children's Academic Ability: Implications for Educational Investments," American Economic Review, American Economic Association, vol. 109(8), pages 2728-2765, August.
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    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • N01 - Economic History - - General - - - Development of the Discipline: Historiographical; Sources and Methods
    • N32 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - U.S.; Canada: 1913-

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