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The Long-term Impact of Preventative Public Health Programs

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  • Lauren Hoehn-Velasco

Abstract

This paper estimates the long-term impact of childhood exposure to a preventative public health programme on adult human capital. From 1908 to 1933, local governments in the United States instituted county-level health departments (CHDs) that provided preventative health services geared towards children. This paper estimates the long-term benefits of childhood exposure to this public programme using variation in CHD location, timing and age of exposure. CHD operation before the age of 5 increases men’s later-life earnings by 2% to 5%. Exposed boys not only perform better than later- and never-treated groups, but, after adding household fixed effects, exposed men earn more than their brothers.

Suggested Citation

  • Lauren Hoehn-Velasco, 2021. "The Long-term Impact of Preventative Public Health Programs," The Economic Journal, Royal Economic Society, vol. 131(634), pages 797-826.
  • Handle: RePEc:oup:econjl:v:131:y:2021:i:634:p:797-826.
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    File URL: http://hdl.handle.net/10.1093/ej/ueaa071
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    Cited by:

    1. Hansen, Kristian S. & Moreno-Ternero, Juan D. & Østerdal, Lars P., 2023. "Productivity and quality-adjusted life years: QALYs, PALYs and beyond," Working Papers 11-2023, Copenhagen Business School, Department of Economics.
    2. Vinish Shrestha, 2023. "The Former Oppressive Racial Regime and Geographic Discontinuities in Efficacy of the Affordable Care Act in the American South," Working Papers 2023-02, Towson University, Department of Economics, revised Oct 2023.
    3. Baker, Jennifer L. & Bjerregaard, Lise G. & Dahl, Christian M. & Johansen, Torben S. D. & Sørensen, Emil N. & Wüst, Miriam, 2023. "Universal Investments in Toddler Health. Learning from a Large Government Trial," IZA Discussion Papers 16270, Institute of Labor Economics (IZA).
    4. Krzysztof Karbownik & Anthony Wray, 2019. "Educational, Labor-market and Intergenerational Consequences of Poor Childhood Health," NBER Working Papers 26368, National Bureau of Economic Research, Inc.
    5. Hoehn-Velasco, Lauren & Pesko, Michael & Phillips, Serena, 2022. "The Long-Term Impact of In-Utero Cigarette Taxes on Adult Prenatal Smoking," IZA Discussion Papers 15656, Institute of Labor Economics (IZA).

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