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Equity and the Utilization of Health Care Services by the Medicare Elderly


  • Charles R. Link
  • Stephen H. Long
  • Russell F. Settle


In their study of physician and hospital utilization in 1969, Davis and Reynolds found that Medicare had failed to eliminate major racial and income-related inequities in the use of medical services by the elderly. Our analysis-which takes advantage of more recent data, an improved model specification, and a more appropriate pooling procedure-reveals that these inequities in utilization had diminished considerably by the mid-1970s. Several hypotheses concerning the underlying demand- and supply-side sources of these equity gains are offered.

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  • Charles R. Link & Stephen H. Long & Russell F. Settle, 1982. "Equity and the Utilization of Health Care Services by the Medicare Elderly," Journal of Human Resources, University of Wisconsin Press, vol. 17(2), pages 195-212.
  • Handle: RePEc:uwp:jhriss:v:17:y:1982:i:2:p:195-212

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    References listed on IDEAS

    1. Finis Welch, 1977. "What Have We Learned from Empirical Studies of Unemployment Insurance?," ILR Review, Cornell University, ILR School, vol. 30(4), pages 451-461, July.
    2. Wise, David A, 1975. "Academic Achievement and Job Performance," American Economic Review, American Economic Association, vol. 65(3), pages 350-366, June.
    3. Arrow, Kenneth J., 1973. "Higher education as a filter," Journal of Public Economics, Elsevier, vol. 2(3), pages 193-216, July.
    4. Charles Brown, 1978. "Education and Jobs: An Interpretation," Journal of Human Resources, University of Wisconsin Press, vol. 13(3), pages 416-421.
    5. Michael Spence, 1973. "Job Market Signaling," The Quarterly Journal of Economics, Oxford University Press, vol. 87(3), pages 355-374.
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    Cited by:

    1. Sujin Kim & Soonman Kwon, 2014. "The effect of extension of benefit coverage for cancer patients on health care utilization across different income groups in South Korea," International Journal of Health Economics and Management, Springer, vol. 14(2), pages 161-177, June.
    2. Paul J. Taubman & Robin C. Sickles, 1983. "Supplemental Social Insurance and the Health of the Poor," NBER Working Papers 1062, National Bureau of Economic Research, Inc.
    3. Julie Lee & Mark McClellan & Jonathan Skinner, 1999. "The Distributional Effects of Medicare," NBER Chapters,in: Tax Policy and the Economy, Volume 13, pages 85-108 National Bureau of Economic Research, Inc.
    4. McClellan, Mark & Skinner, Jonathan, 2006. "The incidence of Medicare," Journal of Public Economics, Elsevier, vol. 90(1-2), pages 257-276, January.

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