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Musn't Grumble. Immigration, Health and Health Service Use in the UK and Germany

  • Jonathan Wadsworth

A rise in population caused by increased immigration, is sometimes accompanied by concerns that the increase in population puts additional or differential pressure on welfare services which might affect the net fiscal contribution of immigrants. The UK and Germany have experienced significant increases in immigration in recent years and this study uses longitudinal data from both countries to examine whether immigrants differ in their use of health services than native born individuals on arrival and over time. While immigrants to Germany, but not the UK, are more likely to self-report poor health than the native-born population, the samples of immigrants use hospital and GP services at broadly the same rate as the native born populations in both countries. Controls for observed and unobserved differences between immigrants and native-born sample populations make little difference to these broad findings.

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Paper provided by Centre for Economic Performance, LSE in its series CEP Discussion Papers with number dp1166.

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Date of creation: Sep 2012
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Handle: RePEc:cep:cepdps:dp1166
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  1. Fertig, Michael & Schurer, Stefanie, 2007. "Labour Market Outcomes of Immigrants in Germany – The Importance of Heterogeneity and Attrition Bias," Ruhr Economic Papers 20, Rheinisch-Westfälisches Institut für Wirtschaftsforschung (RWI), Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
  2. Maarten Lindeboom & Eddy van Doorslaer, 2003. "Cut-point Shift and Index Shift in Self-reported Health," Tinbergen Institute Discussion Papers 03-042/3, Tinbergen Institute.
  3. Alan Barrett & Yvonne McCarthy, 2008. "Immigrants and Welfare Programmes: Exploring the Interactions between Immigrant Characteristics, Immigrant Welfare Dependence and Welfare Policy," Papers WP238, Economic and Social Research Institute (ESRI).
  4. Hansen, Jörgen & Lofstrom, Magnus, 1999. "Immigrant Assimilation and Welfare Participation: Do Immigrants Assimilate Into or Out-of Welfare," IZA Discussion Papers 100, Institute for the Study of Labor (IZA).
  5. James Banks & Arie Kapteyn & James P. Smith & Arthur van Soest, 2009. "Work Disability is a Pain in the ****, Especially in England, the Netherlands, and the United States," NBER Chapters, in: Health at Older Ages: The Causes and Consequences of Declining Disability among the Elderly, pages 251-293 National Bureau of Economic Research, Inc.
  6. Borjas, George J, 1999. "Immigration and Welfare Magnets," Journal of Labor Economics, University of Chicago Press, vol. 17(4), pages 607-37, October.
  7. Fertig, Michael & Schurer, Stefanie, 2007. "Labour Market Outcomes of Immigrants in Germany: The Importance of Heterogeneity and Attrition Bias," IZA Discussion Papers 2915, Institute for the Study of Labor (IZA).
  8. Grönqvist, Hans & Johansson, Per & Niknami, Susan, 2012. "Income Inequality and Health: Lessons from a Refugee Residential Assignment Program," IZA Discussion Papers 6554, Institute for the Study of Labor (IZA).
  9. McDonald, James Ted & Kennedy, Steven, 2004. "Insights into the 'healthy immigrant effect': health status and health service use of immigrants to Canada," Social Science & Medicine, Elsevier, vol. 59(8), pages 1613-1627, October.
  10. John Schmitt & Jonathan Wadsworth, 2007. "Changes in the Relative Economic Performance of Immigrants to Great Britain and the United States, 1980-2000," British Journal of Industrial Relations, London School of Economics, vol. 45(4), pages 659-686, December.
  11. Michael Fertig & Stefanie Schurer, 2007. "Labour Market Outcomes of Immigrants in Germany – The Importance of Heterogeneity and Attrition Bias," Ruhr Economic Papers 0020, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
  12. Christian Dustmann & Tommaso Frattini & Caroline Halls, 2010. "Assessing the Fiscal Costs and Benefits of A8 Migration to the UK," Fiscal Studies, Institute for Fiscal Studies, vol. 31(1), pages 1-41, 03.
  13. Mireille Laroche, 2000. "Health Status and Health Services Utilization of Canada's Immigrant and Non-Immigrant Populations," Canadian Public Policy, University of Toronto Press, vol. 26(1), pages 51-75, March.
  14. Heather Antecol & Kelly Bedard, 2006. "Unhealthy assimilation: Why do immigrants converge to American health status levels?," Demography, Springer, vol. 43(2), pages 337-360, May.
  15. Amitabh Chandra & Douglas O. Staiger, 2010. "Identifying Provider Prejudice in Healthcare," NBER Working Papers 16382, National Bureau of Economic Research, Inc.
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