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The Impact of the Macroeconomy on Health Insurance Coverage: Evidence from the Great Recession

Author

Listed:
  • Cawley, John

    (Cornell University)

  • Moriya, Asako S.

    (Carnegie Mellon University)

  • Simon, Kosali

    (Indiana University)

Abstract

This paper investigates the impact of the macroeconomy on the health insurance coverage of Americans using panel data from the Survey of Income and Program Participation (SIPP) for 2004-2010, a period that includes the Great Recession of 2007-09. We find that a one percentage point increase in the state unemployment rate is associated with a 1.67 percentage point (2.12%) reduction in the probability that men have health insurance; this effect is strongest among college-educated, white, and older (50-64 year old) men. We estimate that 9.3 million Americans, the vast majority of whom were adult men, lost health insurance due to a higher unemployment rate alone during the 2007-09 recession. We conclude with a discussion of how components of recent health care reform may influence this relationship in the future.

Suggested Citation

  • Cawley, John & Moriya, Asako S. & Simon, Kosali, 2011. "The Impact of the Macroeconomy on Health Insurance Coverage: Evidence from the Great Recession," IZA Discussion Papers 6124, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp6124
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    References listed on IDEAS

    as
    1. Cawley, John & Simon, Kosali I., 2005. "Health insurance coverage and the macroeconomy," Journal of Health Economics, Elsevier, vol. 24(2), pages 299-315, March.
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    5. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1057-1106.
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    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    health insurance; recession; unemployment; Medicaid; SCHIP;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • J3 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs
    • J6 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers
    • E32 - Macroeconomics and Monetary Economics - - Prices, Business Fluctuations, and Cycles - - - Business Fluctuations; Cycles

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