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Multi-generational Impacts of Childhood Access to the Safety Net: Early Life Exposure to Medicaid and the Next Generation’s Health

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  • Chloe N. East
  • Sarah Miller
  • Marianne Page
  • Laura R. Wherry

Abstract

We examine multi-generational impacts of positive in utero and early life health interventions using state-year variation in public health insurance expansions that targeted low-income pregnant women and children. We use restricted use Vital Statistics Natality files to create a unique dataset linking individuals’ childhood Medicaid exposure to the next generation’s health outcomes at birth. We find robust evidence that the health benefits associated with treated generations’ early life access to Medicaid extend to later offspring’s birth outcomes. Our results imply that the return on investment is larger than suggested by evaluations of the program that focus only on treated cohorts.

Suggested Citation

  • Chloe N. East & Sarah Miller & Marianne Page & Laura R. Wherry, 2017. "Multi-generational Impacts of Childhood Access to the Safety Net: Early Life Exposure to Medicaid and the Next Generation’s Health," NBER Working Papers 23810, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:23810
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    Cited by:

    1. Ahsan, Md Nazmul & Maharaj, Riddhi, 2018. "Parental human capital and child health at birth in India," Economics & Human Biology, Elsevier, vol. 30(C), pages 130-149.
    2. Kamila Cygan-Rehm & Krzysztof Karbownik, 2020. "The Effects of Incentivizing Early Prenatal Care on Infant Health," NBER Working Papers 28116, National Bureau of Economic Research, Inc.
    3. Rodriguez Takeuchi,Laura Kiku, 2020. "Violence and Newborn Health : Estimates for Colombia," Policy Research Working Paper Series 9377, The World Bank.
    4. Jonathan Colmer & John Voorheis, 2020. "The Grandkids Aren't Alright: The Intergenerational Effects of Prenatal Pollution Exposure," Working Papers 20-36, Center for Economic Studies, U.S. Census Bureau.
    5. Hilary W. Hoynes & Diane Whitmore Schanzenbach, 2018. "Safety Nets Investments in Children," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 49(1 (Spring), pages 89-150.
    6. Bhashkar Mazumder & Maria Fernanda Rosales & Margaret Triyana, 2019. "Social Interventions, Health and Wellbeing: The Long-Term and Intergenerational Effects of a School Construction Program," Working Paper Series WP-2019-9, Federal Reserve Bank of Chicago.
    7. repec:bin:bpeajo:v:49:y:2019:i:2018-01:p:89-150 is not listed on IDEAS
    8. Nobles, Jenna & Hamoudi, Amar, 2019. "Detecting the Effects of Early-Life Exposures: Why Fecundity Matters," SocArXiv x4zm6, Center for Open Science.

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    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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