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The determinants of immigrant health insurance in the United States: Understanding the role of health care in origin societies

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  • Catalina Amuedo‐Dorantes
  • Crystal Zhan

Abstract

We examine how immigrants' health insurance in the United States is shaped by institutional traits of the health care systems in their origin societies. Conditional on a wide range of individual, country‐of‐origin, state‐level, and temporal controls, we find the affordability of health care back home helps explain immigrants' US health coverage. Specifically, low‐ and middle‐income migrants from countries with less affordable health care are more likely to get private insurance once in the United States and, correspondingly, less likely to have public coverage, relative to migrants from countries with more affordable care. The relationship conforms to multiple hypotheses. As predicted by the institutional beliefs hypothesis, migrants from countries with less affordable care might anticipate equally expensive health services in the United States and, in turn, insure themselves against high medical bills. Likewise, as predicted by the endogenous preferences hypothesis, migrants from countries with less affordable care might be accustomed to paying more for health care and, in turn, be less reluctant to pay for private health insurance. Overall, the findings underscore the relevance of migrants' past health care experiences in their origin societies in informing their health insurance in the United States even years after migration.

Suggested Citation

  • Catalina Amuedo‐Dorantes & Crystal Zhan, 2021. "The determinants of immigrant health insurance in the United States: Understanding the role of health care in origin societies," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1498-1516, June.
  • Handle: RePEc:wly:hlthec:v:30:y:2021:i:6:p:1498-1516
    DOI: 10.1002/hec.4270
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    References listed on IDEAS

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    1. Francine Blau & Lawrence Kahn & Albert Liu & Kerry Papps, 2013. "The transmission of women’s fertility, human capital, and work orientation across immigrant generations," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(2), pages 405-435, April.
    2. Paola Giuliano, 2007. "Living Arrangements in Western Europe: Does Cultural Origin Matter?," Journal of the European Economic Association, MIT Press, vol. 5(5), pages 927-952, September.
    3. San Miguel, Fernando & Ryan, Mandy & Scott, Anthony, 2002. "Are preferences stable? The case of health care," Journal of Economic Behavior & Organization, Elsevier, vol. 48(1), pages 1-14, May.
    4. Ku, L., 2009. "Health insurance coverage and medical expenditures of immigrants and native-born citizens in the United States," American Journal of Public Health, American Public Health Association, vol. 99(7), pages 1322-1328.
    5. Marianne Bitler & Hilary W. Hoynes, 2011. "Immigrants, Welfare Reform, and the U.S. Safety Net," NBER Working Papers 17667, National Bureau of Economic Research, Inc.
    6. Alessandra Fogli & Raquel Fernandez, 2009. "Culture: An Empirical Investigation of Beliefs, Work, and Fertility," American Economic Journal: Macroeconomics, American Economic Association, vol. 1(1), pages 146-177, January.
    7. Tara Watson, 2014. "Inside the Refrigerator: Immigration Enforcement and Chilling Effects in Medicaid Participation," American Economic Journal: Economic Policy, American Economic Association, vol. 6(3), pages 313-338, August.
    8. Yu, S.M. & Huang, Z.J. & Schwalberg, R.H. & Nyman, R.M., 2006. "Parental english proficiency and children's health services access," American Journal of Public Health, American Public Health Association, vol. 96(8), pages 1449-1455.
    9. Francine D Blau & Lawrence M Kahn & Kerry L Papps, 2011. "Gender, Source Country Characteristics, and Labor Market Assimilation among Immigrants," The Review of Economics and Statistics, MIT Press, vol. 93(1), pages 43-58, February.
    10. Rubalcava, L.N. & Teruel, G.M. & Thomas, D. & Goldman, N., 2008. "The healthy migrant effect: New findings from the Mexican Family Life Survey," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 78-84.
    11. Una Okonkwo Osili & Anna L. Paulson, 2008. "Institutions and Financial Development: Evidence from International Migrants in the United States," The Review of Economics and Statistics, MIT Press, vol. 90(3), pages 498-517, August.
    12. Borjas, George J., 2003. "Welfare reform, labor supply, and health insurance in the immigrant population," Journal of Health Economics, Elsevier, vol. 22(6), pages 933-958, November.
    13. Thamer, M. & Richard, C. & Casebeer, A.W. & Ray, N.F., 1997. "Health insurance coverage among foreign-born US residents: The impact of race, ethnicity, and length of residence," American Journal of Public Health, American Public Health Association, vol. 87(1), pages 96-102.
    14. Bronchetti, Erin Todd, 2014. "Public insurance expansions and the health of immigrant and native children," Journal of Public Economics, Elsevier, vol. 120(C), pages 205-219.
    15. Carrasquillo, O. & Carrasquillo, A.I. & Shea, S., 2000. "Health insurance coverage of immigrants living in the United States: Differences by citizenship status and country of origin," American Journal of Public Health, American Public Health Association, vol. 90(6), pages 917-923.
    16. Fernando Riosmena & Rebeca Wong & Alberto Palloni, 2013. "Migration Selection, Protection, and Acculturation in Health: A Binational Perspective on Older Adults," Demography, Springer;Population Association of America (PAA), vol. 50(3), pages 1039-1064, June.
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