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Does Getting Health Insurance Affect Women's Fertility? Evidence from the United Mine Workers' Health Insurance

Author

Listed:
  • Erin Troland
  • Theodore F. Figinski

Abstract

Does health insurance affect fertility decisions? Fertility may increase if insurance lowers the costs of having a child. Fertility may decrease if children are more likely to survive into adulthood (quality-quantity tradeoff). We study a largely permanent United Mine Workers of America (UMWA) insurance program. A large group of women of childbearing age gained pregnancy coverage for the first time. The insurance also covered children. We use a trend break specification with county-level variation in insurance. We find new evidence of the quality-quantity tradeoff. Fertility rates declined by about one percent per year in counties with average levels of insurance.

Suggested Citation

  • Erin Troland & Theodore F. Figinski, 2019. "Does Getting Health Insurance Affect Women's Fertility? Evidence from the United Mine Workers' Health Insurance," AEA Papers and Proceedings, American Economic Association, vol. 109, pages 511-515, May.
    • Handle: RePEc:aea:apandp:v:109:y:2019:p:511-15
    Note: DOI: 10.1257/pandp.20191094
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    File URL: https://www.aeaweb.org/doi/10.1257/pandp.20191094
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    Cited by:

    1. Theodore F. Figinski & Erin Troland, 2020. "Health Insurance and Hospital Supply: Evidence from 1950s Coal Country," Finance and Economics Discussion Series 2020-033, Board of Governors of the Federal Reserve System (U.S.).

    More about this item

    JEL classification:

    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • J51 - Labor and Demographic Economics - - Labor-Management Relations, Trade Unions, and Collective Bargaining - - - Trade Unions: Objectives, Structure, and Effects

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