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The Long-term Impact of Preventative Public Health Programs

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  • Lauren Hoehn-Velasco

Abstract

This paper estimates the long-term impact of childhood exposure to a preventative public health programme on adult human capital. From 1908 to 1933, local governments in the United States instituted county-level health departments (CHDs) that provided preventative health services geared towards children. This paper estimates the long-term benefits of childhood exposure to this public programme using variation in CHD location, timing and age of exposure. CHD operation before the age of 5 increases men’s later-life earnings by 2% to 5%. Exposed boys not only perform better than later- and never-treated groups, but, after adding household fixed effects, exposed men earn more than their brothers.

Suggested Citation

  • Lauren Hoehn-Velasco, 2021. "The Long-term Impact of Preventative Public Health Programs," The Economic Journal, Royal Economic Society, vol. 131(634), pages 797-826.
    • Handle: RePEc:oup:econjl:v:131:y:2021:i:634:p:797-826.
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    File URL: http://hdl.handle.net/10.1093/ej/ueaa071
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    Cited by:

    1. Hansen, Kristian S. & Moreno-Ternero, Juan D. & Østerdal, Lars P., 2023. "Productivity and quality-adjusted life years: QALYs, PALYs and beyond," Working Papers 11-2023, Copenhagen Business School, Department of Economics.
    2. Vinish Shrestha, 2023. "The Long Shadow of American Slavery: Its Influence on the Affordable Care Act," Working Papers 2023-02, Towson University, Department of Economics, revised Jul 2024.
    3. Lauren Hoehn-Velasco & Michael F. Pesko & Serena Phillips, 2023. "The Long-Term Impact of in Utero Cigarette Taxes on Adult Prenatal Smoking," American Journal of Health Economics, University of Chicago Press, vol. 9(4), pages 605-648.
    4. Baker, Jennifer L. & Bjerregaard, Lise G. & Dahl, Christian M. & Johansen, Torben S. D. & Sørensen, Emil N. & Wüst, Miriam, 2023. "Universal Investments in Toddler Health. Learning from a Large Government Trial," IZA Discussion Papers 16270, Institute of Labor Economics (IZA).
    5. Krzysztof Karbownik & Anthony Wray, 2019. "Educational, Labor-market and Intergenerational Consequences of Poor Childhood Health," NBER Working Papers 26368, National Bureau of Economic Research, Inc.

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