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The Value of Health Insurance during a Crisis: Effects of Medicaid Implementation on Pandemic Influenza Mortality

Author

Listed:
  • Karen Clay

    (Carnegie Mellon and NBER)

  • Joshua Lewis

    (Université de Montréal)

  • Edson Severnini

    (Carnegie Mellon, IZA, and NBER)

  • Xiao Wang

    (Hunan University)

Abstract

This paper studies how better access to public health insurance affects infant mortality during pandemics. The analysis combines cross-state variation in mandated eligibility for Medicaid with two influenza pandemics that arrived shortly before and after the program’s introduction in 1965. We find that better access to public health insurance in high-eligibility states substantially reduced pandemic infant mortality. The reductions in pandemic infant mortality are too large to be attributable solely to new Medicaid recipients, suggesting that expanded access to public health insurance helped mitigate disease transmission among the broader population.

Suggested Citation

  • Karen Clay & Joshua Lewis & Edson Severnini & Xiao Wang, 2024. "The Value of Health Insurance during a Crisis: Effects of Medicaid Implementation on Pandemic Influenza Mortality," The Review of Economics and Statistics, MIT Press, vol. 106(5), pages 1393-1402, September.
    • Handle: RePEc:tpr:restat:v:106:y:2024:i:5:p:1393-1402
    DOI: 10.1162/rest_a_01239
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    Cited by:

    1. Shenoy, Ajay & Sharma, Bhavyaa & Xu, Guanghong & Kapoor, Rolly & Rho, Haedong Aiden & Sangha, Kinpritma, 2022. "God is in the rain: The impact of rainfall-induced early social distancing on COVID-19 outbreaks," Journal of Health Economics, Elsevier, vol. 81(C).
    2. Ilan Noy & Tomáš Uher, 2022. "Economic consequences of pre-COVID-19 epidemics: a literature review," Chapters, in: Mark Skidmore (ed.), Handbook on the Economics of Disasters, chapter 7, pages 117-133, Edward Elgar Publishing.
    3. Johannes S. Kunz & Carol Propper, 2022. "Is Hospital Quality Predictive of Pandemic Deaths? Evidence from US Counties," Papers 2022-01, Centre for Health Economics, Monash University.
    4. Kunz, Johannes S. & Propper, Carol, 2023. "JUE Insight: Is hospital quality predictive of pandemic deaths? Evidence from US counties," Journal of Urban Economics, Elsevier, vol. 133(C).
    5. Ilan Noy & Tomáš Uher, 2022. "Economic consequences of pre-COVID-19 epidemics: a literature review," Chapters, in: Mark Skidmore (ed.), Handbook on the Economics of Disasters, chapter 7, pages 117-133, Edward Elgar Publishing.

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    More about this item

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • N32 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - U.S.; Canada: 1913-
    • N52 - Economic History - - Agriculture, Natural Resources, Environment and Extractive Industries - - - U.S.; Canada: 1913-

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