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The Response of Births to Changes in Health Care Costs

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  • Arleen Leibowitz

Abstract

Data from a randomized controlled trial, The RAND Health Insurance Experiment, provide the opportunity to examine whether an exogenous short-term change in the cost of medical care affects fertility in a cross-section of women. Women randomly assigned to receive free medical care for three to five years had 29 percent more births than women who were assigned to insurance plans requiring cost-sharing for health services. This response to changes in health insurance suggests that loss of insurance coverage during recessions may attenuate the effect of lower time prices in increasing birth rates in economic downturns.

Suggested Citation

  • Arleen Leibowitz, 1990. "The Response of Births to Changes in Health Care Costs," Journal of Human Resources, University of Wisconsin Press, vol. 25(4), pages 697-711.
    • Handle: RePEc:uwp:jhriss:v:25:y:1990:i:4:p:697-711
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    Cited by:

    1. Jonathan Gruber, 2003. "Medicaid," NBER Chapters, in: Means-Tested Transfer Programs in the United States, pages 15-78, National Bureau of Economic Research, Inc.
    2. Thomas DeLeire & Leonard Lopoo & Kosali Simon, 2011. "Medicaid Expansions and Fertility in the United States," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 725-747, May.
    3. Fein, David J., 2001. "Will welfare reform influence marriage and fertility? Early evidence from the ABC demonstration," Evaluation and Program Planning, Elsevier, vol. 24(4), pages 427-444, November.
    4. Maria Apostolova‐Mihaylova & Aaron Yelowitz, 2018. "Health Insurance, Fertility, And The Wantedness Of Pregnancies: Evidence From Massachusetts," Contemporary Economic Policy, Western Economic Association International, vol. 36(1), pages 59-72, January.
    5. Leonard M. Lopoo & Kerri M. Raissian, 2014. "U.S. Social Policy and Family Complexity," The ANNALS of the American Academy of Political and Social Science, , vol. 654(1), pages 213-230, July.
    6. Theodore Joyce & Robert Kaestner, 1996. "The effect of expansions in medicaid income eligibility on abortion," Demography, Springer;Population Association of America (PAA), vol. 33(2), pages 181-192, May.
    7. Makayla Palmer, 2020. "Does publicly subsidized health insurance affect the birth rate?," Southern Economic Journal, John Wiley & Sons, vol. 87(1), pages 70-121, July.
    8. Janna Bergsvik & Agnes Fauske & Rannveig Kaldager Hart, 2021. "Can Policies Stall the Fertility Fall? A Systematic Review of the (Quasi‐) Experimental Literature," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 913-964, December.
    9. Joelle Abramowitz, 2018. "Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility," Journal of Population Economics, Springer;European Society for Population Economics, vol. 31(4), pages 1097-1123, October.
    10. Rannveig Kaldager Hart & Janna Bergsvik & Agnes Fauske & Wookun Kim, 2023. "Causal Analysis of Policy Effects on Fertility," CESifo Working Paper Series 10690, CESifo.
    11. Lincoln H. Groves & Sarah Hamersma & Leonard M. Lopoo, 2018. "Pregnancy Medicaid Expansions and Fertility: Differentiating Between the Intensive and Extensive Margins," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(3), pages 461-484, June.
    12. Zavodny, Madeline & Bitler, Marianne P., 2010. "The effect of Medicaid eligibility expansions on fertility," Social Science & Medicine, Elsevier, vol. 71(5), pages 918-924, September.
    13. 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.).

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