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Variations in Infant Mortality Rates among Counties in the United States: The Roles of Social Policies and Programs

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  • Michael Grossman
  • Steven Jacobowitz

Abstract

The purpose of this paper is to shed light on the causes of the rapid decline in the infant mortality rate in the United States in the period after 1963. The roles of four public policies are considered: Medicaid, subsidized family planning services for low-income women, maternal and infant care projects, and the legalization of abortion. The most striking finding is that the increase in the legal abortion rate is the single most important factor in reductions in both white and nonwhite neonatal mortality rates. Not only does the growth in abortion dominate the other public policies, but it also dominates schooling and poverty.

Suggested Citation

  • Michael Grossman & Steven Jacobowitz, 1981. "Variations in Infant Mortality Rates among Counties in the United States: The Roles of Social Policies and Programs," NBER Working Papers 0615, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:0615
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    4. Karen Davis & Roger Reynolds, 1976. "The Impact of Medicare and Medicaid on Access to Medical Care," NBER Chapters, in: The Role of Health Insurance in the Health Services Sector, pages 391-436, National Bureau of Economic Research, Inc.
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    6. Willis, Robert J, 1973. "A New Approach to the Economic Theory of Fertility Behavior," Journal of Political Economy, University of Chicago Press, vol. 81(2), pages 14-64, Part II, .
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