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The Unintended Consequence of Stringent Immigration Enforcement on Staffing in Nursing Homes: Evidence from Secure Communities

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  • Gunadi, Christian

Abstract

The provision of healthcare in the United States is increasingly more reliant on immigrant workers. In this paper, I examine the impact of Secure Communities, a major immigration enforcement program that was designed to check the immigration status of all individuals arrested by local police, on staffing in nursing homes. Using difference-in-differences strategy that exploits staggered activation of Secure Communities across U.S counties, I found that the program reduced direct-care staff hours per resident day by 0.082, an approximately 2.2% decline relative to the mean of treatment counties in the baseline period. This finding suggests that stringent immigration enforcement may exacerbate the healthcare worker shortage in the United States.

Suggested Citation

  • Gunadi, Christian, 2023. "The Unintended Consequence of Stringent Immigration Enforcement on Staffing in Nursing Homes: Evidence from Secure Communities," GLO Discussion Paper Series 1286, Global Labor Organization (GLO).
    • Handle: RePEc:zbw:glodps:1286
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    More about this item

    Keywords

    Staffing; Nursing Homes; Secure Communities; Immigration;
    All these keywords.

    JEL classification:

    • K37 - Law and Economics - - Other Substantive Areas of Law - - - Immigration Law
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J2 - Labor and Demographic Economics - - Demand and Supply of Labor
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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