Health Insurance Coverage: Logical Versus Survey Identification of the Foreign-Born.

Journal of Immigrant and Minority Health
Claire E AltmanJames D Bachmeier

Abstract

Estimating rates of public benefit use for lawful permanent residents (LPRs) is difficult given the limited availability of nationally representative data that disaggregate the foreign-born population by legal status. Using the 2008 Survey of Income and Program Participation-the only national survey that distinguishes LPRs from other non-citizens-we employ logistic regression to compare estimates of health insurance coverage for legal immigrants using two methods to infer legal status: (1) a logical approach and (2) a survey-based approach. The logical approach, relative to the survey approach, yields a higher predicted probability of having any insurance for LPRs (adjPP = 0.70) compared to the survey approach (adjPP = 0.57) and a higher likelihood of having public health insurance (adjPP = 0.26 compared to adjPP = 0.09, respectively). These findings suggest that the logical approach may overestimate lawful immigrants' reliance on public benefits, which has implications for conclusions about recent changes to the public charge rule.

References

Jan 4, 2003·American Journal of Public Health·Joseph J Sudano, David W Baker
Apr 20, 2005·Journal of General Internal Medicine·Israel De AlbaRichard Saitz
Nov 28, 2007·Archives of Internal Medicine·Alexander N OrtegaLillian Gelberg
Jan 31, 2009·Medical Care Research and Review : MCRR·Kathryn Pitkin DeroseJosé J Escarce
Oct 26, 2010·Journal of Immigrant and Minority Health·Arturo Vargas BustamanteAlexander N Ortega
Apr 6, 2016·Academic Pediatrics·Laura R WherryBenjamin D Sommers

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Citations

Mar 4, 2021·Journal of Immigrant and Minority Health·Adrian Matias Bacong, Cecilia Menjívar

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