The long-term impacts of Medicaid exposure in early childhood: Evidence from the program's origin

Journal of Health Economics
Michel H BoudreauxDonna D McAlpine

Abstract

This paper examines the long-term impact of exposure to Medicaid in early childhood on adult health and economic status. The staggered timing of Medicaid's adoption across the states created meaningful variation in cumulative exposure to Medicaid for birth cohorts that are now in adulthood. Analyses of the Panel Study of Income Dynamics suggest exposure to Medicaid in early childhood (age 0-5) is associated with statistically significant and meaningful improvements in adult health (age 25-54), and this effect is only seen in subgroups targeted by the program. Results for economic outcomes are imprecise and we are unable to come to definitive conclusions. Using separate data we find evidence of two mechanisms that could plausibly link Medicaid's introduction to long-term outcomes: contemporaneous increases in health services utilization for children and reductions in family medical debt.

References

Jul 1, 1974·Archives of Internal Medicine·R M StevensD S Feingold
Apr 1, 1994·Child Development·G J DuncanP K Klebanov
Jul 1, 1997·Acta Paediatrica. Supplement·D J Barker
Apr 3, 2001·Social Science & Medicine·D L BlackwellE M Crimmins
Dec 13, 2006·American Journal of Human Biology : the Official Journal of the Human Biology Council·Peter D GluckmanAlan S Beedle
Feb 10, 2007·Journal of Health Economics·Yuyu Chen, Li-An Zhou
Mar 4, 2010·Journal of Developmental Origins of Health and Disease·B MazumderC E Finch
Mar 25, 2010·Child Development·Greg J DuncanAriel Kalil
Sep 22, 2010·Proceedings of the National Academy of Sciences of the United States of America·Laura C Schulz
Jan 21, 2011·The Cochrane Database of Systematic Reviews·Shah EbrahimGeorge Davey Smith
Aug 26, 2011·Findings Brief : Health Care Financing & Organization·Sarah Katz
Oct 25, 2011·American Journal of Public Health·Rucker C Johnson, Robert F Schoeni
Nov 1, 2011·International Journal of Epidemiology·Shah Ebrahim
Mar 28, 2012·Medical Care Research and Review : MCRR·Embry M Howell, Genevieve M Kenney
Jan 8, 2013·The Quarterly Journal of Economics·Amy FinkelsteinUNKNOWN Oregon Health Study Group
Jan 9, 2013·Medical Care Research and Review : MCRR·Brendan Saloner
Jul 10, 2013·Journal of Health Economics·Benjamin D Sommers, Donald Oellerich
Sep 3, 2013·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Anne Rossier MarkusCynthia Pellegrini
Jan 1, 2007·The Quarterly Journal of Economics·Hoyt Bleakley
Jan 8, 2014·Health Affairs·Aaron L Schwartz, Benjamin D Sommers
Mar 29, 2014·Science·Frances CampbellYi Pan
May 1, 2010·The American Economic Review·Gabriella ContiSergio Urzua
Jul 1, 2011·The Journal of Economic Perspectives : a Journal of the American Economic Association·Douglas Almond, Janet Currie
Sep 2, 2014·The Veterinary Clinics of North America. Small Animal Practice·Bonnie Boudreaux
Jan 7, 2015·Journal of Policy Analysis and Management : [the Journal of the Association for Public Policy Analysis and Management]·Janet Currie, Maya Rossin-Slater
Dec 1, 2014·The American Economic Review·David FiglioJeffrey Roth

❮ Previous
Next ❯

Citations

Apr 6, 2016·Academic Pediatrics·Laura R WherryBenjamin D Sommers
Apr 26, 2017·Health Services Research·Joseph A BenitezEric E Seiber
Mar 13, 2017·Journal of Health Economics·Michael Dalton, Daniel LaFave
Jan 4, 2017·Journal of Health Economics·Owen Thompson
Feb 12, 2017·Social Science & Medicine·Heeju Sohn
Mar 24, 2017·Social Science & Medicine·Anne Nolan, Richard Layte
Nov 24, 2017·Medical Care Research and Review : MCRR·Étienne GaudetteJulie M Zissimopoulos
Mar 7, 2019·Pediatric Research·Deborah Bloch, Ann Chahroudi
Jul 14, 2017·Maternal and Child Health Journal·Christine Percheski, Sharon Bzostek
May 7, 2019·The Review of Economics and Statistics·Laura R WherryBruce D Meyer
Aug 31, 2020·The Review of Economic Studies·David W BrownIthai Z Lurie
Jul 24, 2020·Health Services Research·Abigail R Barker, Linda Li
Apr 20, 2018·Journal of Health and Social Behavior·Rourke L O'Brien, Cassandra L Robertson
Oct 6, 2020·Health Affairs·Jason Fletcher, Katie Jajtner
Nov 22, 2020·Pediatric Research·Shetal ShahHeather L Brumberg
Dec 13, 2016·Pediatrics·Kandyce LarsonLynn M Olson
Nov 15, 2017·Pediatrics·Maya VenkataramaniEric T Roberts
Nov 19, 2021·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Katie M JajtnerSophie Mitra

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.