Kearney Melissa S, Levine Phillip B
Department of Economics, Wellesley College, and NBER.
Rev Econ Stat. 2009 Oct 1;91(1):137. doi: 10.1162/rest.91.1.137.
We examine the impact of recent state-level Medicaid policy changes that expanded eligibility for family planning services to higher-income women and to Medicaid clients whose benefits would expire otherwise. We show that the income-based policy change reduced overall births to non-teens by about 2% and to teens by over 4%; estimates suggest a decline of 9% among newly eligible women. The reduction in fertility appears to have been accomplished via greater use of contraception. Our calculations indicate that allowing higher-income women to receive federally funded family planning cost on the order of $6,800 for each averted birth.
我们研究了近期州层面医疗补助政策变化的影响，这些变化将计划生育服务的资格扩大到了高收入女性以及那些福利否则就会过期的医疗补助客户。我们发现，基于收入的政策变化使非青少年的总体生育率降低了约2%，青少年的生育率降低了超过4%；据估计，新符合资格的女性生育率下降了9%。生育率的下降似乎是通过更多地使用避孕措施实现的。我们的计算表明，让高收入女性获得联邦资助的计划生育服务，每避免一例生育的成本约为6800美元。
