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医疗补助对单身女性劳动力供给的影响:来自医疗补助推出的证据。

Medicaid's effect on single women's labor supply: evidence from the introduction of Medicaid.

机构信息

McGill University, Department of Economics, Leacock Hall 418, 855 Sherbrooke St. West, Montreal, QC H3A 2T7, Canada.

出版信息

J Health Econ. 2011 May;30(3):531-48. doi: 10.1016/j.jhealeco.2011.02.002. Epub 2011 Feb 22.

Abstract

This paper examines the impact of the introduction of the Medicaid program on labor supply decisions among single women in the late 1960s and early 1970s. I use a differences-in-differences-in-differences methodology to estimate the effect of Medicaid on eligible women's labor force participation, using variation in the timing of Medicaid implementation across states and in eligibility across demographic groups. Using March supplements to the CPS from 1963 to 1975, I find no evidence that women who were eligible for Medicaid decreased their labor supply relative to ineligible women, in contrast to clear theoretical predictions of a negative supply response. Positive point estimates suggest that health benefits from health insurance coverage may have contributed to relative increases in labor supply. These results add to an emerging consensus that public health insurance programs for low-income parents and children may be able to improve access to care without substantial indirect costs from labor supply distortions.

摘要

本文考察了 20 世纪 60 年代末至 70 年代初医疗补助计划(Medicaid program)的引入对单身女性劳动力供应决策的影响。我采用三重差分法(differences-in-differences-in-differences methodology),利用各州医疗补助计划实施时间的差异和不同人群的资格标准的差异,来估计医疗补助对符合条件的女性劳动力参与率的影响。利用 1963 年至 1975 年期间的 CPS (Current Population Survey)三月补充调查数据,我发现没有证据表明符合医疗补助条件的女性相对于不符合条件的女性减少了劳动力供应,这与医疗保险覆盖范围对劳动力供应产生负面影响的明确理论预测相反。正的点估计表明,健康保险覆盖带来的健康益处可能有助于相对增加劳动力供应。这些结果增加了一种共识,即针对低收入父母和儿童的公共健康保险计划可能能够在没有因劳动力供应扭曲而产生大量间接成本的情况下改善获得医疗服务的机会。

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