Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood

• 成果类型: Article
• 署名作者: Brown, David W.; Kowalski, Amanda E.; Lurie, Ithai Z.
• 署名单位: United States Department of the Treasury; University of Michigan System; University of Michigan
• 刊物名称: REVIEW OF ECONOMIC STUDIES
• ISSN/ISSBN: 0034-6527
• DOI: 10.1093/restud/rdz039
• 发表日期: 2020
• 页码: 792-821
• 关键词: health-insurance program; Private insurance; run impacts; care; coverage; CHILDREN; access; eligibility; crowd; PARTICIPATION

摘要

We use administrative data from the Internal Revenue Service to examine long-term impacts of childhood Medicaid eligibility expansions on outcomes in adulthood at each age from 19 to 28. Greater Medicaid eligibility increases college enrolment and decreases fertility, especially through age 21. Starting at age 23, females have higher contemporaneous wage income, although male increases are imprecise. Together, both genders have lower mortality. These adults collect less from the earned income tax credit and pay more in taxes. Cumulatively from ages 19 to 28, at a 3% discount rate, the federal government recoups 58 cents of each dollar of its investment in childhood Medicaid.