Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood
Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood
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DOI：
10.1093/restud/rdz039
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发表时间：
2020-03-01
影响因子：
5.8
通讯作者：
Lurie, Ithai Z.
中科院分区：
文献类型：
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作者：
Brown, David W.;Kowalski, Amanda E.;Lurie, Ithai Z.
我们使用美国国税局的行政数据来研究儿童医疗补助资格扩大对19至28岁每个年龄段成年期结果的长期影响。更高的医疗补助资格增加了大学入学率，降低了生育率，特别是在21岁之前。从23岁开始，女性的同期工资收入更高，尽管男性的增长并不精确。两性的死亡率都较低。这些成年人从所得税抵免中获得的收入较少，缴纳的税款较多。从19岁到28岁，按3%的折扣率，联邦政府在儿童医疗补助计划中的每一美元“投资”都能收回58美分。
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.