Immigrants and the cost of medical care
Immigrants and the cost of medical care
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DOI：
10.1377/hlthaff.25.6.1700
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发表时间：
2006-11-01
期刊：
影响因子：
9.7
通讯作者：
Sood, Neeraj
中科院分区：
文献类型：
--
作者：
Goldman, Dana P.;Smith, James P.;Sood, Neeraj
在加利福尼亚州洛杉矶县，外国出生的成年人占该县18岁人口的45%-，但在2000年占到了医疗支出的33%。同样，无证老年人占非老年成年人口的12%，但仅占支出的6%。推算到全国，无证人士的总支出为64亿美元，其中只有17%(11亿美元)是由公共来源支付的。外国出生的人(特别是无证件者)使用的医疗服务不成比例地少，与其人口份额相比，对医疗保健费用的贡献也较少，这可能是因为他们的相对健康状况较好，而且没有医疗保险。
Foreign-born adults in Los Angeles County, California, constituted 45 percent of the county's population ages 18-64 but accounted for 33 percent of health spending in 2000. Similarly, the undocumented constituted 12 percent of the nonelderly adult population but accounted for only 6 percent of spending. Extrapolating to the nation, total spending by the undocumented is $6.4 billion, of which only 17 percent ($1.1 billion) is paid for by public sources. The foreign-born (especially the undocumented) use disproportionately fewer medical services and contribute less to health care costs in relation to their population share, likely because of their better relative health and lack of health insurance.