Differential impacts of public health insurance expansions at the local level

  • Reagan Baughman


Dramatic expansions in public health insurance eligibility for U.S. children have only modestly reduced the aggregate number of uninsured at the national level. This paper shows that Medicaid and SCHIP expansions had different impacts on child health insurance coverage patterns based upon local labor market characteristics. Metropolitan areas with high levels of unemployment were most likely to have seen improvements in overall insurance coverage for children between 1990 and 2001. Areas with greater fractions of employment in services, retail or wholesale trade were more likely to have experienced increases in public coverage but not overall coverage rates.


Health insurance Labor markets Unemployment Medicaid SCHIP 

JEL Classifications

I1 H7 


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of Economics, Whittemore School of Business & EconomicsUniversity of New HampshireDurhamUSA

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