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Related Experiment Video

Updated: May 10, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Welfare programs that target workforce participation may negatively affect mortality.

Peter Muennig¹, Zohn Rosen, Elizabeth Ty Wilde

¹Columbia University, New York, NY, USA. pm124@columbia.edu

Health Affairs (Project Hope)

|June 5, 2013

Summary

US welfare reform, which included time limits, was associated with a 16% increase in mortality among participants. This study questions the long-term health impacts of such social policies.

Keywords:

Determinants Of Health

Related Experiment Videos

Last Updated: May 10, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Area of Science:

Public Health
Social Policy
Health Economics

Background:

US welfare reforms in the 1990s introduced time limits to encourage employment among public assistance recipients.
The long-term health consequences of these welfare reform programs remain largely unknown.
Understanding the impact of social policies on participant health is crucial for public well-being.

Purpose of the Study:

To investigate the long-term effects of the Florida Family Transition Program (FFTP) on participant mortality.
To determine if welfare reform experiments, like the FFTP, lead to significant changes in mortality rates.
To assess the health implications of welfare-to-work policies.

Main Methods:

A randomized trial involving 3,224 participants in the Florida Family Transition Program.
Prospective mortality follow-up data collected over 17-18 years.
Comparison of mortality rates between FFTP participants and recipients of traditional welfare.

Main Results:

Participants in the Florida Family Transition Program experienced a 16% higher mortality rate compared to those receiving traditional welfare.
The FFTP involved a 24-36 month time limit for welfare, job training, and placement assistance.
A significant association was found between participation in this welfare reform program and increased long-term mortality.

Conclusions:

The findings suggest that welfare reform programs with time limits may have adverse long-term health outcomes, specifically increased mortality.
If generalizable, these results challenge the justification of cost savings from welfare reform against the societal cost of increased mortality.
Further research is needed to understand the mechanisms linking welfare reform policies to mortality and to evaluate the overall societal impact.