机会主义地移动:医疗补助扩张后的州际移民
Matthew C Baker1, Thomas Stratmann1
1George Mason University, Economics Department, 4400 University Dr, Fairfax, VA, 22030, USA.
Social science & medicine (1982)
|February 2, 2025
概括
在"负担得起的医疗保健法" (Affordable Care Act) 颁布后,医疗补助的扩张鼓励人们搬到有更大的福利的州. 这导致了人口增长的增加,特别是在残疾人和父母中,影响了移民模式.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 社会学 社会学 社会学
背景情况:
- 负担得起的医疗法案 (ACA) 显著扩大了医疗补助资格.
- 了解国家层面的政策变化对人口迁移的影响,对于资源分配和公共卫生规划至关重要.
研究的目的:
- 调查根据ACA选择性扩大医疗补助资格是否影响了州际移民模式.
- 为了确定医疗补助扩大规模较大的州是否吸引了更多的移民,特别是在目标人口中.
主要方法:
- 利用了美国社区调查 (ACS) 2009-2019年期间的个人级数据.
- 分析了与州级医疗补助扩张相关的移民数据 (前12个月内的移动).
- 专注于特定亚群的分析:一般目标人群,残疾人和家长.
主要成果:
- 医疗补助扩张幅度最大的州经历了更高的移民率.
- 这导致目标人口的年人口增长率估计为0.23%,残疾人为0.42%,父母为0.25%.
- 大约有56,659个州际迁移与医疗补助招生增长有关,集中在州边境附近.
结论:
- 医疗补助扩张作为潜在的"福利磁铁",影响高需要个人的移民.
- 这些移民模式可能导致政府支出预测中的个人被低估.
- 政策影响包括需要在州级医疗保险福利规划中考虑移民影响.
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