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• W2159675331 abstract "This dissertation considers some challenges to delivering effective and equitable health care to disadvantaged children and families in the United States. Chapter one examines whether expanded access to health insurance following the enactment of the Children’s Health Insurance Program (CHIP) in 1997 reduced the prevalence of economic hardships (food insecurity, problems affording housing) and postponed medical care. In difference-in-differences analysis, I find that relative to a comparison group of families that missed the eligibility cutoffs, families that gained eligibility under CHIP did not experience changes in food or housing problems, but were significantly less likely to postpone medical care. These findings suggest that while public insurance for families with children likely improves access to care, it does not significantly reduce other forms of hardship. Chapter two provides an ethical argument for subsidizing health insurance for lowincome families – a central component of the 2010 Affordable Care Act (ACA). I argue subsidies are a vehicle for promoting equality of opportunity: specifically, subsidies ensure access to specific “basic opportunities” (such as the ability to attend college) when out-of-pocket spending on insurance would have otherwise crowded out those opportunities. Subsidies thus make a modest, but important, contribution to mitigating the negative effect of health spending" @default.
• W2159675331 created "2016-06-24" @default.
• W2159675331 creator A5017119046 @default.
• W2159675331 date "2012-07-27" @default.
• W2159675331 modified "2023-09-27" @default.
• W2159675331 title "Dimensions of Disadvantage: Normative and Empirical Analysis of the Effect of Public Insurance on Low-Income Children and Families" @default.
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• W2159675331 hasPublicationYear "2012" @default.
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