健康保险对犯罪的影响:来自《平价医疗法案》医疗补助扩展的证据

The effect of health insurance on crime: Evidence from the Affordable Care Act Medicaid expansion

Health Economics · 2020
被引 59 · 同刊同年前 5%
人大 A-

中文导读

研究了《平价医疗法案》医疗补助扩展对犯罪率的影响,发现扩展后盗窃、车辆偷窃、杀人、抢劫和袭击等犯罪率下降,为政府成本提供了抵消。

Abstract

Little evidence exists on the effect of the Affordable Care Act (ACA) on criminal behavior, a gap in the literature that this paper seeks to address. Using a simple model, we argue we should anticipate a decrease in time devoted to criminal activities in response to the expansion, because the availability of the ACA Medicaid coverage raises the opportunity cost of crime. This prediction is particularly relevant for the ACA expansion because it primarily affects childless adults, a population likely to contain individuals who engage in criminal behavior. We validate this forecast empirically using a difference-in-differences framework, estimating the expansion's effects on panel datasets of state- and county-level crime rates. Our estimates suggest that the ACA Medicaid expansion was negatively associated with burglary, vehicle theft, homicide, robbery, and assault. These crime-reduction spillover effects represent an important offset to the government's cost burden for the ACA Medicaid expansion.

健康保险犯罪率ACA医疗补助扩展机会成本