Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood
利用美国国税局行政数据，研究童年时期医疗补助资格扩大对19至28岁成年结果的影响，发现其提高了大学入学率、降低了生育率，并增加了女性工资收入，联邦政府每投入1美元可收回58美分。
Abstract We use administrative data from the Internal Revenue Service to examine long-term impacts of childhood Medicaid eligibility expansions on outcomes in adulthood at each age from 19 to 28. Greater Medicaid eligibility increases college enrolment and decreases fertility, especially through age 21. Starting at age 23, females have higher contemporaneous wage income, although male increases are imprecise. Together, both genders have lower mortality. These adults collect less from the earned income tax credit and pay more in taxes. Cumulatively from ages 19 to 28, at a 3% discount rate, the federal government recoups 58 cents of each dollar of its “investment” in childhood Medicaid.