Does increasing health care access reduce disability insurance caseloads? Evidence from the rural United States
研究利用21世纪美国社区卫生中心项目的扩张，发现引入专注于心理健康和药物滥用服务的卫生中心，使农村县劳动年龄人口的残疾保险参保率下降0.09至0.40个百分点，节省的资金可覆盖联邦政府相关医疗可及性举措成本的三分之一以上。
This paper leverages the expansion of the United States' Community Health Center program over the 21st century to investigate whether improved access to health care reduces disability insurance (DI) participation at the county level. I find that the introduction of a health center that specializes in mental health and substance abuse services is associated with a 0.09 to 0.40 percentage point reduction in working-age DI enrollment in rural counties. A cost-benefit analysis indicates that the money saved from reduced program participation can account for more than a third of the cost the federal government faces in funding well-targeted health care access initiatives.