谁从公共资助的居家长期护理中受益?来自Medicaid的证据

Who benefits from public financing of home-based long term care? Evidence from Medicaid

Journal of Public Economics · 2024
被引 13
人大 AABS 3

中文导读

研究了Medicaid政策对低收入老年人居家护理利用的影响,发现政策主要替代了配偶和女儿的非正式护理,并增加了女儿的劳动供给。

Abstract

Due to population aging , the number of people needing long-term care is growing, and an increasing number of people are receiving this care at home, rather than in nursing homes. This trend has been driven in part by Medicaid, which has significantly increased public financing of formal home care over the past few decades. Using the 2000–2016 Health and Retirement Study and a difference-in-difference and triple-difference design, I investigate the effects of a Medicaid policy adopted in over half of states that increased formal home care utilization among low-income older adults by more than 50%. I show that the policy mainly replaces informal care, particularly from spouses and daughters. For daughters, there is an accompanying increase in labor supply: for approximately every three daughters whose parent receives formal home care due to the policy, one additional daughter works full-time.

Medicaid居家长期护理非正式照料替代女性劳动供给