The Unintended Consequence of Stringent Immigration Enforcement on Staffing Levels in Nursing Homes: Evidence from Secure Communities
研究发现美国安全社区移民执法计划导致养老院直接护理人员工时减少约2%，表明严格移民执法可能加剧医疗工作者短缺问题。
Abstract The provision of healthcare in the United States is increasingly reliant on immigrant workers. In this paper, I examine the impact of Secure Communities, a major immigration enforcement program designed to check the immigration status of all individuals arrested by local police, on staffing levels in nursing homes. Using a difference‐in‐differences strategy that exploits the staggered activation of Secure Communities across US counties, I found that the program reduced directcare staff hours per resident day by 0.073, an approximately 2% decline relative to the mean of treatment counties in the baseline period. This finding suggests that stringent immigration enforcement may exacerbate the healthcare worker shortage in the United States.