全球智库信息集成服务系统(G2TT): Medicaid as an Investment in Children: What is the Long-Term Impact on Tax Receipts?

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w20835
来源ID	Working Paper 20835
	Medicaid as an Investment in Children: What is the Long-Term Impact on Tax Receipts?
	David W. Brown; Amanda E. Kowalski; Ithai Z. Lurie
发表日期	2015-01-12
出版年	2015
语种	英语
摘要	We examine the long-term impact of expansions to Medicaid and the State Children's Health Insurance Program that occurred in the 1980's and 1990's. With administrative data from the IRS, we calculate longitudinal health insurance eligibility from birth to age 18 for children in cohorts affected by these expansions, and we observe their longitudinal outcomes as adults. Using a simulated instrument that relies on variation in eligibility by cohort and state, we find that children whose eligibility increased paid more in cumulative taxes by age 28. These children collected less in EITC payments, and the women had higher cumulative wages by age 28. Incorporating additional data from the Medicaid Statistical Information System (MSIS), we find that the government spent $872 in 2011 dollars for each additional year of Medicaid eligibility induced by the expansions. Putting this together with the estimated increase in tax payments discounted at a 3% rate, assuming that tax impacts are persistent in percentage terms, the government will recoup 56 cents of each dollar spent on childhood Medicaid by the time these children reach age 60. This return on investment does not take into account other benefits that accrue directly to the children, including estimated decreases in mortality and increases in college attendance. Moreover, using the MSIS data, we find that each additional year of Medicaid eligibility from birth to age 18 results in approximately 0.58 additional years of Medicaid receipt. Therefore, if we scale our results by the ratio of beneficiaries to eligibles, then all of our results are almost twice as large.
主题	Public Economics ; Taxation ; Health, Education, and Welfare ; Health ; Poverty and Wellbeing
URL	https://www.nber.org/papers/w20835
来源智库	National Bureau of Economic Research (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/578509
推荐引用方式 GB/T 7714	David W. Brown,Amanda E. Kowalski,Ithai Z. Lurie. Medicaid as an Investment in Children: What is the Long-Term Impact on Tax Receipts?. 2015.