The war on poverty’s experiment in public medicine: Community health centers and the mortality of older Americans
Open accessAbstract
This paper uses the rollout of the first Community Health Centers (CHCs) to study the longer-term health effects of increasing access to primary care. Within ten years, CHCs are associated with a reduction in age-adjusted mortality rates of 2 percent among those 50 and older. The implied 7 to 13 percent decrease in one-year mortality risk among beneficiaries amounts to 20 to 40 percent of the 1966 poor/non-poor mortality gap for this age group. Large effects for those 65 and older suggest that increased access to primary care has longer-term benefits, even for populations with near universal health insurance. (JEL H75, I12, I13, I18, I32, I38, J14).
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θ_bal_es(e;e') closely resembles the empirical practice of only reporting event-study-type coefficients for the event periods that do not suffer from compositional changes.
“We note that θ bal es ( e ; e ′ ) closely resembles the empirical practice of only reporting event-studytype coefficients for the event periods that do not suffer from compositional changes, see, e.g., McCrary (2007) and Bailey and Goodman-Bacon (2015).”
From Difference-in-Differences with multiple time periods (2021) · cites this paper as Bailey and Goodman-Bacon (2015)
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- Authors
- Bailey, M. J., & Goodman-Bacon, A.
- Affiliations
- University of Michigan (US)
- ORCID
- Bailey, Martha J.
- Venue
- American Economic Review
- Publisher
- American Economic Association
- Published
- 2015-03-01
- Volume
- 105
- Issue
- 3
- Pages
- 1067-1104
- ISSN
- 0002-8282 (ISSN-L)
- PMC
- PMC4436657
- OpenAlex
- W2095991313
- Cited by
- 227
- References
- 95
- Citations by year
- 2026: 17 · 2025: 20 · 2024: 30 · 2023: 21 · 2022: 27 · 2021: 29 · 2020: 19 · 2019: 16 · 2018: 12 · 2017: 15 · 2016: 8 · 2015: 7 · 2014: 2 · 2013: 4
- FWCI
- 33.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Economic Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- U.S. Department of Health and Human Services
- American Heart Association
- U.S. Social Security Administration
- University of Michigan (R24HD041028)
- American Hospital Association
- Australian Government
- National Institutes of Health
- Health Resources and Services Administration
- Nutrition Obesity Research Center, University of North Carolina
- National Institute on Aging (P30AG012839)
- National Institute on Minority Health and Health Disparities (L60 MD003213)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD070950, R24HD041028, R03HD066145, T32HD007339)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- War on Poverty, community health centers, primary care access, mortality, older adults, mortality gap, health insurance, public medicine, Medicare beneficiaries
- MeSH terms
- Aged, Aged, 80 and over, Community Health Centers, Forecasting, Humans, Middle Aged, Mortality, Poverty, Primary Health Care, Public Health, United States
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