Health Economics Commons^™

The Impact Of State Insulin Copayment Caps On Diabetics In The United States, Ryan C. Meyer

All Theses

Insulin is a life-saving medication for people with diabetes that helps regulate blood glucose levels throughout the body. A Type 1 diabetic cannot survive without insulin, and a Type 2 diabetic’s quality of life greatly diminishes without access and use of this drug. Currently, many diabetics skip, ration, or abstain from insulin due to financial barriers. As of June 2026, 29 states have enacted insulin copayment caps for state-regulated commercial health insurance plans to reduce the financial burden of insulin costs. This study examines the impact of these caps on all commercially insured diabetics in the United States, particularly on …

Effects Of Punitive Immigration Enforcement On The Health Of Latinos With Lower Educational Attainment, Andrea Sofia Mendoza

Theses and Dissertations

This paper analyzes the effects of the Secure Communities (SC) immigration enforcement program on self reported health and healthcare-seeking behaviors of citizen and non-citizen Latinos with lower educational attainment. SC allowed local jails to use FBI and DHS data to determine whether arrested individuals were eligible for deportation. SC was rolled out across counties from late 2008 through 2013. Using data from the Behavioral Risk Factors Surveillance Survey (BRFSS) and implementation records from Alsan and Yang (2024), staggered difference-in- difference regression estimates show that SC implementation increased the likelihood of a reported heart attack and heart disease across the sample. …

The Effect Of Prenatal Substance Use Policies On Women's Well-Being, Zukruf Alam

Theses and Dissertations

This paper examines the effects of punitive and priority treatment policies relating to the use of illicit substances during pregnancy on women's health and health-related behavior. Punitive interventions criminalize substance use during pregnancy, which can even lead to termination of parental rights. In contrast, priority treatment policies support pregnant women and grant them priority access to substance use disorder treatment programs. I use staggered difference-in-differences methods and data from the Behavioral Risk Factor Surveillance System data from 2004 to 2018 to estimate the impact of prenatal substance use policies on women's mental health, physical health, self-reported poor health, and cigarette …

Drowning Prevention In The West: Who Did It Better?, Arran Hedley

University Honors Theses

This paper aims to communicate the differences on how the US, UK and Australia have approached drowning prevention in each of their nations. This paper addresses drowning statistics within each nation, national, state and local policies, access to public facilities, and the preventative strategies, swim lessons and Lifeguarding. These are the criteria each nation is being graded upon, because each criteria is a factor that can help mitigate drowning deaths.

For literature around this subject, there are many papers on each individual nation's approach to drowning but in researching there does not appear to be a comparison of the nations' …

Optimizing Costs In Plastic Surgery: A Systematic Review Of Time-Driven Activity-Based Costing Applications, Emily L. Isch, Gabrielle Kozlowski, D. Mitchell Self, Theodore E. Habarth-Morales, Sydney Somers, Ahilan Sivaganesan, David Kim, Heather A. Mcmahon, Andrew Newsman, Matthew Jenkins

Department of Surgery Faculty Papers

BACKGROUND: The rising complexity and cost of healthcare in plastic surgery, particularly in resource-intensive procedures like free flap and breast reconstruction, pose significant financial challenges. Time-driven activity-based costing (TDABC) offers a method to accurately assess these costs by mapping each step of the care cycle based on time and resources consumed. Although TDABC has been utilized in high-cost fields such as neurosurgery and spine surgery, its application in plastic surgery remains underexplored. This systematic review evaluates the literature on TDABC use in plastic surgery to identify key cost drivers and propose strategies for cost-efficiency.

METHODS: A systematic review was conducted …

Protecting The Future Of Medical Innovation: Balancing Fiscal Responsibility With The Need For National Institutes Of Health And Federal Health Funding, Irina Petrache, Raed A. Dweik, Michelle N. Gong, Jesse Roman, M. Patricia Rivera, Karen J. Collishaw

Division of Pulmonary, Allergy, and Critical Care Medicine Faculty Papers

No abstract provided.

Mucking Up Public Health: A Geospatial Analysis Of Agricultural Sludge Application And Cancer Prevalence In Maine, Sarah A. Bassett

Honors Theses

This study investigates the impact of per- and polyfluoroalkyl substances (PFAS) on cancer prevalence throughout Maine. The main contribution of this project is the database constructed to examine cancer rates at a novel aggregation area: watersheds. By using a watershed as the aggregation area, this study gains insight into the threat that spreading sludge as fertilizer on agricultural fields poses to human health through groundwater pathways. Using geospatial analysis and an ordinary least squares regression model, this study estimates the effect of the presence of PFAS in a watershed from 2017 to 2021, in addition to estimating the impact of …

The Legacy Of Housing Discrimination: Asthma Disparities In California Cities, Taylor Daetz

CMC Senior Theses

This thesis examines the effect of discriminatory housing policy on current asthma rates in California cities. This study uses boundary design and propensity score methodologies to analyze asthma-related emergency department visits in census tracts with corresponding appraisal grades from the Home Owners’ Loan Corporation maps. The results indicate significantly higher asthma burdens in grade D (redlined) census tracts compared to grade C tracts, even when controlling for present-day pollution concentrations, with historically redlined tracts experiencing an average of 26.88 additional emergency department visits per 10,000 residents. The analysis further reveals disparities between grade C and B neighborhoods, suggesting that even …

The Impact Of Job Loss On Health-Related Outcomes During The Covid-19 Pandemic, Kelly Prawira

CMC Senior Theses

In this paper, I explore the effects of job loss during the COVID-19 pandemic on self-reported general and mental health conditions and health insurance coverage. Using Medical Expenditure Panel Survey data from 2018-2022, I evaluate the effects of job loss on these health-related outcomes by conducting a year-over-year analysis. I also examine changes in job loss effects during the pandemic by performing a difference-in-differences analysis. Overall, I find that job loss is associated with a higher likelihood of having fair or poor general and mental health, a higher likelihood to have Medicaid/SCHIP, and a lower likelihood to have private insurance. …

Three Essays On Education And Health Economics, Kalvin Mudrow

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter explores the impact of online education on student outcomes by comparing students pre-2020 school closures to students post-2020 school closures. Using student-level panel data from a large U.S. school district spanning 2017-2023 and two outcome variables, reading tests and end-of-level exams, I estimate the effects on different demographic groups, the dynamics of these effects over time, and how these effects differ across students ages. I find a significant decline in student performance after the move to online learning, with additional adverse effects on students who are classified as low-income, female, special education, or ELL. Mechanisms contributing to …

Differential Effects Of Health Insurance Coverage On Health For Sexual Minorities, Ruby W. Morr

Theses and Dissertations

Much existing research has found a substantial gap in health between sexual minorities and non-minorities. This is usually attributed to discrimination or access to care. I seek to find the role that insurance plays, including minorities' choices of insurance coverage. If a gap does exist, insurance may have a stronger impact on sexual minorities. Also, if minorities are less likely to have insurance coverage, they may be susceptible to worse health. I confirm results from the literature that sexual minorities do have worse health. While health insurance accounts for some of the gap, it is only a small portion, though …

Cognitive And Economic Development, John Luke Gallup

OHSU-PSU School of Public Health Annual Conference

A burgeoning literature finds that early childhood risk factors have large causal effects on individuals' cognitive development, education and earnings, but has not assessed the impact on the economy as a whole.

Cognitive ability is the foundation of human capital and the capacity to learn. The risk factors for poor cognitive development are very high in many countries. Each risk factor also causes child mortality, making child survival a viable proxy for good cognitive development conditions. The cognitive development of current workers happened decades earlier when they were children, providing a predetermined correlate. Controlling for country characteristics, income levels and …

Essays On Urban Transportation And Health Economics, Alexander P. Tsiukes

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter analyzes how Premier League games in London impact demand for the city’s bike-sharing system. Bike-sharing systems affect mode choice for within-city transportation. Using bike rental data from Transport for London, this chapter exploits the plausibly-exogenous timing of Premier League games to identify how proximity to stadiums affects demand for London’s bike-sharing system. Results indicate games at Stamford Bridge (stadium) cause a 24.36% increase in the number of bike trips arriving within 0.5km of the stadium, with effects diminishing as distance increases. In contrast, games at London Stadium decrease nearby bike-sharing use and may actually crowd out would-be …

Analysing Pandemic Induced Economic Inequality In Developing Nations, Ravneet Kaur Bhogal

International Journal on Responsibility

The dawn of the new decade of the 21st century saw an unprecedented global crisis. This crisis led the world to halt economic and social progress. It led to a galloping increase in the economic inequality and migration of people in search of opportunities to save them from the current situation. The developing nations saw a sea of people migrating back to their roots in search of safe havens. This has led to the loss of jobs which has increased income inequality. Migrants face the risk of contagion and also the possible loss of employment, wages, and health insurance coverage. …

The Child Nutrition Cost Of Weather Shocks In Nigeria, Danielle M. Abaya

Master's Theses

Child malnutrition is alarmingly high in Nigeria with the highest number of malnourished children, the second highest population of stunted children worldwide and 17 million Nigerians facing food insecurity. According to the World Health Organization, children are predicted to suffer about 80% of weather-related illnesses and deaths. As climate change continues to pose the greatest health threat and while scientists predict its irreversible effects in the next 10 years, countries such as Nigeria are already experiencing the burden of climate change today. This study uses total rainfall to measure precipitation and two Enhanced Vegetation Index variables, total change in greenness …

Three Essays On Health, Food, And Agricultural Economics, Saber Feizy

Theses and Dissertations--Agricultural Economics

This dissertation comprises three distinct but interrelated projects that explore the intersection of agriculture, nutrition, and economics. The first project investigates the impact of Community Supported Agriculture (CSA) food programs on the health outcomes of its participants. Using fixed effects models and a matching algorithm, the study finds that while conventional fixed effects models indicate a significant effect of CSA participation on diet-related medical expenditures, our modified time-heterogenous fixed effects model did not find a meaningful effect. The results of the matching method are consistent with those of our modified model.

The second project examines racial disparities in the prevalence …

The Evolution Of Racial And Ethnic Disparities In Health Outcomes, Megan T. Hoang

Honors Undergraduate Theses

Health disparities between different racial/ethnic groups in the United States are substantial. When reviewed across an extensive body of literature, these disparities have been demonstrated to persist even when socioeconomic status, geographic region, health conditions, treatment methods, and patient access-related variables are controlled. This ultimately leads to higher mortality rates among minority patients, making disparities in health a highly prevalent issue. However, the literature suggests that while racial and ethnic disparities in health have been widely examined, research documenting the evolution of these changes over time is lacking. This motivates the research questions: (1) How has the impact of racial …

The Impact Of Mindfulness On Healthy Food Choices, Kaylea Hopfer

Graduate Theses and Dissertations

The practice of mindfulness has a long history in research, particularly psychological studies. In this paper I examine the effects of a short mindfulness intervention on healthy food purchases. Specifically, I developed an online survey and recruited 634 participants via Prolific between July 24 - July 27, 2020. I randomly assigned participants to either a mindfulness manipulation or a control condition. Following treatment (or control) participants completed a food choice task and various other control. Following the survey, I analyzed data using R version 4.0.2 (2020-06-22) and R-Studio. I estimated three different regression models, ordinary least squares (OLS), Poisson, and …

The Effects Of Income On Health: Evidence From Lottery Wins In Singapore, Seonghoon Kim, Kanghyock Koh

Research Collection School Of Economics

We estimate the causal effects of household income on self-reported health status by exploiting random variations in the amount of lottery prizes won. We find that a S$10,000 (US$7,245) increase in income via lottery wins improves individuals’ health by a standard deviation of 0.18. As possible mechanisms, we find that lottery wins increase household consumption spending and improve overall life satisfaction, but do not change healthcare spending, labor supply, and risky health behavior. Previous studies, which focused on the health effects of lottery prizes in Western European countries with strong social safety nets, do not find positive effects other than …

Children’S Health And Maternal Work Activities, Termeh Tavangar

Electronic Theses and Dissertations

I estimate the effect of poor child health on maternal labor force participation. Mothers of health-impaired children may decide not to work and stay at home to take care of their children. Alternatively, mothers may choose to enter the labor force to pay for these children’s additional resources. Which action dominates is the empirical question I answer in this paper. I control for the potential endogeneity of a child’s health status by using an instrumental variables approach. I find that if mothers have a child in poor health, the probability that the mother works is decreased by thirteen percentage points, …

A Network Pandemic: Exploring The Effects Of Social Connectedness On The Spread Of Covid-19 In The United States, Mrinalini Bhushan

CMC Senior Theses

Social interactions influence the way we think and act. Recent literature on COVID-19 and social connectedness explores how social interactions influence people’s perceptions of the risk from COVID-19 and their behaviors. This paper seeks to investigate how social connectedness, political ideologies, and physical interaction are associated with local COVID-19 case and death rates at the US county level. Social connectedness, as defined by (Bailey et al, 2018) measures connectedness between US counties based on Facebook friendship links. I examine whether a county’s average social connectedness to other counties, as determined by the Facebook index, has an impact on its own …

Three Essays In Applied Urban Economics, Alexander Cardazzi

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter examines the effect of policing strategies on housing prices. Crime has been shown to negatively affect housing values. However, there is not much empirical evidence documenting the amenity value of how people are policed. Stop & Frisk was a particularly salient policing tactic employed in New York City until a judge ruled it to be unconstitutional. This chapter uses exogenous variation in Stop & Frisk behavior resulting from landmark events in a federal class action lawsuit as well as exposure to Operation Impact, a high intensity policing strategy, to explain variation in property sales. Results indicate a …

Does Early Access To Pension Wealth Improve Health?, Seonghoon Kim, Kanghyock Koh

Research Collection School Of Economics

We examine the health impacts of early access to public pension wealth by exploiting a unique policy in Singapore allowing individuals to withdraw a proportion of their pension savings after their 55th birthday. For the identification, we employ a regression discontinuity design by comparing individuals before and after their 55th birthday. To address anticipated and lagged health impacts, we adopt the donut regression discontinuity approach. Using nationally representative monthly panel data, we find that early access to pension wealth improves self‐reported overall health.

The Effect Of Hurricane Sandy On Mental Health Outcomes Of New Yorkers, Kacper Perkowski

Theses and Dissertations

This study’s objective is to evaluate the effect of Hurricane Sandy on the long-term mental health of New Yorkers. Health data spanning from 2010-2014 was obtained through the Community Health Survey. Difference-in-differences regressions were employed to evaluate the relationship. The results show Hurricane Sandy had no statistically significant effect on any key mental health variables.

Mapping Socioeconomic Indicators By Race And County In Arkansas, Mervin Jebaraj, David Sorto

Urban League of the State of Arkansas

The Urban League of the State of Arkansas seeks to lead efforts in advancing and obtaining equal opportunities for all citizens with a particular focus in the areas of health, education, jobs, and housing. In keeping with this mission, the Urban League of Arkansas partnered with the Center for Business and Economic Research in the Sam M. Walton College of Business at the University of Arkansas to produce a report that provides data to identify key areas of need in the African American and Latinx communities in Arkansas and develop programs and policies to address them.

In this report, the …

A Contemporary Tale Of Two Countries - State Of Children In India And Pakistan, Arijit Ray

Graduate Theses, Dissertations, and Problem Reports (ETD)

Some common economic problems of the Indian subcontinent are its low per-capita income, major dependence on agriculture, heavy population pressure, chronic unemployment, slow capital formation, limited opportunity for human capital development, rising pollution, and heavy inequality in the wealth distribution. Each of these problems affects its children in its unique way, both directly and indirectly. However, some problems are human-made which directly affect its own existence. I focus on two countries in the Indian subcontinent: India and Pakistan, where such problems exist. In both societies, female children are valued less than male children, a common theme across many other countries …

Are Menstrual Cycles A Biological Determinant Of Well-Being Amongst Sierra Leonean Schoolchildren?, Ashwini Shridhar

Master's Theses

The influence of hormones and biology on behavior is a topic that is rife with controversy, especially when it comes to sexual hormones. There is even more murkiness when it comes to the topic of menstruation and knowledge about women’s menstrual cycles. Recent research on this topic have seen a link between the hormonal fluctuations during menstrual cycles and various behavioral implications on competition, cooperation, and risk behavior. This study tries to expand existing knowledge by examining whether there is a link between hormonal fluctuations during menstrual cycles and risk preferential behavior using economic experiments in the largely understudied context …

Short-Run Health Consequences Of Retirement And Pension Benefits: Evidence From China, Plamen Nikolov, Alan Adelman

Justice & Well-Being Studies Faculty Scholarship

This paper examines the impact of the New Rural Pension Scheme (NRPS) in China. Exploiting the staggered implementation of an NRPS policy expansion that began in 2009, we used a difference-in-difference approach to study the effects of the introduction of pension benefits on the health status, health behaviors, and healthcare utilization of rural Chinese adults age 60 and above. The results point to three main conclusions. First, in addition to improvements in self-reported health, older adults with access to the pension program experienced significant improvements in several important measures of health, including mobility, self-care, usual activities, and vision. Second, regarding …

It Is Time To Kill The Economic Theory Of Suicide, Gary N. Smith

Pomona Economics

A seminal paper by Hamermesh and Soss modeled suicide as a rational economic decision based on a comparison of the financial costs and benefits of staying alive. Their model is fundamentally flawed and their prediction that suicide rates increase with age is wrong.

"Integrated Science 3002a: Big Bike Giveaway: Changing London's Environment, Health, And Economy One Bike At A Time", Jermiah Joseph, Katelyn Melo, Devanshi Shukla, Tony Nguyen, Katherine Teeter

Community Engaged Learning Final Projects

There are significant benefits that manifest when an individual chooses to ride a bicycle as their primary mode of transportation. To investigate these benefits, the environmental, health, economic, and social impacts of biking were evaluated through research and data analyses. This revealed that numerous advantages can be obtained at an individual and local scale through citizens choosing to adopt a biking lifestyle. However, it was found that many Londoners are deterred from biking due to poor biking infrastructure. This paper calls into question the current cycling framework in London and it’s limitations on achieving the numerous benefits that biking offers. …