Health Economics Commons^™

Essays On Public Policy And Health Outcomes: Unintended Consequences And The Cost Of Influence, Wenhan Yan

Dissertations and Theses Collection (Open Access)

This dissertation investigates the complex behavioral responses to public policy shifts and institutional cues, quantifying their intended and unintended societal impacts. Across two distinct empirical contexts, this research examines how individuals adapt their risk profiles when signals from political or legal authorities change and how these adaptations generate measurable externalities.

The first chapter, "From Punishment to Treatment: Unintended Social Impacts of Changing Drug Policies," shifts the focus to the intersection of health policy and criminal justice. This chapter evaluates the sudden transition from punitive drug enforcement to health-oriented decriminalization, utilizing the 2021 State v. Blake decision in Washington as a …

The Effects Of Income On Infant Health: Evidence From The Coal Boom And Bust, Chu Gek Chew

Dissertations and Theses Collection (Open Access)

An individual’s health at birth is an important component in human capital accumulation, posing significant implications both in the short- and long-run. I investigate how infant health outcomes were impacted during a period of successive positive and negative economic shocks led by the coal industry between the 1970s to 1990s. Using exogenous variation within counties’ pre-existing coal reserves, I instrument for the changes in economic opportunities during the coal boom and bust. I find some limited evidence that an increase in income improves infant health outcomes. The incidence of low birthweight is decreasing in earnings growth, and effects are stronger …

High ‘Steaks’: Does Lone Star Tick-Induced Red Meat Allergy Reduce Cardiovascular Disease-Related Hospitalizations?, Raj Parekh

CMC Senior Theses

In this thesis, I investigate the relationships between Lone Star Tick-induced Alpha-Gal Syndrome (AGS), red meat consumption, and cardiovascular health outcomes within New York State's 62 counties from 2012 to 2021. The analysis examines whether AGS, which forces individuals to reduce red meat consumption, serves as a natural experiment in understanding dietary impacts on cardiovascular disease (CVD). Leveraging panel data, I utilize Fixed Effects (FE) and Two-Stage Least Squares (2SLS) regression frameworks to disentangle the relationships between red meat expenditure, meat prices, Lone Star Tick prevalence, and health outcomes such as CVD, stroke, coronary heart disease, and heart attack hospitalization …

Assessing The Impact Of Tuberculosis On Economic Growth In Asean Countries: A Conceptual Framework And Panel Data Analysis, Agus Fitriangga, Alex Alex

Jurnal Ekonomi Kesehatan Indonesia

Tuberculosis (TB) remains a major global health issue, particularly in Southeast Asia, where its impact extends beyond public health to affect economic performance. This study evaluates the economic implications of TB incidence on gross domestic product (GDP) growth across eight ASEAN countries from 2000 to 2020. We employed a panel data regression approach, utilizing Common Effect Model (CEM), Fixed Effects Model (FEM), and Random Effects Model (REM) to analyze the relationship between TB incidence and economic growth. The dataset included annual GDP figures, TB incidence rates, foreign direct investment (FDI), labor force size, and trade openness, sourced from international databases. …

Medicaid Expansion: Changes In Individual Health Outcomes, Julie Norman

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The Affordable Care Act is one of the biggest changes in the American healthcare system in the 21st century. One element of the ACA is medicaid expansion, which opened up federal funding for states to cover any individual earning below 138% of the federal poverty line. 21 states expanded medicaid in 2014 while 12 haven’t expanded. This paper utilizes the disparity for a natural experiment to determine the efficacy of the program. Outcome variables of interest include measurements of individual health, health access and utilization, and premature death rates. The results indicate positive, but small improvements due to the policy, …

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 …

Redesigning Price Setting Under The Universal Health Insurance In Egypt / إعادة تصميم التسعير في ظل التأمين الصحي الشامل في مصر, Ahmed El Agamy, Hebatalla Ahmed Ismail, Hend Hassan, Reem Gouda, Samah El Sayed

Papers, Posters, and Presentations

Since the Sustainable Development Goals were adopted by the United Nations Development Programme, Universal Health coverage became the main target for many nations. One of the main challenges facing the governments to achieve universal health coverage is maintaining adequate policies to set fair pricing for the healthcare services. Each country has different strategies to apply fair pricing and this paper is discussing the current pricing methods in Egypt and suggesting three policies to tackle its challenges.

Do Minimum Charity Care Provision Requirements Increase Provision Of Charity Care In Nonprofit Hospitals?, Michah W. Rothbart, Nara Yoon

Population Health Research Brief Series

Nonprofit hospitals receive significant federal, state, and local tax exemptions, partly based on the rationale that nonprofit hospitals provide public goods and services. Through Minimum Charity Care Provision (MCCP) requirements, nonprofit hospitals are required to spend a certain percentage of their revenues on charity care. However, it is not clear whether these requirements increase spending on charity care. This brief summarizes findings from research examining the differences in provisions of charity care across different hospital market sectors – non-profit, for-profit, and government. Findings suggest that MCCP requirements for nonprofit hospitals do not lead to more charity care. If anything, targeting …

The Healthcare Costs Of Overnutrition, Ryan Hodge

Honors Projects

Obesity is a growing problem globally and domestically. Obesity is related to several chronic and noncommunicable diseases such as hypertension, type II diabetes, coronary heart disease, and some cancers. Both obesity and its related diseases are forms of overnutrition, which is the excess intake of nutrients that causes increased body fat to the point of impaired health. Using data from the Medical Expenditure Panel Survey (MEPS) from 2008-2016, this paper is the first to estimate the causal effect of overnutrition on medical expenditure by examining the effect of overnutrition diseases on health care costs, correcting for the endogeneity bias of …

The Impact Of Cleft Lip/Palate And Clp Surgical Intervention On The Social Integration Of Adolescents In India, Mustafa Zahid

Master's Theses

Cleft Lip/Palate, a congenital orofacial anomaly, carries an incidence rate of approximately 1 in every 1000 births. In addition to the stigma associated with the condition, the varying levels of cleft severity might result in lower life outcomes which could include lower cognitive ability, physical and psychological well-being, social and behavioral outcomes of adolescents. This paper focuses on the social integration element of life outcomes, which is composed of the social inclusion and prosocial behavior of the adolescent. Despite the affordability of restorative surgeries, patients in rural areas of Low and Middle-Income Countries (LMICs) such as India face accessibility and …

The Effect Of The Dependent Coverage Provision Of The Affordable Care Act On Opioid Use And Abuse, Christian Carrillo

Theses and Dissertations

The non-medical use of prescription opioids has become the fastest growing drug problem in the United States. This paper examines the effect of the ACA's dependent coverage provision on the prevalence of prescription opioid misuse and abuse along with the mechanism driving the results.

The Impact Of Cleft Lip And Palate Repair Surgery On Cognitive And Academic Outcomes For Teens In India, R Jeremiah Maller

Master's Theses

India has a backlog of nearly one million patients in need of cleft lip and palate repair. Unrepaired cleft results in social stigma and diminished health, psychological wellbeing, and academic functioning. Cleft repair surgery has the potential to restore functioning in these domains. However, the magnitude of the social, educational, and economic impact of cleft repair surgery has not been evaluated using statistically rigorous methods. An estimation of the academic and educational impact of cleft repair has implications for the appropriate allocation of public health resources. We analyze original data gathered from teenagers in West Bengal, India using the difference-in-differences …

Essays On The Well-Being Of An Aging Population, Alice Zulkarnain

Dissertations, Theses, and Capstone Projects

This dissertation consists of three essays that examine health and labor issues among the middle aged and elderly.

Chapter 1. A Delayed Retirement Policy and Male Labor Supply: Evidence from the Entire Dutch Population

This chapter examines the labor supply effects of a national delayed retirement policy introduced in the Netherlands in 2009. The policy offers a reduction in taxes on labor income for each year after the age of 62 in which a person worked. I estimate the average effect of the policy on male labor supply as well as its responsiveness to the size of the incentive. Comparing …

Essays On The Economics Of Health And Risky Behavior, Markus Gehrsitz

Dissertations, Theses, and Capstone Projects

As Forrest Gump has ever eloquently pointed out: stupid is as stupid does. It turns out that most people engage in behavior that could reasonably be considered stupid, or at least risky. People overeat, chain-smoke cigarettes, drink excessively, consume harmful drugs, and drive too fast; if worst comes to worst they do some of these things simultaneously. This work evaluates three policy measures that are designed to promote health and less risky behavior: I evaluate the effects of penalties for speeding transgressions on future driving behavior, the effects of low emission zones on infant health and air pollution, and the …

Essays In Health Economics, Aigbokhai Unuigbe

Dissertations, Theses, and Capstone Projects

This dissertation is motivated by changes in health and labor policies of the United States that have occurred over the last two decades. It examines how these policies as well as public programs affect behavior and outcomes. These programs and policies have the potential to impact behavior directly at the individual level and could also have indirect effects at the household level. In addition, the effects on healthcare use and health status are also examined. This dissertation consists of three chapters.

The first chapter looks at the effect of changes in Medicaid policy on legal immigrant parents in the United …

Reducing The Geographic Variance In Medical Expenditures: The Benefits Of A Primary-Care-Oriented Health System, Noah Bricker

Undergraduate Economic Review

The Affordable Care Act states that a primary goal of health care reform should be to lower costs and promote fiscal responsibility. With these two goals in mind, the bill proposes a more primary-care-oriented health system by enacting a 5-year temporary Medicare fee increase for primary care physicians as a means to increase the number of physicians and incentivize more primary care services. Using county and regional level Medicare data, this paper finds that an increase in the number of primary care physicians per capita would reduce per beneficiary Medicare spending and as a consequence, lower national health expenditures substantially.