title: Differential impacts of public health insurance expansions at the local level.
abstract: Dramatic expansions in public health insurance eligibility for U.S. children have only modestly reduced the aggregate number of uninsured at the national level. This paper shows that Medicaid and SCHIP expansions had different impacts on child health insurance coverage patterns based upon local labor market characteristics. Metropolitan areas with high levels of unemployment were most likely to have seen improvements in overall insurance coverage for children between 1990 and 2001. Areas with greater fractions of employment in services, retail or wholesale trade were more likely to have experienced increases in public coverage but not overall coverage rates.
authors.affiliation: Department of Economics, Whittemore School of Business & Economics, University of New Hampshire, Durham, NH 03824, USA. reagan.baughman@unh.edu
authors.forename: Reagan
authors.initials: R
authors.lastname: Baughman
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000191:economics* / Q000706:statistics & numerical data; D002675:Child, Preschool; D004608:Eligibility Determination / Q000639:trends; D004651:Employment / Q000706:statistics & numerical data / Q000639:trends; D005191:Family Characteristics; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008484:Medicaid / Q000706:statistics & numerical data* / Q000639:trends; D017057:Medically Uninsured / Q000706:statistics & numerical data*; D017059:Models, Econometric; D013221:State Health Plans; D014481:United States; D014504:Urban Health / Q000639:trends