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Health care expenditures of immigrants in the United States: A nationally representative analysis

S.A. Mohanty, S. Woolhandler, D.U. Himmelstein, S. Pati, O. Carrasquillo and D.H. Bor

American Journal of Public Health, 2005, vol. 95, issue 8, 1431-1438

Abstract: Objectives. We compared the health care expenditures of immigrants residing in the United States with health care expenditures of US-born persons. Methods. We used the 1998 Medical Expenditure Panel Survey linked to the 1996-1997 National Health Interview Survey to analyze data on 18398 US-born persons and 2843 immigrants. Using a 2-part regression model, we estimated total health care expenditures, as well as expenditures for emergency department (ED) visits, office-based visits, hospital-based outpatient visits, inpatient visits, and prescription drugs. Results. Immigrants accounted for $39.5 billion (SE = $4 billion) in health care expenditures. After multivariate adjustment, per capita total health care expenditures of immigrants were 55% lower than those of US-born persons ($1139 vs $2546). Similarly, expenditures for uninsured and publicly insured immigrants were approximately half those of their US-born counterparts. Immigrant children had 74% lower per capita health care expenditures than US-born children. However, ED expenditures were more than 3 times higher for immigrant children than for US-born children. Conclusions. Health care expenditures are substantially lower for immigrants than for US-born persons. Our study refutes the assumption that immigrants represent a disproportionate financial burden on the US health care system.

Date: 2005
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Citations: View citations in EconPapers (17)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2004.044602_9

DOI: 10.2105/AJPH.2004.044602

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