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The Great Equalizer: Medicare and the Geography of Consumer Financial Strain

Paul Goldsmith-Pinkham, Maxim Pinkovskiy and Jacob Wallace

Papers from arXiv.org

Abstract: We use a five percent sample of Americans' credit bureau data, combined with a regression discontinuity approach, to estimate the effect of universal health insurance at age 65-when most Americans become eligible for Medicare-at the national, state, and local level. We find a 30 percent reduction in debt collections-and a two-thirds reduction in the geographic variation in collections-with limited effects on other financial outcomes. The areas that experienced larger reductions in collections debt at age 65 were concentrated in the Southern United States, and had higher shares of black residents, people with disabilities, and for-profit hospitals.

Date: 2021-02
New Economics Papers: this item is included in nep-hea and nep-ias
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Citations: View citations in EconPapers (2)

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http://arxiv.org/pdf/2102.02142 Latest version (application/pdf)

Related works:
Working Paper: The Great Equalizer: Medicare and the Geography of Consumer Financial Strain (2023) Downloads
Working Paper: The Great Equalizer: Medicare and the Geography of Consumer Financial Strain (2020) Downloads
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