Do Pandemics Change Healthcare? Evidence from the Great Influenza

Kris Mitchener, Rui Esteves, Peter Nencka and Melissa A Thomasson

No 17666, CEPR Discussion Papers from C.E.P.R. Discussion Papers

Abstract: Using newly digitized U.S. city-level data on hospitals, we explore how pandemics alter preferences for healthcare. We find that cities with higher levels of mortality during the Great Influenza of 1918-1919 subsequently expanded hospital capacity by more than cities experiencing less influenza mortality: cities in the top half of the mortality distribution increased their count of hospitals by 8-10 percent in the years after the pandemic. This effect persisted to 1960 and was driven by increases in non-governmental hospitals. Growth responded most in richer cities, exacerbating existing inequalities in access to healthcare. We do not find evidence that government- run hospitals or other types of city-level spending related to healthcare responded to pandemic intensity, suggesting that large health shocks do not necessarily lead to increased public provision of health services.

JEL-codes: I11 I14 J10 N32 (search for similar items in EconPapers)
Date: 2022-11
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Working Paper: Do Pandemics Change Healthcare? Evidence from the Great Influenza (2022)
Working Paper: Do Pandemics Change Healthcare? Evidence from the Great Influenza (2022)
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