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2.
J Health Econ ; 44: 63-79, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26406873

ABSTRACT

This paper estimates the trade-off between salary and health insurance costs using data on Illinois school teachers between 1991 and 2008 that allow us to address several common empirical challenges in this literature. Teachers paid about 17 percent of the cost of individual health insurance and about 46 percent of the cost of their family members' plans through premium contributions, but we find no evidence that teachers' salaries respond to changes in insurance costs. Consistent with a higher willingness to pay for insurance, we find that premium contributions are higher in districts that employ a higher-tenured workforce. We find no evidence that school districts respond to higher health insurance costs by reducing the number of teachers.


Subject(s)
Health Benefit Plans, Employee/economics , Health Expenditures/trends , Salaries and Fringe Benefits/economics , School Teachers/statistics & numerical data , Cost Sharing/economics , Cost Sharing/trends , Costs and Cost Analysis , Educational Status , Health Benefit Plans, Employee/trends , Humans , Illinois , Job Satisfaction , Public Sector/economics , Regression Analysis , Salaries and Fringe Benefits/trends , School Teachers/psychology , Workforce
3.
Soc Sci Med ; 68(11): 1914-7, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19345462

ABSTRACT

Deaton and Lubotsky (2003) found that the robust positive relationship across American cities between mortality and income inequality became small, insignificant, and/or non-robust once they controlled for the fraction of each city's population that is black. Ash and Robinson (Ash, M., & Robinson D. Inequality, race, and mortality in US cities: a political and econometric review. Social Science and Medicine, 2009) consider alternative weighting schemes and show that in one of our specifications, in one data period, and with one of their alternative weighting schemes, income inequality is estimated to be a risk factor. All of our other specifications, as well as their own preferred specification, replicate our original result, which is supported by the weight of the evidence. Conditional on fraction black, there is no evidence for an effect of income inequality on mortality.


Subject(s)
Health Status Disparities , Income , Mortality/trends , Data Interpretation, Statistical , Humans , Racial Groups , Reproducibility of Results , Risk Factors , United States/epidemiology
4.
Soc Sci Med ; 56(6): 1139-53, 2003 Mar.
Article in English | MEDLINE | ID: mdl-12600354

ABSTRACT

A number of studies have found that mortality rates are positively correlated with income inequality across the cities and states of the US. We argue that this correlation is confounded by the effects of racial composition. Across states and Metropolitan Statistical Areas (MSAs), the fraction of the population that is black is positively correlated with average white incomes, and negatively correlated with average black incomes. Between-group income inequality is therefore higher where the fraction black is higher, as is income inequality in general. Conditional on the fraction black, neither city nor state mortality rates are correlated with income inequality. Mortality rates are higher where the fraction black is higher, not only because of the mechanical effect of higher black mortality rates and lower black incomes, but because white mortality rates are higher in places where the fraction black is higher. This result is present within census regions, and for all age groups and both sexes (except for boys aged 1-9). It is robust to conditioning on income, education, and (in the MSA results) on state fixed effects. Although it remains unclear why white mortality is related to racial composition, the mechanism working through trust that is often proposed to explain the effects of inequality on health is also consistent with the evidence on racial composition and mortality.


Subject(s)
Black or African American/statistics & numerical data , Income/statistics & numerical data , Mortality , Socioeconomic Factors , White People/statistics & numerical data , Adolescent , Adult , Aged , Catchment Area, Health , Censuses , Child , Child, Preschool , Cities , Cross-Sectional Studies , Demography , Female , Geography , Humans , Income/classification , Infant , Infant, Newborn , Male , Middle Aged , Regression Analysis , United States/epidemiology
5.
Am Econ Rev ; 92(5): 1308-34, 2002.
Article in English | MEDLINE | ID: mdl-29058397

ABSTRACT

The well-known positive association between health and income in adulthood has antecedents in childhood. Not only is children's health positively related to household income, but the relationship between household income and children's health becomes more pronounced as children age. Part of the relationship can be explained by the arrival and impact of chronic conditions. Children from lower income households with chronic conditions have worse health than do those from higher-income households. The adverse health effects of lower income accumulate over children's lives. Part of the intergenerational transmission of socioeconomic status may work through the impact of parents' income on children's health.


Subject(s)
Child Health/economics , Chronic Disease/economics , Health Status , Income , Adolescent , Adult , Child , Child, Preschool , Educational Status , Health Behavior , Humans , Infant , Infant, Newborn , Insurance, Health/economics , Parents , Socioeconomic Factors , United States
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