Spatial and Temporal Trends in Multidimensional Poverty in the United States over the Last Decade.

This paper undertakes a comprehensive analysis of multidimensional poverty in the United States over the last decade. It provides estimates of multidimensional poverty over more than a decade, from 2008 to 2019, which covers the Great Recession and the recovery following the recession when major policy changes such as the Affordable Care Act were implemented. For the first time, spatial trends in estimates of multidimensional poverty are also provided. We measure annual poverty levels in 4 regions, 50 states and examine the relation between multidimensional poverty and neighborhood characteristics. We find that on average, 13 percent of the United States population was multidimensional poor. Poverty rates were high in the South and the West and among young adults, immigrants and Hispanics. Alternative indices of multidimensional poverty show consistent trends; multidimensional poverty in the United States rose between 2008 and 2010 and then gradually declined. However, more than a quarter of individuals with incomes above the poverty threshold remained multidimensional poor. This underscores the fact that income does not always capture deprivation experienced by individuals. Policies geared towards affordable housing, health insurance and higher education will help reduce multidimensional poverty in the United States. Supplementary Information: The online version contains supplementary material available at 10.1007/s11205-022-02902-z.

Health Status, Health Shocks, and Asset Adequacy Over Retirement Years.

This article uses data on a sample of retirees drawn from the Health and Retirement Study (HRS) to examine changes in health over the retirement years and to estimate the effects of health changes in retirement on wealth. Using the framework of item response theory, we develop a novel measure of health that makes use of multiple indicators of physical health that are available in the HRS. We find that large negative shocks to the health of male retirees and their spouses are frequent in retirement and that when such shocks do occur, recovery to the preshock level of health is rare. Using a dynamic panel data model, we then estimate short- and long-run effects of changes in health on wealth. While our estimated short-run effects are modest, long-run estimates of the impact of health shocks on wealth are large, ranging from a 12% to 20% reduction in wealth by the 10th year, following a permanent one standard deviation decrease in health.

Intergenerational Mobility in the United States and Great Britain: A Comparative Study of Parent-Child Pathways.

We build on cross-national research to examine the relationships underlying estimates of relative intergenerational mobility in the United States and Great Britain using harmonized longitudinal data and focusing on men. We examine several pathways by which parental status is related to offspring status, including education, labor market attachment, occupation, marital status, and health, and perform several sensitivity analyses to test the robustness of our results. We decompose differences between the two nations into that part attributable to the strength of the relationship between parental income and the child's characteristics and the labor market return to those child characteristics. We find that the relationships underlying these intergenerational linkages differ in systematic ways between the two nations. In the United States, primarily because of the higher returns to education and skills, the pathway through offspring education is relatively more important than it is in Great Britain; by contrast, in Great Britain the occupation pathway forms the primary channel of intergenerational persistence.

The income and health effects of tribal casino gaming on American Indians.

The legalization of American Indian casino gaming in the late 1980s allows examination of the relationship between income and health in a quasi-experimental way. Revenue from gaming accrues to individual tribes and has been used both to supplement tribe members' income and to finance tribal infrastructure. We assembled annual data from 1988-2003 on tribal gaming, health care access (from the Area Resource File), and individual health and socioeconomic characteristics data (from the Behavioral Risk Factors Surveillance System). We use this information within a structural, difference-in-differences framework to study the effect of casino gaming on tribal members' income, health status, access to health care, and health-related behaviors. Our difference-in-differences framework relies on before-after comparisons among American Indians whose tribe has at some time operated a casino and with-without comparisons between American Indians whose tribe has and those whose tribe has not initiated gaming. Our results provide identified estimates of the positive effect of gaming on American Indian income and on several indicators of American Indian health, health-related behaviors, and access to health care.

Principles to guide the development of population health incentives.

Improving population health is not simple. Many instruments are available for changing behavior and consequent outcomes. However, the following basic principles should guide development of any incentive arrangement: 1) identify the desired outcome, 2) identify the behavior change that will lead to this outcome, 3) determine the potential effectiveness of the incentive in achieving the behavior change, 4) link a financial incentive directly to this outcome or behavior, 5) identify the possible adverse effects of the incentive, and 6) evaluate and report changes in the behavior or outcome in response to the incentive. A wide range of financial and nonfinancial incentives is available to encourage efficient behaviors and discourage costly and unproductive ones. Evidence for the beneficial effects of incentive programs has been slow to emerge, partly because such evidence must show how behaviors have changed because of the incentive. Nevertheless, the potential for incentive programs in health care seems large, and research should support their design and assess their effect.

The role of higher education in social mobility.

Most Americans expect the nation's colleges and universities to promote the goal of social mobility to make it possible for anyone with ability and motivation to succeed. But according to Robert Haveman and Timothy Smeeding, income-related gaps both in access to and in success in higher education are large and growing. In the top-tier colleges and universities, almost three-quarters of the entering class is from the highest socioeconomic quartile. The pool of qualified youth is far greater than the number admitted and enrolled; hence America's top colleges could enroll more moderate- and low-income students without lowering their selection standards. Higher-income parents make enormous efforts to ensure their children's academic success, while children of poor parents begin the "college education game" later and with fewer resources. Students in poor and minority neighborhoods are less well prepared academically; ill prepared to select colleges, apply for admission, and secure acceptance; and poorly informed about the cost of attending college and the availability of needs-based financial aid. Sharply rising college prices during the 1980s and 1990s, together with the growing inequality of family income, have raised the cost of attending college far more for low-income students than for well-to-do students. Financial aid has risen more slowly, and the share targeted on low-income students has been falling. The authors offer bold policy recommendations to increase educational opportunities for low- and middle-income students. These involve the development of financing structures that will increase access for students from lower-income families. Public institutions could price tuition close to real costs and use added revenues to provide direct student aid for students from low-income families. Federal subsidies to students who attend wealthy institutions could be capped, with the savings redirected to students attending less well-endowed schools, both public and private. Finally, federal and state governments could redirect to lower-income students the financial support they now provide colleges and universities.

SCHIP expansion and parental coverage: an evaluation of Wisconsin's BadgerCare.

The Wisconsin BadgerCare program, which became operational in July 1999, expanded public health insurance eligibility to both parents and children in families with incomes below 185% of the U.S. poverty line (200% for those already enrolled). This eligibility expansion was part of a federal initiative known as the State Children's Health Insurance Program (SCHIP). Wisconsin was one of only four states that initially expanded coverage to parents of eligible children. In this paper, we attempt to answer the following question: To what extent does a public program with the characteristics of Wisconsin's BadgerCare program reduce the proportion of the low-income adult population without health care coverage? Using a coordinated set of administrative databases, we track three cohorts of mother-only families: those who were receiving cash assistance under the Wisconsin AFDC and TANF programs in September 1995, 1997, and 1999, and who subsequently left welfare. We follow these 19,201 "welfare leaver" families on a quarterly basis for up to 25 quarters, from 2 years before they left welfare through the end of 2001, making it possible to use the labor market information and welfare history of the women in analyzing outcomes. We apply multiple methods to address the policy evaluation question, including probit, random effects, and two difference-in-difference strategies, and compare the results across methods. All of our estimates indicate that BadgerCare substantially increased public health care coverage for mother-only families leaving welfare. Our best estimate is that BadgerCare increased the public health care coverage of all adult leavers by about 17-25% points.

Social security, age of retirement, and economic well-being: intertemporal and demographic patterns among retired-worker beneficiaries.

We examine the economic status of a sample of new recipients of social security retired-worker benefits shortly after their first receipt of benefits (1982) and 10 years later (1991). The probability that these retired-worker beneficiaries were poor or near-poor is positively and strongly associated with their acceptance of early retired-worker benefits. Early retirees, women who remained single, and women who lost their spouses experienced large declines in economic status over the decade following their first receipt of benefits. Although both women and men who first received benefits at younger ages had lower economic status than did those who became beneficiaries at older ages, this retirement age-related disadvantage increased over the decade for women but not for men.