Age-based health insurance coverage policies and mental health

IF 6.1 2区 经济学
Barış K. Yörük, Yiran Han
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Abstract

More than \(18\%\) of US adults meet the diagnostic criteria for a mental illness. Yet, many who could benefit from mental health care do not receive any treatment, primarily due to inability to pay for care or lack of health insurance coverage. How does a change in health insurance coverage affect psychological well-being and mental health? We explore this question using age-based health insurance coverage policies in the United States as natural experiments. We provide evidence that losing health insurance coverage at the age 26 due to aging out from dependent coverage is associated with a statistically significant deterioration in certain mental health indicators and psychological well-being among young adults. On the other hand, we find no evidence of an improvement in mental health or psychological well-being among the elderly at the age 65 due to becoming eligible for Medicare. These results are robust to potential changes in risk-taking behavior and physical health at the same age cutoffs.

Abstract Image

基于年龄的医疗保险政策与心理健康
超过 18% 的美国成年人符合精神疾病的诊断标准。然而,许多可以从心理健康护理中受益的人却没有得到任何治疗,主要原因是无力支付护理费用或缺乏医疗保险。医疗保险范围的变化会对心理健康和精神健康产生怎样的影响?我们将美国基于年龄的医疗保险政策作为自然实验来探讨这个问题。我们提供的证据表明,在 26 岁时因老龄化退出受抚养人保险而失去医疗保险,与年轻成年人的某些心理健康指标和心理幸福感在统计学上的显著恶化有关。另一方面,我们没有发现任何证据表明,65 岁的老年人因有资格享受医疗保险而改善了心理健康或心理幸福感。这些结果对同一年龄截断点的冒险行为和身体健康的潜在变化是稳健的。
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来源期刊
CiteScore
9.60
自引率
6.60%
发文量
50
期刊介绍: The Journal of Population Economics is an international quarterly that publishes original theoretical and applied research in all areas of population economics. Micro-level topics examine individual, household or family behavior, including household formation, marriage, divorce, fertility choices, education, labor supply, migration, health, risky behavior and aging. Macro-level investigations may address such issues as economic growth with exogenous or endogenous population evolution, population policy, savings and pensions, social security, housing, and health care. The journal also features research into economic approaches to human biology, the relationship between population dynamics and public choice, and the impact of population on the distribution of income and wealth. Lastly, readers will find papers dealing with policy issues and development problems that are relevant to population issues.The journal is published in collaboration with POP at UNU-MERIT, the Global Labor Organization (GLO) and the European Society for Population Economics (ESPE).Officially cited as: J Popul Econ Factor (RePEc): 13.576 (July 2018) Rank 69 of 2102 journals listed in RePEc
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