The Effects of Unemployment on Childbearing

Are recessions good for pregnancy? In this paper, I investigate the relationship between unemployment fluctuations, prenatal care utilization, and infant and maternal health. Analyzing the US Natality Detail Files data for the period 1989-99 aggregated by county, year, and race, I find the overall effects of unemployment to be beneficial but conclude that at least some of the apparent benefits may be attributable to the Medicaid 'safety net'.Unemployment; Prenatal Care; Infant and Maternal Health

What About Mom? The Forgotten Beneficiary of the Medicaid Expansions

This paper contributes to evidence regarding the effectiveness of the Medicaid expansions by focusing on a key beneficiary - the mother - who has previously been overlooked. Using the Natality Detail Files for 1989-96, we estimate the relationship between Medicaid eligibility and maternal health outcomes for several treatment groups and a control group. Potential biases caused by improved reporting are addressed by using a 'straw man' maternal complication not preventable with prenatal care. Our results suggest that increased Medicaid eligibility lead to fewer preventable maternal complications among women most likely to have benefited from the Medicaid expansions.Maternal health; Medicaid; Prenatal care

The economics of childbearing: Three essays

Expenditure programs, business cycles, and government interventions can affect many decisions surrounding the birth of a child. For example, public insurance programs such as Medicaid have the potential to increase the utilization of prenatal care. This, in turn, may lead to better infant and maternal health outcomes. Given the high and increasing number of pregnant women covered by Medicaid, the effectiveness of the program in promoting prenatal care use and improving health needs to be evaluated. Also, the impacts of business cycles on childbearing are of interest to policymakers. For example, does unemployment substantially affect the decision to conceive a child or the ability to obtain appropriate medical services? And, if so, are infant and maternal health outcomes compromised during economic downturns? A well-informed government can design policies to help deal with issues such as these. Government interventions, however, can have unintended (and potentially harmful) consequences as well. For example, several recent economics papers have demonstrated that fiscal policies may affect fertility and the timing of delivery. Understanding the incentives embedded in government programs and assessing the responsiveness of individual behavior to these incentives is therefore key. My dissertation consists of three essays in which I investigate an important understudied aspect of the Medicaid program, inform policymakers about the impacts of unemployment on prenatal care use, infant and maternal health, and add to our understanding of the unintended effects of government interventions on the timing of births

Paternity Deferments and the Timing of Births: U.S. Natality During the Vietnam War

During the conflict in Vietnam, married men with dependents could obtain a deferment from the draft. In 1965, following President Johnson's Executive Order 11241 and a subsequent Selective Service System announcement, the particulars of this policy changed substantially in a way which provided strong incentives for childless American couples to conceive a first-born child. This study examines the effects of the intervention on the decision to start a family. In my empirical analysis, I extract data from the Vital Statistics for the period 1963-1968 and employ a difference-in-differences methodology. The estimated magnitude of the effect is substantial.Timing of Births; Draft; Vietnam War

Local Alcohol Policies in New Zealand: An overview of their implementation and effects on crime

We document the implementation of local alcohol policies in New Zealand and then study their impacts on crime. A key contribution of our study is that we construct a detailed data set on local alcohol policies applicable across territorial authorities between July 2014 and January 2019. To our knowledge, we are the first ones to provide such a comprehensive overview. In a subsequent analysis, we find that local alcohol policies as recently implemented in New Zealand do not appear to have reduced crime. This result holds for specific policy dimensions and their stringency (e.g., closing times and geographic restrictions on issuing new licences), and is reasonably robust across crime types, days/times of occurrence, and socioeconomic subgroups. Our failure to identify significant reductions in crime following the imposition of local alcohol policies may partly reflect the policies being non-binding in some cases: for example, licensed premises had sometimes already operated within the restricted trading hours specified by a local alcohol policy

Case Mix, Quality and High-Cost Kidney Transplant Patients

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73363/1/j.1600-6143.2009.02592.x.pd

Macro-Economic Conditions and Infant Health: A Changing Relationship for Black and White Infants in the United States

We study whether the relationship between the state unemployment rate at the time of conception and infant health, infant mortality and maternal characteristics in the United States has changed over the years 1980-2004. We use microdata on births and deaths for years 1980-2004 and find that the relationship between the state unemployment rate at the time of conception and infant mortality and birthweight changes over time and is stronger for blacks than whites. For years 1980-1989 increases in the state unemployment rate are associated with a decline in infant mortality among blacks, an effect driven by mortality from gestational development and birth weight, and complications of placenta while in utero. In contrast, state economic conditions are unrelated to black infant mortality in years 1990-2004 and white infant mortality in any period, although effects vary by cause of death. We explore potential mechanisms for our findings and, including mothers younger than 18 in the analysis, uncover evidence of age-related maternal selection in response to the business cycle. In particular, in years 1980-1989 an increase in the unemployment rate at the time of conception is associated with fewer babies born to young mothers. The magnitude and direction of the relationship between business cycles and infant mortality differs by race and period. Age-related selection into motherhood in response to the business cycle is a possible explanation for this changing relationship

Paternity Deferments and the Timing of Births: U.S. Natality during the Vietnam War

During the conflict in Vietnam, married men with dependents could obtain a deferment from the draft. In 1965, following President Johnson's Executive Order 11241 and a subsequent Selective Service System announcement, the particulars of this policy changed substantially in a way which provided strong incentives for childless American couples to conceive a first-born child. This study examines the effects of the intervention on the decision to start a family. In my empirical analysis, I use data from the Vital Statistics for the period 1963–1968 and employ a difference-in-differences methodology. The estimated magnitude of the effect is substantial