Alexandria Digital Research Library

Three essays in health economics

Author:
Witman, Allison E.
Degree Grantor:
University of California, Santa Barbara. Department of Economics
Degree Supervisor:
Kelly Bedard
Place of Publication:
[Santa Barbara, Calif.]
Publisher:
University of California, Santa Barbara
Creation Date:
2014
Issued Date:
2014
Topics:
Economics, Theory, Health Sciences, Public Health, Health Sciences, Health Care Management, and Economics, General
Keywords:
Smoking
Health insurance
Medicaid
Attention deficit / hyperactivity disorder (ADHD).
Medicare
Family structure
Genres:
Online resources and Dissertations, Academic
Dissertation:
Ph.D.--University of California, Santa Barbara, 2014
Description:

This dissertation consists of three essays in health economics. The first two essays investigate how the benefit structure of the United States' two largest public insurance programs -- Medicare and Medicaid -- affects beneficiaries and their families. The first essay examines the impact of an older spouse's Medicare eligibility at age 65 on the insurance coverage of a younger, Medicare-ineligible spouse. I find that Medicare eligibility of an older spouse can crowd-out the health insurance coverage of a younger spouse, reducing coverage on the extensive margin as well as the generosity of coverage. Medicare eligibility of an older wife increases the likelihood that a Medicare-ineligible husband is uninsured. After an older husband turns 65, younger wives are less likely to be covered through an employer-based insurance plan and more likely to have non-group coverage.

The second essay investigates the effect of Medicaid coverage of smoking cessation therapies on smoking behavior. Since 1994, most state Medicaid programs have introduced coverage for smoking cessation therapies such as the nicotine patch, nicotine gum, prescription medication, and counseling. I show that lowering the cost of these cigarette substitutes through Medicaid coverage reduces smoking among low-income parents who have ever smoked and are likely to be eligible for Medicaid. Importantly, the effect is concentrated among women with infants, suggesting that these policies potentially reduce children's secondhand smoke exposure.

The third essay provides evidence that family structure is an important factor influencing attention deficit/hyperactivity disorder (ADHD) diagnosis, especially for boys. First, we document that a non-traditional family structure is positively correlated with ADHD diagnosis. Next, we compare the gender gap in ADHD diagnosis across traditional, single parent, and blended families, finding that the negative impact of a non-traditional family structure is much larger for boys. The male-female gap in ADHD is approximately twice as large in non-traditional families. This excess gender gap in ADHD diagnosis in non-traditional families is pervasive across child age groups, family income levels, and family size. Our findings demonstrate that family structure itself is a key factor affecting ADHD diagnosis and that boys in non-traditional families are especially vulnerable.

Physical Description:
1 online resource (130 pages)
Format:
Text
Collection(s):
UCSB electronic theses and dissertations
ARK:
ark:/48907/f3833q5c
ISBN:
9781321350340
Catalog System Number:
990045117830203776
Rights:
Inc.icon only.dark In Copyright
Copyright Holder:
Allison Witman
File Description
Access: Public access
Witman_ucsb_0035D_12259.pdf pdf (Portable Document Format)