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American Economic Review Vol. 105 No. 3 2015

The War on Poverty's Experiment in Public Medicine: Community Health Centers and the Mortality of Older Americans

Martha Bailey; Andrew Goodman-Bacon

Department of Economics, University of Michigan, 611 Tappan Street, Ann Arbor, Michigan 48109 (e-mail: )

open access

Abstract

This paper uses the rollout of the first Community Health Centers (CHCs) to study the longer-term health effects of increasing access to primary care. Within ten years, CHCs are associated with a reduction in age-adjusted mortality rates of 2 percent among those 50 and older. The implied 7 to 13 percent decrease in one-year mortality risk among beneficiaries amounts to 20 to 40 percent of the 1966 poor/non-poor mortality gap for this age group. Large effects for those 65 and older suggest that increased access to primary care has longer-term benefits, even for populations with near universal health insurance.

DOI
10.1257/aer.20120070
Volume
105
Issue
3
Pages
1067-1104
Language
en
Sources
openalex bibtex:phds-export.bib crossref

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