HEALTH INSURANCE, FERTILITY, AND THE WANTEDNESS OF PREGNANCIES: EVIDENCE FROM MASSACHUSETTS

Maria Apostolova-Mihaylova, Aaron Yelowitz

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Health insurance reform in Massachusetts lowered the cost of both pregnancy (by increased coverage of pregnancy-related medical events) and pregnancy prevention (by increasing access to reliable contraception). We empirically examine fertility responses and find no overall effect from increased coverage due to the Massachusetts reform. This finding, however, masks substantial heterogeneity. For married women aged 20 to 34—with high latent fertility and pregnancy wantedness—fertility increased by approximately 1%. For unmarried women in the same age range—for whom pregnancies are typically unwanted—fertility declined by 8%. (JEL I13, I18, J13).

Original languageEnglish
Pages (from-to)59-72
Number of pages14
JournalContemporary Economic Policy
Volume36
Issue number1
DOIs
StatePublished - Jan 2018

Bibliographical note

Publisher Copyright:
© 2017 Western Economic Association International

ASJC Scopus subject areas

  • Business, Management and Accounting (all)
  • Economics and Econometrics
  • Public Administration

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