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Racial Differences in Health Insurance Coverage and Medical Expenditures in the United States

A Historical Perspective

Published online by Cambridge University Press:  04 January 2016

Melissa A. Thomasson
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Abstract

This article uses a unique data set from 1957 to examine the racial gap in health insurance coverage and the extent to which that gap influenced racial differences in health care spending. Results indicate that black households in 1957 were statistically significantly less likely to purchase health insurance than white households, even after controlling for differences in income, years of schooling, age, family size, marital status, and other personal and job-related characteristics. Findings in the article also provide weak support for the hypothesis that a racial gap in health insurance coverage contributed to racial differences in health care spending between blacks and whites; even after controlling for differences in income, education, and other characteristics, racial differences in medical expenditures were smaller for insured than for uninsured families, although the result is not statistically significant.

Type
Articles
Information
Social Science History , Volume 30 , Issue 4: The Persistence of the Health Insurance Dilemma , Winter 2006 , pp. 529 - 550
Copyright
Copyright © Social Science History Association 2006 

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