information provided by the kaiser commission on medicaid and the uninsured
publication number: 7411
publish date: 2005-11-04
are immigrants responsible for most of the growth of the uninsured?,
this analysis examines how much immigrants are contributing to the increasing uninsured population from 1994 to 2003.
if we combine the data from 1998 to 2003, we find that almost two-thirds of the increase of uninsured was among non-citizens (and somewhat more if we include the effects of reweighting as detailed in the body of this report). but this result is largely driven by the reduction in the number of uninsured native citizens between 1998 and 2000. this period seems an
aberration because of extremely rapid economic growth and very tight labor markets, which disproportionately improved health coverage for native citizens. in contrast, the results from 1994-1998 period and from 2000-2003 period indicate that the growth in the uninsured is largely among native citizens.
because there are so many more native citizens than non-citizens, it is not surprising that they "bear the brunt" of most economic changes including changes in insurance. immigration trends are not responsible, in large part, for the increase in the numbers of uninsured in this country. indeed, non-citizens would have to fare dramatically worse than native citizens in terms of changes in health coverage rates to affect the overall numbers of uninsured.
mohanty, s.a., s. woolhandler, e.u. himmelstein, et al.
august 2005, vol 95, no. 8 | american journal of public health 1431-1438
© 2005 american public health association
using data from the 1998 medical expenditure panel survey, this analysis compares the health care expenditures of immigrants residing in the united states with health care expenditures of us-born persons.
health care expenditures of immigrants in the united states: a nationally representative analysis
immigrants accounted for $39.5 billion (se=$4 billion) in health care expenditures. after multivariate adjustment, per capita total health care expenditures of immigrants were 55% lower than those of us-born persons ($1139 vs $2546). similarly, expenditures for uninsured and publicly insured immigrants were approximately half those of their us-born counterparts. immigrant children had 74% lower per capita health care expenditures than us-born children. however, ed expenditures were more than 3 times higher for immigrant children than for us-born children.
health care expenditures are substantially lower for immigrants than for us-born persons. our study refutes the assumption that immigrants represent a disproportionate financial burden on the us health care system. [/s]
fronstin, p. june 2005. the impact of immigration on health insurance coverage in the united states
. employee benefit research institute
this newsletter looks at the effect of immigrants on the nation's overall health expenditures and its ability to provide health insurance for uninsured citizens.
goldman, d.p., j.p. smith, and n. sood. november/december 2005. legal status and health insurance among immigrants. health affairs 24(6):1640-1653.
this analysis uses data from los angeles county to examine the legal and health insurance status of the foreign-born adult population.
the foreign-born represent a disproportionate share of nonelderly u.s. adults without health insurance. using data from los angeles county, we find that most of the insurance disparities between the foreign-born and native-born can be explained by traditional socioeconomic factors. undocumented immigrants, however, have lower rates of coverage--both private and public--even after a wide array of factors are controlled for.
applying los angeles county rates to the u.s. population implies that undocumented immigrants account for one-third of the total increase in the number of uninsured adults in the united states between 1980 and 2000.