Full Citation

Title: Unintended Consequences of Insurance: ACA's Free Contraception Mandate and Risky Sex

Citation Type: Miscellaneous

Publication Year: 2018

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Abstract: Health insurance is a primary driver of rising medical expenditures. I examine insurance's effect on risky sex, a behavior with quick, meaningful negative results. Leveraging mandated zero cost-sharing for contraception and pre-policy insured rates as a measure of treatment intensity, I find this 2012 policy reduced fertility but caused unintended consequences: decreased prevention and increased sexually transmitted infections. I discuss imperfections of controlling for pre-trends using state-trends in difference-indifferences and suggest approaches to control for pre-trends directly. I use the 2010 dependent coverage mandate to examine the overall effect of insurance and find protective net effects of insurance on STIs.

Url: https://bartonwillage.com/jmp

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Authors: Willage, Barton

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Data Collections: IPUMS USA

Topics: Fertility and Mortality, Health

Countries: United States