Social Determinants of Health and Wealth
Saturday, Jan. 5, 2019 10:15 AM - 12:15 PM
- Chair: Michelle Holder, City University of New York-John Jay College
Quality Public Transportation Can Improve Access to Care
AbstractLittle is known about the association between quality of public transportation systems and access to healthcare. This is a more pertinent issue for Medicaid and low-income populations that live in urban areas and are reliant on public transportation system. This study explores whether adults covered by Medicaid, and adults who are poor/near poor who reside in urban communities report better access to care. We use access to care data from the 2010 Medical Expenditures Panel Survey (MEPS) and public transportation quality data from The Center for Neighborhood Technology (CNT) for 2011. Our samples include adult Medicaid beneficiaries and adults below 125% FPL. We estimate logistic, multinomial logit and ordered logit models to determine the association between public transportation quality and access to care for Medicaid and poor and near poor adults. We control for age, gender, race/ethnicity, educational attainment, health status, region, and racial composition and poverty level of the census tract. We found that in areas with better connectivity adult Medicaid beneficiaries were less likely to report unmet needs, delays in obtaining care and difficulty getting to their usual source of care. We also found that public transportation coverage was associated with better access to care. To our knowledge, this is the first national study to show that quality public transportation lowers barrier to care for Medicaid beneficiaries. State and local policymakers should be cognizant of the potential synergies between their public transportation systems and their Medicaid program. Future research should explore the relationship between access to care and other attributes of public transportation quality, i.e., price and safety.
Intersection of Race Incarceration and Wealth
AbstractWe will be presenting descriptive statistics regarding the wealth position of individuals in Baltimore by race and incarceration status, along with elements of asset building related to incarceration status.
Affordable Housing in Westchester County
AbstractAs municipalities across the United States struggle to provide affordable housing for its citizens, they face a myriad of ethical, legal, legislative, economic and social issues. This paper first traces the ethical and moral reasons for municipalities providing affordable housing; next, it synthesizes the major legal and national legislation pieces related to affordable housing and exclusionary practices and finally investigates inclusionary land practices in Westchester County, NY. Many practices have been implicated to deter African Americans, Hispanic and “non-whites” to own homes in predominately white suburbs: zoning laws, lot size, public transportation as well as other impediments. Another impediment that has not been addressed adequately in the literature is the financial decision-making process of local government. After reviewing the operating budgets of villages and towns in Westchester County, I find that towns sited by the Anti-Discriminatory Center in 2006 as being discriminatory, generally tilted their operating budgets toward projects such as libraries, playgrounds, arts centers and cultural events; whereas, villages that were primarily African American or Hispanic dominated, tended toward operating projects such as sewer systems, sanitation and the like. From this, I make the distinction between say: enriching / nourishing / amenity public goods and functional / basic public goods.
- J1 - Demographic Economics
- I1 - Health