Cash Welfare and Health Spending

<h3>Abstract</h3> I explore the interplay between cash welfare and health-related outcomes using Canadian administrative data. Healthcare use rises sharply before a welfare application, especially for plausibly work-limiting diagnoses, then partially normalizes within three years. Using application adjudicators’ decisions as "judge IVs", I estimate that welfare receipt has limited effects on subsequent health-related outcomes. Because Canadian healthcare is free and universal, these findings are unrelated to health insurance. An exception is pharmaceuticals, which are free for welfare recipients but not for non-recipients — consistent with this, welfare receipt strongly increases pharmaceutical use, implying that incomplete insurance limits medication among those excluded from welfare.

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Publication Details

Journal
The Journal of Human Resources
Published
2026-03-11
DOI
https://doi.org/10.3368/jhr.0623-12964r2
Primary Topic
Global Health Care Issues
Type
article
Field-Weighted Citation Impact
0.00
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article

Cash Welfare and Health Spending

Jeffrey Hicks
The Journal of Human Resources
Global Health Care Issues
article

Cash Welfare and Health Spending

Jeffrey Hicks
article en

Abstract

<h3>Abstract</h3> I explore the interplay between cash welfare and health-related outcomes using Canadian administrative data. Healthcare use rises sharply before a welfare application, especially for plausibly work-limiting diagnoses, then partially normalizes within three years. Using application adjudicators’ decisions as "judge IVs", I estimate that welfare receipt has limited effects on subsequent health-related outcomes. Because Canadian healthcare is free and universal, these findings are unrelated to health insurance. An exception is pharmaceuticals, which are free for welfare recipients but not for non-recipients — consistent with this, welfare receipt strongly increases pharmaceutical use, implying that incomplete insurance limits medication among those excluded from welfare.

The Journal of Human Resources
Rothman Institute (US)
Decent work and economic growth
Openalex Percentile: Top 28%
Global Health Care Issues
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