Featured Research
This page features research conducted by RAND Health research staff that has been published in a scholarly journal.Immigrants and the Cost of Medical Care
Goldman DP, Smith JP, Sood N. Health Affairs, Vol. 25, No. 6, Nov/Dec 2006, pp. 1700-1712.
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Abstract
Foreign-born adults in Los Angeles County, California, constituted 45 percent of the county's population ages 18-64 but accounted for 33 percent of health spending in 2000. Similarly, the undocumented constituted 12 percent of the nonelderly adult population but accounted for only 6 percent of spending. Extrapolating to the nation, total spending by the undocumented is $6.4 billion, of which only 17 percent ($1.1 billion) is paid for by public sources. The foreign-born (especially the undocumented) use disproportionately fewer medical services and contribute less to health care costs in relation to their population share, likely because of their better relative health and lack of health insurance.
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