The Unintended Consequence of Stringent Immigration Enforcement on Staffing in Nursing Homes: Evidence from Secure Communities. A new GLO Discussion Paper by GLO Fellow Christian Gunadi.

A new GLO Discussion Paper finds that the Secure Communities program reduced direct-care staff hours and hence exacerbates the healthcare worker shortage in the United States. 

GLO Discussion Paper No. 1286, 2023

The Unintended Consequence of Stringent Immigration Enforcement on Staffing in Nursing Homes: Evidence from Secure Communities – Download PDF
by Gunadi, Christian

GLO Fellow Christian Gunadi

Author Abstract: The provision of healthcare in the United States is increasingly more reliant on immigrant workers. In this paper, I examine the impact of Secure Communities, a major immigration enforcement program that was designed to check the immigration status of all individuals arrested by local police, on staffing in nursing homes. Using difference-in-differences strategy that exploits staggered activation of Secure Communities across U.S counties, I found that the program reduced direct-care staff hours per resident day by 0.082, an approximately 2.2% decline relative to the mean of treatment counties in the baseline period. This finding suggests that stringent immigration enforcement may exacerbate the healthcare worker shortage in the United States.

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Journal of Population Economics (JOPE)
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Vol. 36, Issue 3, July 2023: 26 articles on: Aspirations and preferences; Environment, Weather, Climate; Family; Fertility; Historical demography; Ageing, pensions, social security; Migration
https://link.springer.com/journal/148/volumes-and-issues/36-3

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