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
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)
JOPE has CiteScore 9.2 (2022, LINK) & Impact Factor 6.1 (2022)
Vol. 36, Issue 3, July 2023: 26 articles on: Aspirations and preferences; Environment, Weather, Climate; Family; Fertility; Historical demography; Ageing, pensions, social security; Migration
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