In the 1990s and early 2000s, a number of states passed laws requiring mental health benefits to be included in health insurance coverage. The variation in the characteristics and enactment date of the laws provides an opportunity to measure the impact of increasing access to mental health care on mental health outcomes, as evidenced by state suicide rates. In contrast with previous research, results show that when states enact laws requiring insurance coverage to include mental health benefits at parity with physical health benefits, the suicide rate decreases significantly by 5%. The findings are robust to a number of specifications and falsification tests.
We provide evidence that average mental, physical, and general health worsens for employed workers in local U.S. labor markets exposed to greater import competition from China. The effects are greatest for mental health. Moving a region from the 25th to 75th percentiles of import exposure corresponds to a 7.8% increase in the morbidity of poor mental health, adding about 3 days of poor mental health per year for the average adult. Concurrently, the ability to afford health care decreases. Our results complement documented consequences of import competition on labor markets and temporary business cycle shocks on health outcomes.
A popular proxy for gun ownership is the fraction of suicides from firearms. This has made identifying the causal effect of guns on suicide difficult. In this article, firearm background checks are used as a proxy for changes in gun ownership rates, allowing the effect of guns on suicide to be identified. The results from panel data regressions show that increases in firearm background checks rates are associated with increases in firearm suicide rates. Overall suicide is positively, but insignificantly, related to background checks. To alleviate endogeneity that comes from suicidal individuals purchasing a gun to commit suicide, youth suicide is analysed and yields similar, but noisier results.
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