2020
DOI: 10.1002/hec.4133
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Medicaid expansion and non‐alcoholic beverage choices by low‐income households

Abstract: This article investigates the impact of the 2010 Patient Protection and Affordable Care Act (ACA) on the healthfulness of non-alcoholic beverage (NAB) choices of low-income households. A theoretical analysis proposes an income effect that increases unhealthy beverage purchases after Medicaid expansion and a nutrition education effect that decreases them. To empirically test these effects, we utilize household-level data for NAB purchases in 52 U.-S. metropolitan areas. Our identification strategy is based on e… Show more

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Cited by 5 publications
(10 citation statements)
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References 26 publications
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“…Cotti et al used the Nielsen Consumer Panel and found that ACA Medicaid expansion was not associated with ex-ante moral hazard in alcohol consumption ( Cotti et al, 2019 ). Similar null findings were found in other studies evaluating the effects of ACA Medicaid expansion ( Courtemanche et al, 2018 , He et al, 2020 , Simon et al, 2017 ).…”
Section: Discussionsupporting
confidence: 90%
“…Cotti et al used the Nielsen Consumer Panel and found that ACA Medicaid expansion was not associated with ex-ante moral hazard in alcohol consumption ( Cotti et al, 2019 ). Similar null findings were found in other studies evaluating the effects of ACA Medicaid expansion ( Courtemanche et al, 2018 , He et al, 2020 , Simon et al, 2017 ).…”
Section: Discussionsupporting
confidence: 90%
“…Research has now begun to explore if expanding access to free or low-cost health care could also improve health behaviors such as food choices and diet. Early results are promising: following the adoption of the 2010 Patient Protection and Affordable Care Act, which provided free healthcare to 15 million people by offering states the option to expand Medicaid, carbonated soft drink purchases declined in states that chose to expand Medicaid versus those that did not (Cotti et al, 2019;He et al, 2020).…”
Section: Improved Access To Healthcare and Preventive Servicesmentioning
confidence: 99%
“…In the affective sphere, a brand known to the consumer creates in him a feeling of liking and familiarity, which means that when thinking about this brand the probability that it is chosen among different alternatives increases. It is also known that in decisions with little involvement, only knowledge of the brand is established as the sole criterion and decision-maker of purchasing behavior (He et al, 2020). Another notable aspect of the study is the fact that notoriety creates a certain resistance to experimentation with new products by consumers, since the consumer who knows a brand among the alternatives, tends to be more reluctant to try new brands than those they do not know any.…”
Section: Business Management and Strategymentioning
confidence: 99%