Accession Number : ADA441497


Title :   The Spillover Effects of Military Communities on the Need for Health Care Safety-Net Services


Descriptive Note : Working paper


Corporate Author : RAND CORP SANTA MONICA CA


Personal Author(s) : Gifford, Brian


Full Text : http://www.dtic.mil/get-tr-doc/pdf?AD=ADA441497


Report Date : SEP 2005


Pagination or Media Count : 44


Abstract : This paper argues that large communities of military dependents and retirees combined with their exclusive access to free or low-cost Department of Defense health care and insurance alter local socioeconomic and labor market characteristics in ways that contribute to the need for health care safety-net services. Multivariate regression analyses indicate that areas with relatively large military communities have higher civilian medical uninsurance rates and lower rates of employer-offered health benefits, both of which contribute to pressures on providers of care to needy populations. Uninsurance rates grew more slowly in areas with relative declines in military populations, net of overall population change, but the presence or closure of military medical facilities was not a significant predictor of uninsurance rates or employer-offered benefits. These findings suggest that some of the larger systemic disadvantages of high uninsurance rates in some areas are attributable to political and strategic decisions about where military personnel serve and how they are compensated with health care benefits.


Descriptors :   *MILITARY PERSONNEL , *COMMUNITIES , *MEDICAL SERVICES , *HEALTH CARE MANAGEMENT , *INSURANCE , ECONOMIC IMPACT , LOW COSTS , LOW RATE , SOCIOMETRICS , LIVING STANDARDS , SOCIAL WELFARE , INCOME , MULTIVARIATE ANALYSIS , FAMILY MEMBERS , REGRESSION ANALYSIS , CIVILIAN POPULATION , LABOR MARKETS


Subject Categories : ECONOMICS AND COST ANALYSIS
      SOCIOLOGY AND LAW
      MILITARY FORCES AND ORGANIZATIONS
      MEDICINE AND MEDICAL RESEARCH


Distribution Statement : APPROVED FOR PUBLIC RELEASE