Do Pandemics Change Healthcare? Evidence from the Great Influenza / Rui Esteves, Kris James Mitchener, Peter Nencka, Melissa A. Thomasson.

Format:

Book

Author/Creator:

Esteves, Rui.

Contributor:

National Bureau of Economic Research.

Mitchener, Kris James.

Nencka, Peter.

Thomasson, Melissa A.

Series:

Working Paper Series (National Bureau of Economic Research) no. w30643.

NBER working paper series no. w30643

Language:

English

Physical Description:

1 online resource: illustrations (black and white);

Place of Publication:

Cambridge, Mass. National Bureau of Economic Research 2022.

Summary:

Using newly digitized U.S. city-level data on hospitals, we explore how pandemics alter preferences for healthcare. We find that cities with higher levels of mortality during the Great Influenza of 1918-1919 subsequently expanded hospital capacity by more than cities experiencing less influenza mortality: cities in the top half of the mortality distribution increased their count of hospitals by 8-10 percent in the years after the pandemic. This effect persisted to 1960 and was driven by increases in non-governmental hospitals. Growth responded most in richer cities, exacerbating existing inequalities in access to healthcare. We do not find evidence that government-run hospitals or other types of city-level spending related to healthcare responded to pandemic intensity, suggesting that large health shocks do not necessarily lead to increased public provision of health services.

Notes:

Print version record

November 2022.