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CHAPTER 1. BANKRUPTCY 60<br />

Table 1.9: Sensitivity Analysis of the Effect on Costs<br />

Nonhomestead<br />

IV Historical IV<br />

High/low<br />

utilization,<br />

basel<strong>in</strong>e IV<br />

High/low<br />

utilization,<br />

historical IV<br />

Hospital Homestead<br />

controls IV<br />

(1) (2) (3) (4) (5) (5)<br />

ln(w S ) 0.380 0.377 0.382 0.375<br />

(0.066) (0.038) (0.039) (0.039)<br />

ln(w S ) X 1(High utilization) 0.512 0.506<br />

(0.044) (0.046)<br />

ln(w S ) X 1(Low utilization) 0.360 0.372<br />

(0.038) (0.037)<br />

Demographic controls Yes Yes Yes Yes Yes Yes<br />

State hospital factors<br />

Nonprofit share -0.123<br />

(0.439)<br />

Forprofit share 0.913<br />

(0.694)<br />

DSH payments per 1,000 0.000<br />

(0.000)<br />

Charity care pool <strong>in</strong>dicator 0.009<br />

(0.214)<br />

FQHC per 100,000 0.043<br />

(0.043)<br />

Dependent variable: ln(out-of-pocket+1)<br />

Relative Risk Score polynomial (4th order) Yes Yes Yes Yes Yes Yes<br />

Instrument<br />

Basel<strong>in</strong>e <strong>in</strong>strument Yes Yes<br />

Homestead <strong>in</strong>strument Yes<br />

Non-homestead <strong>in</strong>strument Yes<br />

Historical <strong>in</strong>strument Yes Yes<br />

N 3,401 3,401 3,401 2,839 3,401 2,839<br />

Notes: Regressions of out-of-pocket payments on seizable assets <strong>in</strong> the sample of un<strong>in</strong>sured households with positive medical<br />

utilization. The basel<strong>in</strong>e <strong>in</strong>strument is mean log seizable assets by state for a constant, nationally representative sample of households<br />

as though they lived <strong>in</strong> each state. The homestead, non-homestead, <strong>and</strong> historical homestead <strong>in</strong>struments are constructed similarly<br />

us<strong>in</strong>g variation <strong>in</strong> seizable home equity, non-homestead seizable assets, <strong>and</strong> seizable home equity under <strong>in</strong>flation-adjusted 1920<br />

homestead exemption laws. Demographic controls are dummies for age group, family structure, race, <strong>and</strong> education. The Relative Risk<br />

Score is a measure of utilization based on medical diagnoses. All specifications <strong>in</strong>clude an <strong>in</strong>dicator for the bottom-cod<strong>in</strong>g of seizable<br />

assets. Robust st<strong>and</strong>ard errors clustered at the state level <strong>in</strong> parentheses. Pooled 2000 to 2005 MEPS <strong>in</strong>flation-adjusted to 2005 us<strong>in</strong>g<br />

the CPI-U.

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