This paper leverages the expansion of the United States' Community Health Center program over the 21st century to investigate whether improved access to health care reduces disability insurance (DI) participation at the county level. I find that the introduction of a health center that specializes in mental health and substance abuse services is associated with a 0.09 to 0.40 percentage point reduction in working‐age DI enrollment in rural counties. A cost‐benefit analysis indicates that the money saved from reduced program participation can account for more than a third of the cost the federal government faces in funding well‐targeted health care access initiatives.

中文翻译：

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增加医疗保健机会是否会减少伤残保险案件？来自美国农村的证据

本文利用美国社区健康中心计划在 21 世纪的扩展来调查改善获得医疗保健的机会是否会减少县级残疾保险 (DI) 的参与。我发现引入专门从事心理健康和药物滥用服务的健康中心与农村县的工作年龄 DI 入学率降低了 0.09 到 0.40 个百分点有关。一项成本效益分析表明，减少计划参与所节省的资金可以占联邦政府在资助有针对性的医疗保健计划方面所面临成本的三分之一以上。