With the growing call for private sector actors to address global challenges, it is necessary to first assess whether regions with the greatest needs are accessing corporate philanthropy. In this paper, we ask whether corporate philanthropy is reaching those with the greatest health-care needs. Drawing on economic geography and corporate homophily, we argue that corporate philanthropy tends to exacerbate health inequality as grants are destined for counties with fewer health problems. We test and find support for this hypothesis using data on health grants made by US corporate foundations and county-level health data. Our results that corporate health grants are less likely to go to counties which have a lower proportion of medical service providers and insured citizens suggest that corporate foundations are unwittingly complicit in worsening the resource gap between small, poor, rural counties and large, wealthy, urban counties. From an ethical perspective, we provide some guidance as to how this may be corrected.

随着越来越多的人呼吁私营部门参与者应对全球挑战，有必要首先评估最需要的地区是否正在获得企业慈善事业。在本文中，我们询问企业慈善事业是否正在惠及那些最有医疗保健需求的人。根据经济地理和企业同质性，我们认为企业慈善事业往往会加剧健康不平等，因为赠款的目的地是健康问题较少的县。我们使用美国企业基金会提供的健康补助数据和县级健康数据来测试并找到对这一假设的支持。我们的研究结果表明，企业医疗补助不太可能流向医疗服务提供者和参保公民比例较低的县，这表明企业基金会无意中串通一气，加剧了贫困农村小县与富裕城市大县之间的资源差距。县。从道德角度来看，我们提供了一些关于如何纠正这一问题的指导。