Abstract
The purpose of this paper is to shed light on the causes of the rapid decline in the infant mortality rate in the United States in the period after 1963. The roles of four public policies are considered: Medicaid, subsidized family planning services for low-income women, maternal and infant care projects, and the legalization of abortion. The most striking finding is that the increase in the legal abortion rate is the single most important factor in reductions in both white and nonwhite neonatal mortality rates. Not only does the growth in abortion dominate the other public policies, but it also dominates schooling and poverty.
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References
Bauman, K. E., & Anderson, A. E. (
1980
). Legal Abortions and Trends in Fetal and Infant Mortality Rates in the United States
. American Journal of Obstetrics and Gynecology
, 136
, 194
–202
.Becker, G. S., & Lewis, H. G. (
1973
). On the Interaction between the Quantity and Quality of Children
. Journal of Political Economy
, 81
, S279
–S288
. 10.1086/260166Ben-Porath, Yoram. 1973. On Child Traits and the Choice of Family Size. The Maurice Falk Institute for Economic Research in Israel, Discussion Paper 731.
Ben-Porath, Y., & Welch, F. (
1976
). Do Sex Preferences Really Matter?
. The Quarterly Journal of Economics
, 90
, 284
–307
. 10.2307/1884631Brooks, C. H. (
1978
). Infant Mortality in SMSAs Before Medicaid: Test of a Causal Model
. Health Services Research
, 13
, 3
–15
.Bureau of Community Health Services. n.d. Maternity and Infant Care Projects—Statistical Summary—Fiscal Years 1969–1976. U.S. Department of Health, Education and Welfare, Public Health Service.
Center for Disease Control. 1971, 1972,1974. Family Planning Evaluation: Abortion Surveillance Report, 1970-1972. U.S. Department of Health, Education and Welfare, Public Health Service.
Need for Subsidized Family Planning Services: United States, Each State and County, 1971
. (1974
). New York
: Planned Parenthood—World Population
.Cutright, Phillips, & Jaffe, Frederick S. (
1977
). Impact of Family Planning Programs on Fertility: The U.S. Experience
. New York
: Praeger
.Davis, Karen, & Reynolds, Roger (
1976
). The Impact of Medicare and Medicaid on Access to Medical Care
. In Rosett, R. (Ed.), The Role of Health Insurance in the Health Services Sector
. New York
: Neale Watson Academic Publications
.Davis, Karen, & Schoen, Cathy (
1978
). Health and the War on Poverty
. Washington, D.C.
: The Brookings Institution
.Dryfoos, J. G. (
1976
). The United States National Family Planning Program, 1968–74
. Studies in Family Planning
, 7
, 80
–92
. 10.2307/1965039Eisner, V., Pratt, M. W., Hexter, A., Chabot, M. J., & Naresh, S. (
1978
). Improvement in Infant and Perinatal Mortality in the United States, 1965–1973
. American Journal of Public Health
, 68
, 359
–364
. 10.2105/AJPH.68.4.359Fuchs, Victor R. (
1974
). Some Economic Aspects of Mortality in Developed Countries
. In Perlman, M. (Ed.), The Economics of Health and Medical Care
. London
: MacMillan
.Gortmaker, S. L. (
1979
). Poverty and Infant Mortality in the United States
. American Sociological Review
, 44
, 280
–297
. 10.2307/2094510Lee, K., Paneth, N., Gartner, L. M., Pearlman, M., & Gruss, L. (
1980
). Neonatal Mortality: An Analysis of the Recent Improvement in the United States
. American Journal of Public Health
, 70
, 15
–21
. 10.2105/AJPH.70.1.15Lewit, Eugene M. 1977.Experience with Pregnancy, the Demand for Prenatal Care, and the Production of Surviving Infants. Ph.D. dissertation, City University of New York Graduate School.
Ryder, N. B. (
1972
). Time Series of Pill and IUD Use: United States, 1961–1970
. Studies in Family Planning
, 3
, 233
–240
. 10.2307/1964704Taffel, Selma. 1978. Prenatal Care in the United States, 1969–1975. U.S. Department of Health, Education, and Welfare, Public Health Service, National Center for Health Statistics, Vital and Health Statistics, Series 21, No. 33.
Trussell, J., Menken, J., Lindheim, B. L., & Vaughan, B. (
1980
). The Impact of Restricting Medicaid Financing for Abortion
. Family Planning Perspectives
, 12
, 120
–130
. 10.2307/2134565Statistical Abstract of the United States, 1979
. (1980
). Washington, D.C.
: U.S. Government Printing Office
.Williams, Anne D. 1976. Fertility and Reproductive Loss. Ph.D. dissertation, University of Chicago.
Williams, Ronald L. 1974. Outcome-Based Measurements of Medical Care Output: The Case of Maternal and Infant Health. Ph.D. dissertation, University of California at Santa Barbara.
Willis, R. (
1973
). A New Approach to the Economic Theory of Fertility Behavior
. Journal of Political Economy
, 81
, S14
–S64
. 10.1086/260152© Population Association of America 1981
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