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May 18, 2025
Saved by Medicaid: New Evidence on Health Insurance and Mortality from the Universe of Low-Income Adults
Abstract We examine the causal effect of health insurance on mortality using the universe of low-income adults, a dataset of 37 million individuals identified by linking the 2010 Census to administrative tax data. Our methodology leverages state-level variation in the timing and adoption of Medicaid expansions under the Affordable Care Act (ACA) and earlier waivers…
April 19, 2025
Asylum Seekers and the Rise in Homelessness
Abstract Data from the Department of Housing and Urban Development (HUD) indicate an unprecedented 43 percent increase in the number of people residing in homeless shelters in the United States between 2022 and 2024, reversing the gradual decline over the preceding sixteen years. Three-quarters of this rise was concentrated in four localities – New York…
February 14, 2025
Poverty During the Pandemic and the Role of Government Transfers
The COVID-19 pandemic prompted unprecedented policy interventions in the US that provided nearly $3 trillion to support struggling families. This column examines the short-term effects of these interventions on child poverty and finds quite different trends for income poverty and consumption poverty. While disposable income poverty declined dramatically in 2021, consumption poverty fell more gradually,…
October 22, 2024
Poverty, Hardship, and Government Transfers
Abstract We examine how the well-being of those with few resources changed, amidst economic disruption and large, transitory government transfers. We find that in the years leading up to the pandemic and in 2020, the patterns for income and consumption poverty were very similar. In 2021 and 2022, however, changes in income and consumption poverty…
May 24, 2024
The First National Calculation of Mortality of the US Homeless Population
It is well established that those with lower incomes tend to have worse health outcomes. But whether this relationship extends to the most disadvantaged in society – people experiencing homelessness – has rarely been examined. This column explores the relationship between homelessness and health outcomes in the US. It finds that after accounting for demographic…
April 17, 2024
Homelessness and the Persistence of Deprivation: Income, Employment, and Safety Net Participation
Abstract Homelessness is arguably the most extreme hardship associated with poverty in the United States, yet people experiencing homelessness are excluded from official poverty statistics and much of the extreme poverty literature. This paper provides the most detailed and accurate portrait to date of the level and persistence of material disadvantage faced by this population,…
December 19, 2023
How to Better Measure Poverty
October 17, 2023
Understanding Poverty Measurement
COSM scholars and AEI affiliates include some of the nation’s foremost experts on poverty measurement. On October 17, COSM gathered several of these scholars to provide a primer on opportunity in the United States. Angela Rachidi began by exploring the meaning of poverty, outlining the most fundamental decisions in measuring it and describing how different…
February 1, 2023
The Change in Poverty from 1995 to 2016 Among Single‐Parent Families
Whether poverty has risen or fallen over time is a key barometer of societal progress. Between 1970 and 2020, the official poverty rate in the United States fell by just 1.2 percentage points (9.5 percent), suggesting limited economic gains for the disadvantaged despite large investments in anti‐poverty programs. In contrast, several recent studies have found much…
July 2, 2021
Addressing the Shortcomings of the Supplemental Poverty Measure
Key Points Read the PDF. Executive Summary The US Census Bureau publishes the Supplemental Poverty Measure (SPM) each year to provide important information on low-income Americans’ well-being. In early 2021, a National Academies of Sciences, Engineering, and Medicine (NASEM) panel formed to evaluate and recommend improvements to the SPM. To inform the NASEM panel and…