How did federal aid to states and localities affect testing and vaccine delivery?

A-Tier
Journal: Journal of Public Economics
Year: 2023
Volume: 225
Issue: C

Authors (4)

Clemens, Jeffrey (not in RePEc) Hoxie, Philip (not in RePEc) Kearns, John (not in RePEc) Veuger, Stan (American Enterprise Institute)

Score contribution per author:

1.005 = (α=2.01 / 4 authors) × 2.0x A-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

We estimate whether large allocations of federal aid for state and local governments played a role in advancing population testing for COVID-19 and the administration of vaccines. To overcome biases that can result from the endogeneity of federal aid allocations, we use an instrumental-variables estimator reliant on the substantial variation in federal aid predicted by variation in states’ congressional representation. We find that federal fiscal assistance dollars had a modest if any impact on the pace of vaccine rollouts, may have improved the equitability of vaccine administration, and had a substantial impact on the volume of tests administered. We observe that the difference in our findings for testing relative to vaccination suggests that surplus funds were more effective at increasing demand for services that exhibit relatively elastic demand, which is socially desirable when those services are associated with substantial public health externalities.

Technical Details

RePEc Handle
repec:eee:pubeco:v:225:y:2023:i:c:s0047272723001548
Journal Field
Public
Author Count
4
Added to Database
2026-01-25