What the Group Threat Hypothesis Notes About States’ Medicaid Spending

Tyrone Cheng, Celia C. Lo

Research output: Contribution to journalArticleResearchpeer-review

Abstract

This secondary data analysis examined the relationship between state Medicaid spending in 2000–2014 and the perspective of the group threat hypothesis. The hypothesis posits that as any racial minority group grows in size, the increase is perceived by the racial majority group to threaten its dominant status. The employed data described states’ Medicaid spending, racial makeup, and poverty and unemployment rates and came from reports compiled by several federal agencies. It was processed first in 2 discrete date-based groups. Results with 2000–2009 data showed states’ per capita Medicaid spending to be associated negatively with their racial makeup. Specifically, states with proportionally larger Hispanic populations appeared to spend less on Medicaid versus states with fewer Hispanic residents, as did states with proportionally larger other non-African American minority populations (versus states with fewer such residents). Our findings with 2010–2014 data indicated no association between Hispanic population and states’ per capita Medicaid spending. Combining data from both periods, we observed no significant association between state Medicaid spending and each of the following: proportion of African Americans in state population, poverty rate, and unemployment rate. In general, state Medicaid spending increased gradually throughout the years studied. Policy implications are discussed.

Original languageEnglish
JournalJournal of Racial and Ethnic Health Disparities
DOIs
StatePublished - 1 Jan 2019

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Medicaid
threat
unemployment rate
Hispanic Americans
Group
minority
poverty
resident
Unemployment
Poverty
secondary analysis
Population
data analysis
Minority Groups
African Americans

Keywords

  • Group threat hypothesis
  • Medicaid
  • Racial disparities

Cite this

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abstract = "This secondary data analysis examined the relationship between state Medicaid spending in 2000–2014 and the perspective of the group threat hypothesis. The hypothesis posits that as any racial minority group grows in size, the increase is perceived by the racial majority group to threaten its dominant status. The employed data described states’ Medicaid spending, racial makeup, and poverty and unemployment rates and came from reports compiled by several federal agencies. It was processed first in 2 discrete date-based groups. Results with 2000–2009 data showed states’ per capita Medicaid spending to be associated negatively with their racial makeup. Specifically, states with proportionally larger Hispanic populations appeared to spend less on Medicaid versus states with fewer Hispanic residents, as did states with proportionally larger other non-African American minority populations (versus states with fewer such residents). Our findings with 2010–2014 data indicated no association between Hispanic population and states’ per capita Medicaid spending. Combining data from both periods, we observed no significant association between state Medicaid spending and each of the following: proportion of African Americans in state population, poverty rate, and unemployment rate. In general, state Medicaid spending increased gradually throughout the years studied. Policy implications are discussed.",
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What the Group Threat Hypothesis Notes About States’ Medicaid Spending. / Cheng, Tyrone; Lo, Celia C.

In: Journal of Racial and Ethnic Health Disparities, 01.01.2019.

Research output: Contribution to journalArticleResearchpeer-review

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