Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/271659 
Year of Publication: 
2023
Series/Report no.: 
GLO Discussion Paper No. 1286
Publisher: 
Global Labor Organization (GLO), Essen
Abstract: 
The provision of healthcare in the United States is increasingly more reliant on immigrant workers. In this paper, I examine the impact of Secure Communities, a major immigration enforcement program that was designed to check the immigration status of all individuals arrested by local police, on staffing in nursing homes. Using difference-in-differences strategy that exploits staggered activation of Secure Communities across U.S counties, I found that the program reduced direct-care staff hours per resident day by 0.082, an approximately 2.2% decline relative to the mean of treatment counties in the baseline period. This finding suggests that stringent immigration enforcement may exacerbate the healthcare worker shortage in the United States.
Subjects: 
Staffing
Nursing Homes
Secure Communities
Immigration
JEL: 
K37
J61
I11
J2
J15
Document Type: 
Working Paper

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