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The Economic Impact of Disability in the United States, 1997

Total and Incremental Estimates

Department of Medicine and Institute for Health Policy Studies, University of California, San Francisco, yelin2{at}itsa.ucsf.edu

Miriam Cisternas

MGC Data Services, Carlsbad, California

Laura Trupin

Department of Medicine and Institute for Health Policy Studies, University of California, San Francisco

The purpose of this study was to estimate the increment in medical care expenditures and wage losses associated with disability in the adult population after taking into account other characteristics of adults with disabilities. The authors used the 1997 Medical Expenditures Panel Survey Household Component (MEPS), a national probability sample of the noninstitutionalized population, to tabulate all medical care expenditures of the adult MEPS respondents, stratified by disability status. They then used regression techniques to estimate the increment of health care expenditures attributable to disability. They used the same methods to estimate the magnitude of the earnings losses sustained by persons with disabilities. Adults with disabilities incurred mean total medical care expenditures of $8,035, for a total of $182.6 billion. The mean increment in medical care expenditures specifically attributable to disability among those 18 and older was $2,953, for a total of about $65.9 billion. Persons with disabilities ages 18 through 64 earned $10,191 less, on average, than other persons these ages, for a total of $115.3 billion. The average increment in earnings losses attributable to disability was $13,160, for a total of $148.9 billion. A large proportion of the total medical care expenditures of adults with disabilities would occur in the absence of the disability, but persons with disability actually earned more than would be expected on the basis of their other characteristics.

Journal of Disability Policy Studies, Vol. 17, No. 3, 137-147 (2006)
DOI: 10.1177/10442073060170030201


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