with Samantha Gold and Y. Tony Yang
JAMA Pediatrics, 180(1): 56–63, January 2026
Media:The ConversationVermont Public
Abstract
Childhood vaccination rates have declined in many US states, contributing to outbreaks of vaccine-preventable diseases. We evaluated the association between state repeal of nonmedical vaccine exemptions and kindergarten vaccination rates. We used annual state-level kindergarten vaccination and exemption data from the Centers for Disease Control and Prevention for school years 2011 through 2023. A staggered difference-in-differences design compared states that repealed nonmedical exemptions with states that maintained such policies. Total state repeal of nonmedical exemptions was associated with increased vaccination rates of 2 to 4 percentage points compared with nonrepeal states, a statistically significant difference. Partial repeal of nonmedical exemptions resulted in smaller, less persistent increases. These findings suggest that nonmedical exemption repeal played a role in maintaining vaccination coverage in repeal states during a period of heightened vaccine hesitancy.
with Eric Chyn, Justine Hastings, and Margarita Machelett
Journal of Political Economy, 130(7): 1919–1962, July 2022
NBER working paper
Abstract
This paper measures impacts of removing children from families investigated for abuse or neglect. We use removal tendencies of child protection investigators as an instrument. We focus on young children investigated before age 6 and find that removal significantly increases test scores and reduces grade repetition for girls. There are no detectable impacts for boys. This pattern of results does not appear to be driven by heterogeneity in pre-removal characteristics, foster placements, or the type of schools attended after removal. The results are consistent with the hypothesis that development of abused and neglected girls is more responsive to home removal.
with Joseph Doyle, Max Gross, and Brian Jacob
Journal of Economic Perspectives, 36(2): 223–246, Spring 2022
NBER working paperOnline appendix
Abstract
Foster care provides substitute living arrangements to protect maltreated children. The practice is remarkably common: it is estimated that 5 percent of children in the United States are placed in foster care at some point during childhood. These children exhibit poor outcomes as children and adults, and economists have begun to estimate the causal relationship between foster care and life outcomes. This paper provides background on the latest trends in foster care policy and practice to highlight areas most in need of rigorous evidence. These trends include efforts to prevent foster care on the demand side and to improve foster home recruitment on the supply side. With increasing data availability and a growing interest in evidence-based practices, there are a range of opportunities for economic research to inform policies that protect vulnerable children.