Professional Documents
Culture Documents
I am indebted to Charles Burchill and Oke Ekuma for programming assistance, to CIHR for financial support (MOP 77533),
and to MB Health and Healthy Living for data access. No official endorsement by MB Health and Healthy Living
is intended or implied.
An intervention study with
twists:
In particular:
Does population health improve?
WHO WOULD FUND THAT?!
MINCOME (1974 1978)
In 1974, the governments of Canada and
Manitoba implemented a large field
experiment to assess the impact of a
Guaranteed Income
120.0
100.0
80.0
Dauphin
60.0 Winnipeg
Non-Winnipeg
40.0
20.0
0.0
71
72
73
74
75
76
77
78
79
80
19
19
19
19
19
19
19
19
19
19
MCHP Information-Rich Environment:
Using Administrative Data
Family
Hospital
Services Education
Cost Provider
Vital
Statistics
OUR CHALLENGE
No direct measure
contacts with the healthcare system
Comparison
group
Dauphin
1974 1978
Lets look closer.
HOSPITAL SEPARATIONS:
accidents and injuries
rates
Dauphin
Comparison
group
1974 1978
HOSPITAL SEPARATIONS:
mental health diagnoses
rates
Dauphin
Comparison
group
1974 1978
Physician consults same
pattern, less clear
Why?
Small numbers
Universal health insurance in Manitoba (unlike US)
Rural area (poverty does not manifest as food
insecurity)
Fertility and Family Dissolution
Rates May be Confounded
Fertility did not increase.
No sig. diff.
CHILDREN MAY HAVE BEEN
MOST AFFECTED
Richardson family
1970s
Amy Richardson (83):
She ran the Dauphin Beauty Parlor from
her home
Her husband retired at 53 because of
health problems
6 children
Used the extra money for luxuries like
school books
It was to bring your income up to where it
should be. It was enough to add some
cream to the coffee. Everybody was the
same so there was no shame.
Hugh and Doreen Henderson
Hugh and Doreen Henderson