The Impact of Medical Education Reform on the Racial Health Status Gap, 1920–1930: A Difference-in-Differences Analysis

Abstract

The racial impact of a quantity–quality tradeoff in physician supply (implemented through medical education reform) made during an era of racial segregation is assessed. The reform produced differential impacts across race and region. The health status of northern blacks improved the most; that of southern blacks the least. Accordingly, the health status gap between northern whites and blacks diminished, but the gap between southern blacks and every other demographic group increased. The path of northern blacks suggests that access to and high quality of health care are both necessary to close the racial gap in health status that persists today.