We also find no effect on measures of physical health including pulse, obesity, or blood markers of chronic inflammation. While we had previously found that having insurance increases the diagnosis and use of medication for diabetes, we show here that it does not significantly increase the likelihood of diabetic patients receiving recommended care such as eye exams and regular blood sugar monitoring, nor does it improve the management of patients with asthma. This analysis complements several prior studies by introducing new data elements and by analyzing chronically ill subpopulations. Such causal connections are often difficult to establish, but we use Oregon’s 2008 Medicaid lottery to assess the management of diabetes and asthma, as well as several markers of physical health.

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