TY - RPRT AU - Anderson, D. Mark AU - Charles, Kerwin Kofi AU - Rees, Daniel I. TI - The Federal Effort to Desegregate Southern Hospitals and the Black-White Infant Mortality Gap PY - 2020/Dec/ PB - Institute of Labor Economics (IZA) CY - Bonn T2 - IZA Discussion Paper IS - 13920 UR - https://www.iza.org/publications/dp13920 AB - In 1966, Southern hospitals were barred from participating in Medicare unless they discontinued their long-standing practice of racial segregation. Using data from five Deep South states and exploiting county-level variation in Medicare certification dates, we find that gaining access to an ostensibly integrated hospital had no effect on the Black-White infant mortality gap, although it may have discouraged small numbers of Black mothers from giving birth at home attended by a midwife. These results are consistent with descriptions of the federal hospital desegregation campaign as producing only cosmetic changes and illustrate the limits of anti-discrimination policies imposed upon reluctant actors. KW - hospital desegregation KW - black infant mortality KW - Medicare KW - civil rights ER -