Date Thesis Awarded


Access Type

Honors Thesis -- Open Access

Degree Name

Bachelors of Arts (BA)




Tate Twinam

Committee Members

Nathaniel Throckmorton

Elyas Bakhtiari


Healthcare costs in the U.S. have risen over recent decades, and this issue was a focal point of the last several national election cycles. I investigate the relationship between out-of-pocket healthcare costs and incidences of catastrophic and impoverishing healthcare expenditure. I also explore whether other important factors, such as demographic, personal health, and those related to the healthcare system change the likelihood of such healthcare expenditures. Lastly, I use a difference in means method and logistic regressions to analyze the probability of incurring undesirable healthcare expenses and the impacts of relevant factors for certain subsections of the U.S. population. I confirm previous findings on the effects of healthcare system utilization, health status, and socioeconomic status. Additionally, I find evidence that Africans Americans, women, the disabled, and those with chronic health conditions are disproportionately susceptible to catastrophic and impoverishing healthcare expenditures.