2026/01/24 by Ruby Steedle, Robert Pickett, Tasce Bongiovanni +5 · 1 voice
Health Professions · Economics, Econometrics and Finance · #Food Security and Health in Diverse Populations #Homelessness and Social Issues #Healthcare Policy and Management
paper · doi:10.1093/aje/kwag007
openalex publication_date 2026/01/24 · openalex created_date 2026/01/30 · openalex updated_date 2026/07/02
Direct cash transfers are an increasingly common tool to alleviate poverty, but critics argue that recipients will use this cash in irresponsible and potentially dangerous ways. To investigate the impact of cash payments on traumatic injury and death, we turn to Alaska's long-standing statewide cash transfer, the Permanent Fund Dividend. Nearly every Alaskan receives a substantial amount of money (average 1500 per person) on a single day in the fall of each year. Using interrupted time series analyses paired with 2009-2019 data on all traumatic injuries (n = 36 556) seen at Alaska hospitals from the state's trauma registry and all deaths (n = 43 170) from vital records, we examine whether the payment causes an increase in traumatic injury and mortality in the days following disbursement. Despite commonly held fears, we find no such increases in our data across multiple specifications. These results provide no evidence to suggest that direct cash payments increase the risk of injury or death.