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1For a complete evaluation of racial inequalities in US medical care, see Institute of Medicine We carry out several checks to bolster a causal interpretation for our outcomes First, we take a look at the robustness of our estimates by incorporating migration networks as an alternative measure of proximity and demonstrating similarly signed and statistically significant estimates Second, we use placebo areas to indicate that the principle results are specific to gradients of proximity to Macon County, Alabama Third, we use placebo populations to show that the principle results for both utilization measures and mortality charges aren t observed after we estimate the baseline equations on younger inhabitants samples We discuss the findings of the primary robustness checks below, and the remainder are described in the Appendix.

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