Abstract: | In this article, we examine the cumulative impact of state environmentalprotection policies and environmental quality on the healthof state residents in the United States. Using a series of pathanalytic models, we simultaneously analyze the effect of stateenvironmental policies on environmental pollution and healthoutcomes. Our results indicate that states with stronger environmentalprograms have lower levels of pollution and better public health.These results are robust across multiple measures and alternativemodel specifications. We also find some evidence that statesthat assume authority to implement federal environmental programshave worse health outcomes. Our findings suggest that overalllevels of public health may be affected by state choices withrespect to environmental policies and highlight the importanceof assessing programmatic consequences across policy areas. |