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Journal Article
Where There's Smoke...: The Wage Impact of Smoking
Darden, Michael; Hotchkiss, Julie L.; Pitts, M. Melinda; Clampitt, Steph (2020-10-08)
Cigarette smokers earn significantly less than nonsmokers, but the magnitude of the smoking wage gap and the pathways by which it originates are unclear. While most research focuses on contemporaneous reasons for the wage differential, the research described in this Policy Hub article finds that decisions made early in life—about education, labor force participation, and occupation—contribute significantly to the wage penalty smokers face later, especially for men. Women are found to be judged more harshly by their current employers for their smoking behavior, and since quitting smoking ...
Policy Hub , Volume 2020 , Issue 11 , Pages 8

Working Paper
Did the Affordable Care Act Affect Access to Medications for Opioid Use Disorder among the Already Insured? Evidence from the Rhode Island All-payer Claims Database
Burke, Mary A.; Carman, Katherine Grace; Sullivan, Riley; Wen, Hefei; Wharam, James Frank; Yu, Hao (2021-10-01)
Previous research suggests that state Medicaid expansions implemented under the Patient Protection and Affordable Care Act (ACA) helped large numbers of patients suffering from opioid use disorder (OUD) gain access to life-saving medications, including buprenorphine. However, Medicaid expansions could have impeded access to care among individuals already enrolled in Medicaid, as new enrollees would have placed added demands on a limited supply of buprenorphine providers. Using a panel data set of medical claims from Rhode Island, we estimate the causal effects of the state’s January 2014 ...
Working Papers , Paper 21-17

Working Paper
Early Life Environment and Racial Inequality in Education and Earnings in the United States
Guryan, Jonathan; Chay, Kenneth Y.; Mazumder, Bhashkar (2014-11-13)
Working Paper Series , Paper WP-2014-28

Working Paper
Does Unconditional Cash during Pregnancy Affect Infant Health?
Ruffini, Krista (2023-05-18)
This paper examines how cash transfers that are not conditional on employment affect infant health. Leveraging variation in the amount of pandemic-era stimulus and child tax credit payments that families received based on household composition, I find that an additional $100 in transfers reduces the prevalence of low birthweight by 2-3 percent. Effects are larger for payments received later in pregnancy, but are of a similar magnitude across the population. These additional resources increased prenatal care and improved maternal health in ways that are consistent with families both increasing ...
Opportunity and Inclusive Growth Institute Working Papers , Paper 072

Working Paper
The Dynamics of the Smoking Wage Penalty
Darden, Michael; Pitts, M. Melinda; Hotchkiss, Julie L. (2020-07-28)
Cigarette smokers earn significantly less than nonsmokers, but the magnitude of the smoking wage gap and the pathways by which it originates are unclear. Proposed mechanisms often focus on spot differences in employee productivity or employer preferences, neglecting the dynamic nature of human capital development and addiction. In this paper, we formulate a dynamic model of young workers as they transition from schooling to the labor market, a period in which the lifetime trajectory of wages is being developed. We estimate the model with data from the National Longitudinal Survey of Youth, ...
FRB Atlanta Working Paper , Paper 2020-11

Working Paper
Preventive vs. Curative Medicine: A Macroeconomic Analysis of Health Care over the Life Cycle
Ozkan, Serdar (2023-09-23)
This paper studies differences in health care usage and health outcomes between low- and high-income individuals. Using data from the Medical Expenditure Panel Survey (MEPS) I find that early in life the rich spend significantly more on health care, whereas from middle to very old age medical spending of the poor surpasses that of the rich by 25%. In addition, low-income individuals are less likely to incur any medical expenditures in a given year, yet, when they do, their expenses are more likely to be extreme. To account for these facts, I develop and estimate a life-cycle model of two ...
Working Papers , Paper 2023-025

Working Paper
Technology adoption, mortality, and population dynamics
Vandenbroucke, Guillaume; Ravikumar, B.; Hejkal, John P. (2024-07)
We develop a quantitative theory of mortality and population dynamics. We emphasize individuals' decisions to reduce their mortality by adopting better health technology. Adoption becomes cheaper as more individuals use better technology. It also confers a dynamic externality by increasing the future number of individuals who use the better technology. Our model generates a diffusion curve whose shape dictates the pace of mortality reduction. The model explains historical trends in mortality rates and life expectancies at various ages and population dynamics in Western Europe. Unlike ...
Working Papers , Paper 2020-039

Working Paper
Labor Market Effects of the Oxycodone-Heroin Epidemic
Montes, Joshua; Cho, David; Weingarden, Alison E.; Garcia, Daniel I. (2021-04-14)
We estimate the causal effects of heroin use on labor market outcomes by proxying for heroin use with prior exposure to oxycodone, the largest of the prescription opioids with a well-documented history of abuse. After a nationwide tightening in the supply of oxycodone in 2010, states with greater prior exposure to oxycodone experienced much larger increases in heroin use and mortality. We find increases in heroin use led to declines in employment and labor force participation rates, particularly for white, young, and less educated groups, consistent with the profile of oxycodone misusers. ...
Finance and Economics Discussion Series , Paper 2021-025

Report
A Danger to Self and Others: Health and Criminal Consequences of Involuntary Hospitalization
Emanuel, Natalia; Welle, Pim; Bolotnyy, Valentin (2025-07-01)
Involuntary hospitalization of people experiencing a mental health crisis is a widespread practice, 2.4 times as common as death from cancer and as common in the U.S. as incarceration in state and federal prisons. The intent of involuntary hospitalization is to prevent individuals from harming themselves or others through incapacitation, stabilization and medical treatment over a short period of time. Does involuntary hospitalization achieve its goals? We leverage quasi-random assignment of the evaluating physician and administrative data from Allegheny County, Pennsylvania, to estimate the ...
Staff Reports , Paper 1158

Working Paper
The Downward Spiral: A Macroeconomic Analysis of the Opioid Crisis
Greenwood, Jeremy; Guner, Nezih; Kopecky, Karen A. (2024-08-27)
There have been more than 700,000 opioid overdose deaths since 2000. To analyze the opioid epidemic, a model is constructed where individuals choose whether to use opioids recreationally, knowing the probabilities of addiction and dying. These odds are functions of recreational opioid usage. The model is fit to estimated Markov chains from the US data that summarize the transitions into and out of opioid addiction as well as to a deadly overdose. The epidemic is broken down into two subperiods: 2000-2010 and 2010-2019. The opioid epidemic's drivers, their impact on employment, and the impact ...
Working Papers , Paper 24-18

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