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Working Paper
Health, Health Insurance, and Retirement: A Survey
The degree to which retirement decisions are driven by health is a key concern for both academics and policymakers. In this paper we survey the economic literature on the health-retirement link in developed countries. We describe the mechanisms through which health affects labor supply and discuss how they interact with public pensions and public health insurance. The historical evidence suggests that health is not the primary source of variation in retirement across countries and over time. Furthermore, declining health with age can only explain a small share of the decline in employment ...
Working Paper
How Important Is Health Inequality for Lifetime Earnings Inequality?
Using a dynamic panel approach, we provide empirical evidence that negative health shocks reduce earnings. The effect is primarily driven by the participation margin and is concentrated in less educated individuals and those with poor health. We build a dynamic, general equilibrium, life cycle model that is consistent with these findings. In the model, individuals whose health is risky and heterogeneous choose to either work, or not work and apply for social security disability insurance (SSDI). Health affects individuals’ productivity, SSDI access, disutility from work, mortality, and ...
Working Paper
Revisiting the Effect of Education on Later Life Health
We provide new evidence on the effect of education on later life health. Using variation in state compulsory schooling laws, we examine education's effect on a range of outcomes encompassing physical health, decision-making, and life expectancy. We employ under-utilized Health and Retirement Study data linked to restricted geographic identifiers, allowing us to match individuals more accurately to compulsory schooling laws. While positively related to educational attainment, compulsory schooling laws have no significant effect on later life health outcomes. Our results suggest that increased ...
Journal Article
Making up for lost time: Forging new connections between health and community development
New trends in the today?s public health world are making an important case for bringing public health and community development efforts together. These include the changing nature of 21st century preventable disease, the increasing link between health disparities and place, and the early positive evidence from early adopters of combined health and development strategies. Read about specific examples of efforts from King County, Washington that are capitalizing on these changes and simultaneously advancing both health and community development.
Speech
Healthy Workforce, Healthy Economy
Remarks at Combating Food Insecurity: What’s Working – and What’s Scalable? (delivered via videoconference.
Working Paper
Intergenerational Health Mobility in the US
Studies of intergenerational mobility have largely ignored health despite the central importance of health to welfare. We present the first estimates of intergenerational health mobility in the US by using repeated measures of self-reported health status (SRH) during adulthood from the PSID. Our main finding is that there is substantially greater health mobility than income mobility in the US. A possible explanation is that social institutions and policies are more effective at disrupting intergenerational health transmission than income transmission. We further show that health and income ...
Journal Article
Policy update: Money for marrow?
Related links:https://www.richmondfed.org/-/media/richmondfedorg/publications/research/econ_focus/2012/q1/policy_update_weblinks.cfm
Journal Article
The effects of health and wealth shocks on retirement decisions
Both health status and net worth can affect retirement decisions. In some cases, early retirement may be precipitated by a shock to an individual?s health and/or economic status. The authors examine how health and wealth shocks affect retirement decisions. They use data from the Panel Study of Income Dynamics to estimate a first-differences model of health and wealth shocks on retirement over the course of the 2000s in the United States. Their results suggest that acute health shocks are associated with labor market exits for older American men but not women. These results appear particularly ...
Journal Article
Community-based strategies for improving health and well-being
This article looks at two initiatives that are taking a local approach to interweave health promotion and community development efforts. These models utilize community-based strategies to improve health outcomes as well as educational, economic, and social outcomes. The first model is Elev8, a national initiative that integrates a range of health and social services into middle-school sites. The second is the Alameda County Public Health Department?s community based approach to addressing health inequities in low-income communities.
Working Paper
Rising Geographic Disparities in US Mortality
The 21st century has been a period of rising inequality in both income and health. In this study, we find that geographic inequality in mortality for midlife Americans increased by about 70 percent from 1992 to 2016. This was not simply because states such as New York or California benefited from having a high fraction of college-educated residents who enjoyed the largest health gains during the last several decades. Nor was higher dispersion in mortality caused entirely by the increasing importance of “deaths of despair,” or by rising spatial income inequality during the same period. ...