How Important Is Health Inequality for Lifetime Earnings Inequality?

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Abstract/Contents

Abstract
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 and poor health individuals. We build a dynamic, general equilibrium, lifecycle 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 impacts individuals' productivity, SSDI access, disutility from work, mortality, and medical expenses. Calibrating the model to the United States, we nd that health inequality is an important source of lifetime earnings inequality: nearly 29 percent of the variation in lifetime earnings at age 65 is due to the fact that Americans face risky and heterogeneous lifecycle health proles. A decomposition exercise reveals that the primary reason why individuals in the United States in poor health have low lifetime earnings is because they have a high probability of obtaining SSDI benefits. In other words, the SSDI program is an important contributor to lifetime earnings inequality. Despite this, we show that it is ex ante welfare improving and, if anything, should be expanded.

Description

Type of resource text
Date created 2021

Creators/Contributors

Author Hosseini, Roozbeh
Author Kopecky, Karen
Author Zhao, Kai
Organizer of meeting Auclert, Adrien
Organizer of meeting Mitman, Kurt
Organizer of meeting Tonetti, Christopher
Organizer of meeting Wong, Arlene

Subjects

Subject earnings
Subject health
Subject frailty
Subject inequality
Subject disability
Subject dynamic panel estimation
Subject life-cycle models
Genre Text
Genre Working paper
Genre Grey literature

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This work is licensed under a Creative Commons Attribution 4.0 International license (CC BY).

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Preferred citation
Hosseini, R., Kopecky, K., and Zhao, K. (2022). How Important Is Health Inequality for Lifetime Earnings Inequality?. Stanford Digital Repository. Available at https://purl.stanford.edu/hy161wg7428

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