SUBPROJECT 3: THE JOINT EVOLUTION OF HEALTH AND ASSETS IN LATER LIFE This subproject analyzes patterns of asset accumulation and drawdown over the course of later life, and how asset dynamics are affected by people's evolving health as they age. By looking at all assets, one can better account for the full cost of poor health, including not only out-of-pocket medical expenditures but all other costs related to poor health. The subproject will estimate the """"""""asset cost"""""""" of poor health and how it varies by family status, by the level of assets, and across different categories of assets. It will also explore the specific mechanisms through which health may affect asset holdings, such as through work decisions and different insurance arrangements. Our models will also be used to predict the effect of current health shocks on the future evolution of assets;to predict the effect of Social Security changes on the subsequent evolution of assets;to describe the distribution of assets by family status and by health status;and to simulate the proportion of households that will """"""""exhaust"""""""" various asset categories if past patterns of asset evolution apply prospectively. We believe that our findings will lead to greatly enhanced understanding of the financial consequences of poor health. The subproject is also important in understanding patterns of asset drawdown in later life more generally, and how different asset categories are used for different purposes and with differing draw down characteristics. For example, the subproject will consider the potential role of public and private annuity products in providing retirement income security, fielding two surveys to understand the apparent preference that many households exhibit for holding assets in a non-annuitized form.

Public Health Relevance

Our proposed analysis will estimate the joint post-retirement evolution of health status and assets and will estimate the full asset cost of poor health, which may be much larger than the direct out-of-pocket medical expenditures or the cost of specific health events that have been the focus of most previous studies on this topic.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Program Projects (P01)
Project #
5P01AG005842-26
Application #
8379552
Study Section
Special Emphasis Panel (ZAG1-ZIJ-9)
Project Start
Project End
Budget Start
2012-09-01
Budget End
2013-08-31
Support Year
26
Fiscal Year
2012
Total Cost
$168,484
Indirect Cost
$57,783
Name
National Bureau of Economic Research
Department
Type
DUNS #
054552435
City
Cambridge
State
MA
Country
United States
Zip Code
02138
Pakpahan, Eduwin; Hoffmann, Rasmus; Kröger, Hannes (2017) Retrospective life course data from European countries on how early life experiences determine health in old age and possible mid-life mediators. Data Brief 10:277-282
Stone, Arthur A; Schneider, Stefan; Broderick, Joan E (2017) Psychological stress declines rapidly from age 50 in the United States: Yet another well-being paradox. J Psychosom Res 103:22-28
Deaton, Angus; Cartwright, Nancy (2017) Understanding and misunderstanding randomized controlled trials. Soc Sci Med :
Garcia, Maria Teresa Medeiros; Marques, Pedro Deslandes Correia Vasconcelos (2017) Ownership of individual retirement accounts - an empirical analysis based on SHARE. Int Rev Appl Econ 31:69-82
Gordon, E H; Peel, N M; Samanta, M et al. (2017) Sex differences in frailty: A systematic review and meta-analysis. Exp Gerontol 89:30-40
Chandra, Amitabh; Frakes, Michael; Malani, Anup (2017) Challenges To Reducing Discrimination And Health Inequity Through Existing Civil Rights Laws. Health Aff (Millwood) 36:1041-1047
Rezayatmand, Reza; Groot, Wim; Pavlova, Milena (2017) Smoking behaviour and health care costs coverage: a European cross-country comparison. Int J Health Econ Manag 17:453-471
Sirven, Nicolas; Rapp, Thomas (2017) The Dynamics of Hospital Use among Older People Evidence for Europe Using SHARE Data. Health Serv Res 52:1168-1184
Manski, Richard; Moeller, John (2017) Barriers to oral health across selected European countries and the USA. Int Dent J 67:133-138
Kaschowitz, Judith; Brandt, Martina (2017) Health effects of informal caregiving across Europe: A longitudinal approach. Soc Sci Med 173:72-80

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