Titre : | Household Responses to Severe Health Shocks and the Design of Social Insurance. |
Titre de série : | NBER Working Paper, n° 21352 |
Auteurs : | I. FADLON ; T.H. NIELSEN ; National Bureau of Economic Research. (N.B.E.R.). Cambridge CA. USA |
Type de document : | Document de travail |
Editeur : | Cambridge : N.B.E.R., 2015 |
Format : | 15p., tabl.,fig., annexes |
Note générale : | Référence : réf. bibl. |
Langues: | Anglais |
Catégories : |
[BDSP5] Démographie > Phénomène démographique > Mortalité [démographie] > Décès [BDSP5] Démographie > Population > Etat matrimonial [démographie] > Veuf [BDSP5] Démographie > Population > Groupe parenté > Famille > Couple > Conjoint [BDSP5] Démographie > Population > Ménage [BDSP5] Economie descriptive > Entreprise [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Modèle [BDSP5] Etudes méthodes et statistiques [NI] > Méthodologie > Théorie [BDSP5] Information sanitaire > Etat santé [BDSP5] Information sanitaire > Mesure santé > Indicateur santé > Mortalité [BDSP5] Protection sociale > Protection complémentaire > Assurance privée [BDSP5] Protection sociale > Sécurité sociale > Assurance maladie maternité décès [NI] > Assurance maladie [BDSP5] Sciences économiques > Concept économique > Revenu [BDSP5] Travail |
Résumé : | This paper studies how households respond to severe health shocks and the insurance role of spousal labor supply. In the empirical part of the paper, we provide new evidence on individuals' labor supply responses to spousal health and mortality shocks. Analyzing administrative data on over 500,000 Danish households in which a spouse dies, we find that survivors immediately increase their labor supply and that this effect is entirely driven by those who experience significant income losses due to the shock. Notably, widows – who experience large income losses when their husbands die – increase their labor force participation by more than 11%, while widowers – who are significantly more financially stable – decrease their labor supply. In contrast, studying over 70,000 households in which a spouse experiences a severe health shock but survives – for whom income losses are well-insured in our setting – we find no economically significant spousal labor supply responses, suggesting adequate insurance coverage for morbidity (vs. mortality) shocks. In the theoretical part of the paper, we develop a method for welfare analysis of social insurance using only spousal labor supply responses. In particular, we show that the labor supply responses of spouses fully identify the welfare gains from insuring households against health and mortality shocks. Our findings imply large welfare gains from transfers to survivors and identify efficient ways for targeting government transfers. |
En ligne : | http://www.nber.org/papers/w21352 |