Social and Behavioral Sciences Commons^™

Do Medical Marijuana Laws Reduce Addictions And Deaths Related To Pain Killers?, David Powell, Rosalie Pacula, Mireille Jacobson

David Powell

Disentangling Moral Hazard And Adverse Selection In Private Health Insurance, David Powell, Dana Goldman

David Powell

Does Retirement Impact Health Care Utilization?, Norma Coe, Gema Zamarro

Gema Zamarro

How Does Retirement Impact Health Behaviors? An International Comparison, Norma Coe, Gema Zamarro

Gema Zamarro

Access To Hospital Interpreter Services For Limited English Proficient Patients In New Jersey: A Statewide Evaluation, Glenn Flores, Sylvia Torres, Linda Holmes, Debbie Salas-Lopez, Mara Youdelman, Sandra Tomany-Korman

Debbie Salas-Lopez MD, MPH

CONTEXT/OBJECTIVES: We surveyed New Jersey (NJ) hospitals to assess current language services and identify policy recommendations on meeting limited English proficiency (LEP) patients' needs.

METHODS: Survey with 37 questions regarding hospital/patient features, interpreter services, and resources/policies needed to provide quality interpreter services.

RESULTS: Sixty-seven hospitals responded (55% response rate). Most NJ hospitals have no interpreter services department, 80% provide no staff training on working with interpreters, 31% lack multilingual signs, and 19% offer no written translation services. Only 3% of hospitals have full-time interpreters, a ratio of 1 interpreter:240,748 LEP NJ residents. Most hospitals stated third-party reimbursement for interpreters would …

The Cost Of Conscience: Quantifying Our Charitable Burden In An Era Of Globalization, Frank A. Pasquale

Frank A. Pasquale

Development economists have long debated the proper targets for foreign aid contributions from wealthy countries. Philosophers like Peter Singer and Peter Unger now suggest that these countries' citizens have a parallel moral responsibility to tithe a portion of their income directly for the relief of the suffering of the poorest. These thinkers would prefer a systematic global redistribution of income - some public mechanism for accomplishing worldwide what the tax systems of egalitarian social democratic states accomplish. But they all realize that such global governance is unlikely to come about in any of our lifetimes. So they turn their attention …

The Cost Of Conscience: Quantifying Our Charitable Burden In An Era Of Globalization, Frank A. Pasquale

Frank A. Pasquale

Development economists have long debated the proper targets for foreign aid contributions from wealthy countries. Philosophers like Peter Singer and Peter Unger now suggest that these countries' citizens have a parallel moral responsibility to tithe a portion of their income directly for the relief of the suffering of the poorest. These thinkers would prefer a systematic global redistribution of income - some public mechanism for accomplishing worldwide what the tax systems of egalitarian social democratic states accomplish. But they all realize that such global governance is unlikely to come about in any of our lifetimes. So they turn their attention …

Why The Rich Drink More But Smoke Less: The Impact Of Wealth On Health Behaviors, Hans Van Kippersluis, Titus Galama

Titus Galama

Wealthier individuals engage in healthier behavior. This paper seeks to explain this phenomenon by developing a theory of health behavior, and exploiting both lottery winnings and inheritances to test the theory. We distinguish between the direct monetary cost and the indirect health cost (value of health lost) of unhealthy consumption. The health cost increases with wealth and the degree of unhealthiness, leading wealthier individuals to consume more healthy and moderately unhealthy, but fewer severely unhealthy goods. The empirical evidence presented suggests that differences in health costs may indeed provide an explanation for behavioral differences, and ultimately health outcomes, between wealth …

Human Capital And Poverty In Pakistan: Evidence From The Punjab Province, Sharafat Ali, Najid Ahmad

Sharafat Ali

No abstract provided.

[Review Of The Book Forecasting Retirement Needs And Retirement Wealth], Gary Fields

Gary S Fields

[Excerpt] This volume enables researchers to learn about some of the latest research findings on specific issues. It is not the place to seek an introduction to current thinking on retirement, pensions, and Social Security—the papers are too narrowly focused for that. But for current or would-he pension specialists, this volume and the larger series of which it is a part are indispensable resources.

A Theory Of Socioeconomic Disparities In Health, Titus Galama

Titus Galama

Detailed understanding of the mechanisms responsible for the substantial socioeconomic disparities in health is necessary to design policies effective in reducing those disparities. This requires a unifying theory of socioeconomic status and health, which is currently absent. This thesis in economics aims to develop, in several steps, a theoretical framework of disparities in health by socioeconomic status over the life cycle, using economic principles and founded in health capital theory. The first part of this thesis addresses several serious technical issues with life-cycle models of health, medical care, and socioeconomic status. The second part presents the theoretical framework.

Retirement Effects On Health In Europe, Norma Coe, Gema Zamarro

Gema Zamarro

What are the health impacts of retirement? As talk of raising retirement ages in pensions and social security schemes continues around the world, it is important to know both the costs and benefits for the individual as well as the governments’ budgets. In this paper we use the Survey of Health, Ageing and Retirement in Europe (SHARE) dataset to address this question in a multi-country setting. We use country-specific early and full retirement ages as an instrument for retirement behavior. These statutory retirement ages clearly induce retirement, but are not related to an individual’s health. Exploiting the discontinuities in retirement …

A Contribution To Health Capital Theory, Titus Galama

Titus Galama

I present a theory of the demand for health, health investment and longevity, building on the human capital framework for health and addressing limitations of existing models. I predict a negative correlation between health investment and health, that the health of wealthy and educated individuals declines more slowly and that they live longer, that current health status is a function of the initial level of health and the histories of prior health investments made, that health investment rapidly increases near the end of life and that length of life is finite as a result of limited life-time resources (the budget …

A Theory Of Socioeconomic Disparities In Health Over The Life Cycle, Titus Galama, Hans Van Kippersluis

Titus Galama

Understanding of the substantial disparity in health between low and high socioeconomic status (SES) groups is hampered by the lack of a sufficiently comprehensive theoretical framework to interpret empirical facts and to predict yet untested relations. We present a life-cycle model that incorporates multiple mechanisms explaining (jointly) a large part of the observed disparities in health by SES. In our model, lifestyle factors, working conditions, retirement, living conditions and curative care are mechanisms through which SES, health and mortality are related. Our model predicts a widening and possibly a subsequent narrowing with age of the gradient in health by SES.

A Cross-Country Analysis Of The Risk Factors For Depression At The Micro And Macro Level, Maximo Rossi, Natalia Melgar

Maximo Rossi

Depression is one of the most widespread mental illnesses that affect people worldwide for very divergent reasons. The relevance of investigating what are the factors that facilitate depression are twofold: 1) its strong impact on the quality of life and happiness and 2) the possibility of identifying risk groups. In 2001, the World Health Organization (WHO) projected that depression was expected to be the first disorder in the developed word by 2020. In 2003, the WHO estimated that the overall cost of mental disorders accounted for between three and four percent of Gross Domestic Product. WHO (2007) stated that depression …

Salud Y Felicidad En Uruguay, Maximo Rossi, Todd Jewell, Mariana Gerstenblüth

Maximo Rossi

In this paper we study the relationship between individual happiness and self reported health status, using the Religion, Health and Young Emancipation ISSP survey for Uruguay in 2008. Probit estimates suggests that health status has the highest correlation with happiness. In order to control for the observed heterogeneity of this variable, we estimate using matching methods. Results show that reporting a good health rises the probability of being happy between 18 an 29 percentage points. Previous literature support this findings.

Grossman’S Missing Health Threshold, Titus Galama, Arie Kapteyn

Titus Galama

We present a generalized solution to Grossman’s model of health capital (1972), relaxing the widely used assumption that individuals can adjust their health stock instantaneously to an “optimal” level without adjustment costs. The Grossman model then predicts the existence of a health threshold above which individuals do not demand medical care. Our generalized solution addresses a significant criticism: the model’s prediction that health and medical care are positively related is consistently rejected by the data. We suggest structural and reduced form equations to test our generalized solution and contrast the predictions of the model with the empirical literature.

Grossman's Health Threshold And Retirement, Titus Galama, Arie Kapteyn, Raquel Fonseca, Pierre-Carl Michaud

Titus Galama

We formulate a stylized structural model of health, wealth accumulation and retirement decisions building on the human capital framework of health provided by Grossman. We explicitly assume a functional form of the utility function and carefully account for initial conditions, which allow us to derive analytic solutions for the time paths of consumption, health, health investment, savings and retirement. We argue that the Grossman literature has been unnecessarily restrictive in assuming that health is always at Grossman’s “optimal” health level. Exploring the properties of corner solutions we find that advances in population health (health capital) can explain the paradox that …

Public And Private Expenditures On Health In The Presence Of Inequality And Endogenous Mortality: A Political Economy Perspective, Radhika Lahiri, Elizabeth W. Richardson

Radhika Lahiri

In this paper we study an overlapping-generations model in which agents’ mortality risks, and consequently impatience, are endogenously determined by private and public investment in health care. The proportion of revenues allocated for public health care is also endogenous, determined as the outcome of a voting process. Higher substitutability between public and private health is associated with a “crowding-out” effect which leads to lower public expenditures on health care in the political equilibrium. This in turn impacts on mortality risks and impatience leading to a greater persistence in inequality and long run distributions of wealth that are bimodal.