The Asset Cost of Poor Health

Working Paper: NBER ID: w16389

Authors: James M. Poterba; Steven F. Venti; David A. Wise

Abstract: This paper examines the correlation between poor health and asset accumulation for households in the first nine waves of the Health and Retirement Survey. Rather than enumerating the specific costs of poor health, such as out of pocket medical expenses or lost earnings, we estimate how the evolution of household assets is related to poor health. We construct a simple measure of health status based on the first principal component of HRS survey responses on self-reported health status, diagnoses, ADLs, IADL, and other indicators of underlying health. Our estimates suggest large and substantively important correlations between poor health and asset accumulation. We compare persons in each 1992 asset quintile who were in the top third of the 1992 distribution of latent health with those in the same 1992 asset quintile who were in the bottom third of the latent health distribution. By 2008, those in the top third of the health distribution had accumulated, on average, more than 50 percent more assets than those in the bottom third of the health distribution. This "asset cost of poor health" appears to be larger for persons with substantial 1992 asset balances than for those with lower balances.

Keywords: Asset accumulation; Poor health; Health and Retirement Survey

JEL Codes: E21; H10; J14


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
latent health index (C41)asset accumulation (G51)
poor health (I14)asset accumulation (G51)
poor health (for individuals with substantial asset balances) (D14)asset accumulation (G51)
health status (I12)asset growth (G19)

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