the diffusion of health technologies cultural and biological divergence abstract this paper proposes the hypothesis that genetic distance to the health frontier influences population health outcomes evidence from a world sample suggests that genetic distance interpreted as long term cultural and biological divergence is an important factor in understanding health inequalities across countries specifically the paper documents a remarkably robust negative link between genetic distance to the united states and population health as measured by life expectancy at birth and the adult survival rate even after accounting for an extensive set of possible confounders such as gdp per capita and various climatic factors consistent with the interpretation that genetic distance is related to population health indirectly through human barriers to the diffusion of modern health technologies the evidence indicates that the gene gradient emerges at the onset of the international epidemiological transition

possibility of dying as a unified explanation of why we discount the future get weaker with age and display risk aversion i formulate a simple and parsimonious evolutionary model that shows that because most species face a possibility of dying because of external factors called extrinsic mortality in the biology literature it can simultaneously explain a why we discount the future b get weaker with age and c display risk aversion the paper suggests that testable restrictions across species across time or across genders among time preference aging and risk aversion could be analyzed in a simple framework jel a10 d90

optimal failure rates and penalty bonus policies in the offshore petroleum sector we characterize optimal time profiles of risk reducing expenditures and wreck probabilities for petroleum platforms the input to our analysis is the development of wreck cost direct and imputed particular attention is paid to the question of how private companies deviating from socially optimal standards may be induced to comply with such standards by means of a a time variant penalty b a no wreck bonus and c a time invariant penalty

defining the value of a statistical life reply abstract in general empirical estimates of the value of a statistical life vsl are biased however as pointed out by blomqvist 2001 a true blip in the hazard rate can be used to obtain an exact estimate of the vsl the question remains whether individuals and markets are able to value such short drops in the hazard rate

money supply announcements and foreign exchange futures prices for five countries since the federal reserve began targeting money supply growth in october 1979 the effects of fed money supply announcements on financial markets have been intensively examined studies have considered the impacts on financial assets including yields on short term and long term treasury securities forward interest rates exchange rates stock prices and commodity prices these studies suggest that money supply announcements have had significant effects on all these financial assets the effects however have not been consistent across time assets or countries this study adds to the money supply announcement literature focusing on foreign exchange spot and currency future prices mussa 23 provides a justification for this approach he demonstrates that exchange rates move in accord with the efficient markets theory of asset price determination in addition he finds most exchange rate changes are unexpected thus exchange rate changes generally should be related to news since unexpected changes must be due to new information how exchange rates respond to news depends on how that information alters expectations those expectations however depend on economic agents historical experience and on policymakers anticipated reactions thus the effects may vary across countries and across policymaking regimes we believe this study makes four contributions to the money announcement literature first we develop a model of money announcements where expected announcements may be important even when markets are efficient while we consider money announcements in particular the model suggests a general result even expected announcements may affect financial market variables simply by confirming prior expectations second we extend and update the prior literature by examining whether recent money supply announcements have an impact on exchange rates and whether recent impacts differ from those found through 1985 the results suggest the impact of money announcements may have diminished marginally third we extend the analysis to exchange rate currency futures comparing the reactions of spot and futures rates yields further evidence on the policy anticipation versus the expected inflation effects and fourth most prior studies of unanticipated money growth do not distinguish between positive and negative surprises if positive and negative surprises influence market prices asymmetrically however

measuring risk reduction benefits with discounted longevity there are many ways to assess the benefits and costs of risk reduction policies this paper shows that discounted longevity as a measure of benefits and the negative of net output as a measure of costs can be deduced from the shepard and zeckhauser utility maximization model

rates of time preference and valuations of the duration of life abstract this paper develops a multi period markov model of the lifetime choice of occupational fatality risks the empirical model analyzes the wage effects of job risks using the 1982 university of michigan panel study of income dynamics in conjunction with death statistics from the u s national traumatic occupational fatality survey evidence regarding workers intertemporal choices with respect to risks with long term implications is broadly consistent with rational behavior workers implicit real rate of time preference with respect to future life years equals approximately 11 percent this rate of time preference decreases with education

ageing health and health care the population in the developed world has experienced a significant increase in life expectancy over the last 50 years simultaneously while the onset of comorbidities has been deferred to older age groups health care expenditure has grown dramatically primarily owing to the advancement of medical technology and the expansion of individual income levels along with population ageing in the wake of increased longevity however the contribution of population ageing to health expenditure growth is subject to some theoretical and empirical scrutiny this paper takes the question of ageing and health and health care to the data to evaluate the net impact of ageing we focus on two main questions namely the welfare valuation of longevity improvements for various oecd countries along with the red herring hypothesis which suggests that population ageing has a small and almost negligible impact on health care expenditure our estimates lead us to suggest an average gain in longevity of 4 5 years since 1980 corresponding to about 13 5 per cent of lifetime income of a 20 year old in 2000 furthermore we confirm a weak red herring claim that is that population ageing accounts for only a 0 5 per cent annual growth rate of health care expenditure finally we find that the rise in longevity leads to a further demand for life prolonging medical care

international interest rates and us monetary policy announcements evidence from hong kong and singapore this paper investigates the responses of market interest rates to us monetary policy announcements for the us and two emerging economies hong kong and singapore which are similar on many respects but have experienced opposite exchange rate regimes in the last twenty years our results based on market expectations extracted from federal fund futures rates document that fomc announcements significantly affect the term structure of interest rate in the us and both asian countries further international interest rate differentials around fomc meeting dates tend to be negative for short maturities with the impact gradually dissipating as bond maturity increases finally for the case of singapore we find that domestic interest rates react to both external and domestic monetary policy announcements with a magnitude that is larger over the full bond maturity spectrum for domestic announcements these results are robust to time varying futures risk premia and alternative measures of interest rates expectations

public and private expenditures on health in a growth model abstract this paper introduces endogenous longevity into an otherwise standard overlapping generations model with capital in the model a young agent may increase the length of her old age by incurring investments in health such private health investments are assumed to be more productive if accompanied by complementary tax financed public health programs the presence of the public input in private longevity is shown to expose the economy to aggregate endogenous fluctuations and even chaos and such volatility is impossible in its absence the model is capable of generating dramatic reversals in life expectancy as has been observed in many countries

differential mortality and the progressivity of social security abstract there is a well established negative correlation between earnings and mortality risk using a calibrated general equilibrium macroeconomic model this paper examines how this correlation interacts with the welfare implications of social security s benefit earnings rule my primary findings suggest that the welfare ranking of alternative benefit earnings rules is somewhat sensitive to differential mortality due to their relatively high mortality risk households with unfavorable earnings histories heavily discount the expected utility from old age consumption and therefore do not put much weight on better work retirement consumption smoothing because of this reason social security s benefit earnings rule warrants less redistribution in the presence of differential mortality compared to when mortality risk is uncorrelated to earnings i find that this result continues to hold when household level labor supply distortions are ignored and also when an alternative maximin welfare criterion is considered but not when accidental bequests from the deceased are redistributed to the survivors

the quantity and quality of life and the evolution of world inequality gdp per capita is usually used to proxy for the quality of life of individuals living in different countries welfare is also affected by quantity of life however as represented by longevity this paper incorporates longevity into an overall assessment of the evolution of cross country inequality and shows that it is quantitatively important the absence of reduction in cross country inequality up to the 1990s documented in previous work is in stark contrast to the reduction in inequality after incorporating gains in longevity throughout the post world war ii period health contributed to reduce significantly welfare inequality across countries this paper derives valuation formulas for infra marginal changes in longevity and computes a full growth rate that incorporates the gains in health experienced by 96 countries for the period between 1960 and 2000 incorporating longevity gains changes traditional results countries starting with lower income tended to grow faster than countries starting with higher income we estimate an average yearly growth in full income of 4 1 percent for the poorest 50 percent of countries in 1960 of which 1 7 percentage points are due to health as opposed to a growth of 2 6 percent for the richest 50 percent of countries of which only 0 4 percentage points are due to health additionally we decompose changes in life expectancy into changes attributable to 13 broad groups of causes of death and three age groups we show that mortality from infectious respiratory and digestive diseases congenital perinatal and ill defined conditions mostly concentrated before age 20 and between ages 20 and 50 is responsible for most of the reduction in life expectancy inequality at the same time the recent effect of aids together with reductions in mortality after age 50 due to nervous system senses organs heart and circulatory diseases contributed to increase health inequality across countries

recognizing progeny in the value of life abstract this note generalizes the value of life to incorporate the preferences for descendants of a dynastically altruistic decision maker it derives the value of progeny and shows how it depends on the benthamite vs millian nature of dynastic altruism

willingness to pay for car safety evidence from sweden this study estimates a marginal willingness to pay wtp function for a road mortality risk reduction observed marginal wtp from the swedish car market is used and found to be positively correlated with the baseline risk of the cars no statistically significant relationships between examined owner attributes e g wealth and background risk and marginal wtp are found when comparing the estimated monetary value of a non marginal risk reduction derived from the integral of the marginal wtp function with an estimate based on marginal wtp we find in line with expectations that the difference between the estimates is negligible for smaller risk reductions and small 4 10 also for relatively large risk reductions

negligible senescence an economic life cycle model for the future abstract we propose a model of aging and health deficit accumulation model with an infinite time horizon and a steady state of constant health the time of death is uncertain and endogenous to lifestyle and health behavior this setup can be conceptualized as a strive for immortality that is never reached we discuss adjustment dynamics and show that the new setup is particularly useful to understand aging of the oldest old i e of individuals for which morbidity and mortality have reached a plateau we then show how the existence of a steady state can be used to perform comparative dynamics exercises analytically as an illustration we investigate the effects of more expensive health investment and of advances in medical technology on optimal short run and long run health behavior

the effect of increased longevity on capital accumulation one of the more startling demographic trends of the 1970 s has been the sharp rise in lifespan in the united states between 1970 and 1980 the life expectancy of 25year old men and women increased by at least two years while longevity has been steadily rising for many decades the recent spurt has hastened the trend the increase for both men and women in the 1970 s more than doubled the improvement of the 1960 s 1 the 1970 s were also characterized by a decline in labor force participation of older workers although rising income and increased disability payments may have explained some of the decline donald parsons 1980 it seems clear that expanding longevity has not been strongly associated with deferred retirement daniel hamermesh 1984 2 thus the retirement years have assumed greater importance in financial planning for the consumer as he or she retires earlier and lives longer the traditional life cycle model would predict greater savings rates as consumers increase accumulation of assets for their retirement consumption while young would drop and there might be an increase in labor supply as individuals substitute leisure while young for greater levels of life cycle consumption even under a social security system as long as the current generation s tax liabilities reflect their longer lifespan total savings private plus public should also rise 3 the predicted increase in savings is substantial a simple example using the modigliani ando brumberg life cycle model can illustrate the extent of the savings shift assume that earnings and consumption are constant over working years and lifespan respectively and that the interest rate is zero consumption is then a constant proportion k of earnings where k is the ratio of working years to one s lifespan if consumers made plans based on average lifespan the representative 25 year old would have saved 18 percent of earnings in 1970 1 40 49 when he plans to retire at age 65 and expects to live until age 74 in 1980 after a rise in life expectancy of two years the representative 25 year old would have increased savings to 21 percent of earnings or a net rise in the savings rate per worker of 17 percent that is this simple life cycle model implies that savings in the last decade should have risen other things held constant by approximately 17 percent or about 80 billion dollars per year the evidence from aggregate time series data appears to contradict the life cycle model s prediction of rising savings rates the net private savings rate in the united states declined from 7 8 percent of nnp in 1970 to 6 2 percent in 1980 while alan auerbach 1982 has suggested that some of the reported decline in savings may be caused by mismeasurement it seems clear that there has been no substantial rise in the savings rate there are numerous explanations for department of economics university of virginia charlottesville va 22901 i am grateful to maxim engers daniel hamermesh william r johnson laurence j kotlikoff john strauss and especially james davies and john r wolfe for helpful suggestions and comments life table data can be found in daniel hamermesh 1985 the life insurance fact book various years or in unpublished form from the national center for health statistics 2john wolfe 1983 provides an ingenious argument for why the social security benefit schedule has induced those with shorter life expectancies to retire early we might therefore expect some rise in the average retirement age as those expecting to live longer defer retirement until age 65 3if the social security taxes do not rise as expected lifespan increases perhaps because current tax proceeds are paid out as current benefits rather than retained in a trust fund young workers will save more to offset the lower expected benefits in the future 4in a two period model the percentage change in savings by the young is equal to the percentage change in aggregate savings

the response of short term interest rates to weekly money announcements each friday at 4 10 p m est the federal reserve announces its estimate of the narrowly defined money stock for the statement week ending nine days previously these money announcements have become one of the main events in financial markcts if for no other reason than the fact that significant movements in interest rates have been associated with large unanticipated changes in the money stock moreover since the late 1970s interest rate fluctuations in response to money stock announcements have dramatically increased over the 1l 2 hour intervals spanning the weekly announcements for example the variance of the change in the threemonth treasury bill yield in the three years since october 1979 is more than thirty times larger than that of the previous two year period l two factors may account for a large portion of the increased volatility of shortterm interest rates first on october 6 1979 the federal reserve adopted a reserve aggregate approach to monetary control replacing a procedure that emphasized stability of short term yields second despite the greater emphasis placed on monetary control the variance of weekly announced changes in the money stock has risen by about 70 percent since late 1979 in turn if greater volatility of announced changes makes future changes more difficult to predict the volatility of unanticipated weekly changes in money would have also increased 2 thus if financial markets are efficient and if weekly money announcements contain relevant information larger unanticipated changes in money may have caused larger fluctuations in interest rates

life cycle responses to health insurance status this paper studies the lifetime effects of exogenous changes in health insurance coverage e g medicare ppaca termination of employer provided plans on the dynamic optimal allocation consumption leisure health expenditures status health and wealth and welfare we solve simulate and structurally estimate a parsimonious life cycle model with endogenous exposure to morbidity and mortality risks and exogenous health insurance by varying coverage we identify the marginal effects of insurance when young and or when old on allocations statuses and welfare our results highlight positive effects of insurance on health wealth and welfare as well as mid life substitution away from healthy leisure in favor of more health expenses caused by peaking wages and accelerating health issues

a model of the demand for longevity and the value of life extension we specify a demand function for longevity or quantity of life along with corresponding demand functions for indicators of quality of life and a value of health and life extension function we show that the demand for health must be derived in conjunction with that for longevity and the related consumption plan and that all choices depend on initial individual endowments and terminal conditions our comparative dynamics predictions indicate that optimal health and longevity are increasing functions of endowed wealth rather than necessarily current income that improvements in opportunities to produce health can accentuate the differences between endowed health and attained longevity levels and that the value individuals ascribe to their health may be increasing over a good portion of their life cycle we use this model to analyze observed empirical variations in levels and trends of life expectancy and in exposure to health risks across different population groups

intergenerational flows of time and goods consequences of slowing population growth it is feared that low fertility and older age distributions in the developed countries might cause lower life cycle consumption because of the increased pension and health cost burden the theoretical literature on intergenerational transfers has addressed this question but has considered only the consumption of market goods and has made no serious empirical attempt to measure the theoretical concepts necessary to assess the problem this paper develops a theoretical model of intergenerational transfers incorporating time use with the aid of time budget and consumer expenditure surveys empirical estimates of the age profiles of various types of time and goods consumption are presented and we conclude that 1 the net direction of intergenerational transfers is from younger to older ages 2 under the golden rule assumption these transfers largely constitute an externality to childbearing and 3 they are not large enough to offset the capital dilution effect that would result from higher fertility a

complementarity and the measurement of individual risk tradeoffs accounting for quantity and quality of life effects this paper considers the factors responsible for differences with age in estimates of the wage compensation an individual requires to accept increased occupational fatality risk we derive a relationship between the value of a statistical life vsl and the degree of complementarity between consumption and labor supplied when health status serves as a potential source of variation in this relationship our empirical analysis finds that variations in an individual s health status or quality of life and anticipated longevity threats lead to significant differences in the estimated wage risk tradeoffs we describe how extensions to the specification of hedonic wage models including measures for quality of life and anticipated longevity threats help to explain the diversity in past studies examining how the estimated wage risk tradeoff changes with age

public goods and the value of product quality regulations the case of food safety abstract the paper examines preferences for product quality regulations our premise is that preferences for product quality regulations derive from preferences for both private and public goods the model is used to explain public attitudes toward a referendum measure to eliminate pesticide residues on food results from a survey of consumers are consistent with the conceptual model and show that preferences for public goods influence support for the product quality regulation the results help explain why consumption behavior is a poor predictor of political behavior and have implications for methods that use voting and market behavior to value public goods

comorbidities and the willingness to pay for health improvements we show that the willingness to pay for health improvements increases with the severity and probability of occurrence of comorbidities this result which is obtained under mild restrictions on the shape of the utility function has important implications for cost benefit studies applied to health care in particular it implies that the discrimination of the elderly believed to be implicit in cost benefit analysis is less of a problem than commonly thought

the determinants of mortality mortality rates have fallen dramatically over time starting in a few countries in the 18th century and continuing to fall today in just the past century life expectancy has increased by over 30 years at the same time mortality rates remain much higher in poor countries with a difference in life expectancy between rich and poor countries of also about 30 years this difference persists despite the remarkable progress in health improvement in the last half century at least until the hiv aids pandemic in both the time series and the cross section data there is a strong correlation between income per capita and mortality rates a correlation that also exists within countries where richer better educated people live longer we review the determinants of these patterns over history over countries and across groups within countries while there is no consensus about the causal mechanisms we tentatively identify the application of scientific advance and technical progress some of which is induced by income and facilitated by education as the ultimate determinant of health such an explanation allows a consistent interpretation of the historical cross country and within country evidence we downplay direct causal mechanisms running from income to health

the insurance value of medical innovation abstract economists think of medical innovation as a valuable but risky good producing health benefits but increasing financial risk for consumers and healthcare payers this perspective overlooks how innovation can lower physical risks borne by healthy patients facing the prospect of future disease we present an alternative framework that accounts for all these sources of value and links them to the value of healthcare insurance we show that any innovation worth buying reduces overall risk and generates positive insurance value on its own we conduct a stylized numerical exercise to assess the potential empirical significance of our insights our calculations suggest that conventional methods meaningfully understate the value of historical health gains and disproportionately undervalue treatments for the most severe illnesses where physical risk to consumers is the costliest these calculations also suggest that the value of physical insurance from new technologies may exceed the financial spending risk that they pose

optimal choice of health and retirement in a life cycle model abstract we examine within a life cycle model the simultaneous choice of health care and retirement together with consumption health tends to have an impact on retirement through morbidity determining earnings and the disutility of work and through longevity determining the need to accumulate retirement wealth conversely the age of retirement drives the demand for health care through the value of survival and the value of morbidity reductions we characterise the optimal relationship between health expenditure and retirement and apply our model to analyse the effects of moral hazard in the annuity market while moral hazard always induces excessive health investments and an excessive duration of working life it also triggers an excessive level of consumption if the impact of health on the disutility of work is sufficiently large we examine a transfer scheme and mandatory retirement as policies towards curtailing moral hazard numerical analysis illustrates the role of moral hazard in shaping the life cycle allocation

futures prices as risk adjusted forecasts of monetary policy many researchers have used federal funds futures rates as measures of financial markets expectations of future monetary policy however to the extent that federal funds futures reflect risk premia these measures require some adjustment in this paper we document that excess returns on federal funds futures have been positive on average and strongly countercyclical in particular excess returns are surprisingly well predicted by macroeconomic indicators such as employment growth and financial business cycle indicators such as treasury yield spreads and corporate bond spreads excess returns on eurodollar futures display similar patterns we document that simply ignoring these risk premia significantly biases forecasts of the future path of monetary policy we also show that risk premia matter for some futures based measures of monetary policy shocks used in the literature

your money or your life green growth policies and welfare in 2050 this paper proposes a simple index of economic progress that weighs in the monetary cost induced by climate change mitigation policies as well as the health benefits arising from the reduction in local air pollution the shadow price of pollution is calculated indirectly through its impact on life expectancy taking into account the health benefits of mitigation policies significantly reduces their monetary cost in china and india as well as in countries with large fossil based energy producing sectors australia canada and the united states

valuing future risks to life environmental policies that alter future mortality rates may affect both current and future generations this paper examines willingness to pay for future risk reductions from the perspective of the current generation the life cycle consumption saving model implies that an individual discounts future risks to himself at the consumption rate of interest if capital markets are perfect the consumption rate equals the market rate of interest otherwise the consumption rate exceeds the market rate and numerical results suggest that the implied discount factor may be substantial the overlapping generations model implies that a member of the current generation discounts the value of risks to future generations at the rate at which current consumption is substituted for a bequest

spring cleaning rural water impacts valuation and property rights institutions the brief summarizes the spring cleaning rural water impacts valuation and property rights institutions the first two rounds of spring protection occurred in january april 2005 and august november 2005 the author measure health impacts of spring protection an investment that improves source water quality the author also estimate households valuation of spring protection and simulate the welfare impacts of alternatives to the current system of common property rights in water which limits incentives for private investment spring infrastructure investments reduce fecal contamination by 66 percent but household water quality improves less due to recontamination child diarrhea falls by one quarter travel cost based revealed preference estimates of households valuations are much smaller than both stated preference valuations and health planners valuations and are consistent with models in which the demand for health is highly income elastic the author estimate that private property norms would generate little additional investment while imposing large static costs due to above marginal cost pricing private property will function better at higher income levels or underwater scarcity and alternative institutions could yield pareto improvements

ageing government budgets retirement and growth we analyze the short and long run effects of demographic ageing increased longevity and reduced fertility on per capita growth the olg model captures direct effects working through adjustments in the savings rate labor supply and capital deepening and indirect effects working through changes of taxes government spending components and the retirement age in politico economic equilibrium growth is driven by capital accumulation and productivity increases fueled by public investment the closed form solutions of the model predict taxation and the retirement age in oecd economies to increase in response to demographic ageing and per capita growth to accelerate if the retirement age were held constant the growth rate in politico economic equilibrium would essentially remain unchanged due to a surge of social security transfers and crowding out of public investment

migration and sovereign default risk abstract during sovereign debt crises countries experience persistent economic declines spiking spreads and outflows of capital and workers to account for these salient features we develop a sovereign default model with migration and capital accumulation the model has a two way feedback default risk lowers workers welfare and induces emigration which in turn intensifies default risk by lowering tax base and investment compared with a no migration model our model produces higher default risk lower investment and a more profound and prolonged recession we find that migration accounts for almost all of the lack of recovery in gdp during the recent spanish debt crisis

do the near elderly value mortality risks differently wage hedonic models are estimated with the health and retirement study to measure the risk wage tradeoffs value of statistical lives for older workers the analysis explicitly allows for multiple employment states including retirement using a multinomial selection model the results suggest that the oldest and most risk averse workers require significantly higher not lower compensation to accept increases in job related fatality risks

medical care costs how much welfare loss hardly a week goes by without a front page newspaper article on rising health care costs and the uninsured in this article i focus mainly on costs arguing that the issue has been somewhat misconceived while the level of medical care spending in the u s is a cause for concern the welfare losses associated with rises in that level of spending may not be as large as the public rhetoric can make them seem in fact cost containment may not be as urgent as is widely supposed and some proposed cost containment policies may result in welfare losses for the insured and even increase the number of uninsured

uncertain lifetime life protection and the value of life saving abstract the analytic innovation is treating life s end as uncertain and life expectancy as partly the product of individuals efforts to self protect against mortality and morbidity risks the demand for self protection is modeled in a stochastic life cycle framework under alternative insurance options the model helps explain the trend and systematic diversity in life expectancies across different population groups as well as the wide variability in reported value of life saving estimates the analysis yields a closed form solution for individuals value of life saving that is estimable empirically it reflects the impacts of specific personal characteristics and alternative insurance options on both life expectancy and its valuation

dynamic inefficiencies in an employment based health insurance system theory and evidence we investigate the effects of the institutional settings of the us health care system on individuals life cycle medical expenditures health is a form of general human capital labor turnover and labor market frictions prevent an employer employee pair from capturing the entire surplus from investment in an employee s health thus the pair underinvests in health during working years thereby increasing medical expenditures during retirement we provide empirical evidence consistent with the comparative statics predictions of our model using the medical expenditure panel survey meps and the health and retirement study hrs our estimates suggest significant inefficiencies in health investment in the united states

the economics of risks to life this study asks two questions 1 what is the net value to the representative individual over his life time of activities that alter age specific mortality risks 2 what is the cost to the representative individual of activities that take a life at random at a given age results derived from an economic demographic model with full age specific accounting have a strong actuarial flavor alterations in the mortality schedule caused say by a medical breakthrough should be assessed on the utility of expected additional life years production and reproduction less expected social costs of support loss of life at a specific age due to an accident say should be assessed on the opportunity costs of expected lost years of living lost production and reproduction less expected social support costs the results show that current methods in general leave out an important social transfer term that value of a life lost is highly age dependent and that the degree of diminishing returns to consumption is crucial in calculations of the economic cost of risks

federal reserve information and the behavior of interest rates this paper tests for the existence of asymmetric information between the federal reserve and the public by examining federal reserve and commercial inflation forecasts it demonstrates that the federal reserve has considerable information about inflation beyond what is known to commercial forecasters it also shows that monetary policy actions provide signals of the federal reserve s information and that commercial forecasters modify their forecasts in response to those signals these findings may explain why long term interest rates typically rise in response to shifts to tighter monetary policy jel e52 e43 d82 asymmetric information between the federal reserve and the public is a phenomenon that is often posited but rarely tested numerous models of central bank behavior for example show that the existence of asymmetric information has important implications for the effectiveness of policy and the consequences of dynamic inconsistency yet there

the role of asset testing in public health insurance reform abstract starting slowly with the 1996 welfare reform act and culminating in the 2010 affordable care act means tested public health insurance eligibility expanded to include adults in low income families regardless of their asset holdings this paper quantifies the effects of these eligibility expansions within the context of the 2010 affordable care act i construct a dynamic stochastic general equilibrium model with indivisible labor supply expanded to include an endogenous household choice of health insurance coverage and calibrate it to u s data i establish that changes in the distribution of labor and welfare associated with removal of asset testing are driven by exit of high productivity and high wealth households from the labor market i then expand my analysis to the 2010 affordable care act to demonstrate that removal of asset testing is critical to the obtained results even when combined with other provisions of the act finally i find that a simple asset test for eligibility of health insurance transfers undoes the distortion to the household labor supply decision among high productivity types these results are robust to the introduction of employer premium contributions an independent health insurance market and idiosyncratic shocks to eligibility for employment based health insurance

are medical prices declining evidence from heart attack treatments we address long standing problems in measuring medical inflation by estimating two types of price indices the first a service price index prices specific medical services as does the current cpi the second a cost of living index measures a quality adjusted cost of treating a health problem we apply these indices to heart attack treatment between 1983 and 1994 more frequent reweighting and accounting for price discounts lowers the measured price change for heart attacks by three percentage points annually accounting for quality change lowers it further we estimate that the real cost of living index fell about 1 percent annually

effects of physical distancing to control covid 19 on public health the economy and the environment physical distancing measures are important tools to control disease spread especially in the absence of treatments and vaccines while distancing measures can safeguard public health they also can profoundly impact the economy and may have important indirect effects on the environment the extent to which physical distancing measures should be applied therefore depends on the trade offs between their health benefits and their economic costs we develop an epidemiological economic model to examine the optimal duration and intensity of physical distancing measures aimed to control the spread of covid 19 in an application to the united states our model considers the trade off between the lives saved by physical distancing both directly from stemming the spread of the virus and indirectly from reductions in air pollution during the period of physical distancing and the short and long run economic costs that ensue from such measures we examine the effect of air pollution co benefits on the optimal physical distancing policy and conduct sensitivity analyses to gauge the influence of several key parameters and uncertain model assumptions using recent estimates of the association between airborne particulate matter and the virulence of covid 19 we find that accounting for air pollution co benefits can significantly increase the intensity and duration of the optimal physical distancing policy to conclude we broaden our discussion to consider the possibility of durable changes in peoples behavior that could alter local markets the global economy and our relationship to nature for years to come

the impact of ecb and fed announcements on the euro interest rates abstract we investigate the impact of news in the ecb and fed monetary policy announcements on daily changes in euro interest rates we document significant impacts of ecb announcements throughout the period but only until mid 2004 of fed announcements

the impact of competition on management quality evidence from public hospitals in this paper we examine the causal impact of competition on management quality we analyze the hospital sector where geographic proximity is a key determinant of competition and english public hospitals where political competition can be used to construct instrumental variables for market structure since almost all major english hospitals are government run closing hospitals in areas where the governing party has a small majority is rare due to fear of electoral punishment we find that management quality measured using a new survey tool is strongly correlated with financial and clinical outcomes such as survival rates from emergency heart attack admissions ami more importantly we find that higher competition as indicated by a greater number of neighboring hospitals is positively correlated with increased management quality and this relationship strengthens when we instrument the number of local hospitals with local political competition adding another rival hospital increases the index of management quality by one third of a standard deviation and leads to a 10 7 reduction in heart attack mortality rates

parental and social valuations of child health information abstract we construct an endogenous risk model of the influence of more precise hazard information on the parental demand for child health a 256 observation data set is used to estimate the marginal value to parents and to society of risk information about the future consequences of children s body lead burdens our results indicate that the social value of risk information greatly exceeds the cost of providing it and that parents will purchase too little of this information

on the costs of food price fluctuations in low income countries abstract conventional welfare measures of the costs of food price fluctuations in low income countries are extended to allow for both economic growth and food security effects the analysis reveals that growth and food security effects may dominate more conventional welfare costs of food price fluctuations although estimating the empirical magnitude of the effects is hampered by the lack of consensus on the extent to which food price fluctuations actually reduce economic growth and food security even if the welfare costs of food price fluctuations are high there are many challenges to the design and successful implementation of price stabilization schemes

measuring the value of a statistical life problems and prospects tradeoffs between monetary wealth and fatal safety risks are summarized in the value of a statistical life vsl a measure that is widely used for the evaluation of public policies in medicine the environment and transportation safety this paper demonstrates the widespread use of this concept and summarizes the major issues both theoretical and empirical that must be confronted in order to provide a credible estimate of a vsl the paper concludes with an application of these issues to a particular study of speed limits and highway safety

projecting long term medical spending growth we present a dynamic general equilibrium model of the u s economy and the medical sector in which the adoption of new medical treatments is endogenous and the demand for medical services is conditional on the state of technology we use this model to prepare 75 year medical spending forecasts and a projection of the medicare actuarial balance and we compare our results to those obtained from a method that has been used by government actuaries our baseline forecast predicts slower health spending growth in the long run and a lower medicare actuarial deficit relative to the previous projection methodology

compensating wage differentials and the value of life abstract this paper examines the relationship between willingness to pay and compensating wage differential measures of the value of a statistical life it resolves some recently noted discrepancies between such measures

on consumer preferences and the willingness to pay for term life insurance abstract we run a choice based conjoint cbc analysis for term life insurance on a sample of 2017 german consumers using data from web based experiments individual level part worth profiles are estimated by means of a hierarchical bayes model drawing on the elicited preference structures we then compute relative attribute importances and different willingness to pay measures in addition we present comprehensive simulation results for a realistic competitive setting that allows us to assess product switching as well as market expansion effects on average brand critical illness cover and underwriting procedure turn out to be the most important nonprice product attributes hence if a policy comprises their favored specifications customers accept substantial markups in the monthly premium furthermore preferences vary considerably across the sample while some individuals are prepared to pay relatively high monthly premiums a large fraction exhibits no willingness to pay for term life insurance at all presumably due to the absence of a need for mortality risk coverage we also illustrate that utility driven product optimization is well suited to gain market shares avoid competitive price pressure and access additional profit potential finally based on estimated demand sensitivities and a set of cost assumptions it is shown that insurers require an in depth understanding of preferences to identify the profit maximizing price

disentangling the heterogeneous income elasticity and dynamics of health expenditure in this article we empirically study the impact of per capita income on health care expenditure and its dynamics over time in a sample of 14 oecd countries for the period 1971 to 2009 a simple model built upon one developed by newhouse 1977 suggests that health care is a necessity in the short run but it cannot be rejected to be a luxury good in the long run our findings provide strong empirical evidence that a year s health expenditure is conditioned by the previous one interestingly our results reveal increasing income inelasticity over time along with huge heterogeneity across countries finally this article supports the hypothesis of conditional convergence in health care spending among countries in designing policies which facilitate the sustainability of national health systems we emphasize that ceteris paribus the greater the participation of public health the lower the growth rate of health spending high share of children and elderly over working age population opposite influences w

monetary policy surprises and interest rates evidence from the fed funds futures market abstract this paper estimates the impact of monetary policy actions on bill note and bond yields using data from the futures market for federal funds to separate changes in the target funds rate into anticipated and unanticipated components interest rates response to anticipated target rate changes is small while their response to unanticipated changes is large and highly significant these responses are generally consistent with the expectations hypothesis of the term structure surprise target rate changes have little effect on expectations of future actions however which helps to explain the lack of empirical support for the expectations hypothesis at the short end of the yield curve

growth and welfare under endogenous lifetime we study the role of endogenous healthcare choices by households to extend their expected lifetimes on economic growth and welfare in a decentralized overlapping generations economy with the realistic feature that households savings are held in annuities we characterize healthcare spending in the decentralized market equilibrium and its effects on economic growth we then identify the moral hazard effect in healthcare investments when annuity rates are conditioned on average mortality and explain the conditions under which it will lead to over investment in healthcare moreover we specify the general equilibrium effects and macroeconomic repercussions associated with this moral hazard effect calibrating our model to oecd data we find that the moral hazard effect may be substantial and implies sizeable welfare losses of approximately 1 5 at a more general level our study suggests that welfare improvements from longevity increases may be quite lower than sometimes assumed when considered in planner economies

health spending and public pension evidence from panel data abstractthis article empirically investigates the determinants of aggregate health expenditure in a panel of oecd countries from 1980 to 2005 we differ from most existing studies by testing some new determinants motivated by recent theoretical advances in the literature we find that a one percentage increase in public pension payments per elderly person leads to approximately a one third percentage increase in aggregate health spending and this effect is significant and robust across a variety of model specifications a back of the envelope calculation based on this estimate suggests that the expansion of the public pension programme on average accounts for approximately over one fifth of the rise in aggregate health expenditure as a share of gdp in the set of oecd countries during 1980 2005 in addition we find that the estimated effect of gdp per capita in our model ranges from 0 66 to 0 80 which is consistent with the results from some recent studies and thus further reinforces the finding in the

health and other asset holdings despite clear evidence of correlations between financial and medical statuses and decisions most models treat financial and health related choices separately this article bridges this gap by proposing a tractable dynamic framework for the joint determination of optimal consumption portfolio holdings health investment and health insurance we solve for the optimal rules in closed form and capitalize on this tractability to gain a better understanding of the conditions under which separation between financial and health related decisions is sensible and of the pathways through which wealth and health determine allocations welfare and other variables of interest such as expected longevity or the value of health furthermore we show that the model is consistent with the observed patterns of individual allocations and provide realistic estimates of the parameters that confirm the relevance of all the main characteristics of the model

altruism fertility and the value of children health policy evaluation and intergenerational welfare abstract this paper accounts for the value of children and future generations in the evaluation of health policies this is achieved through the incorporation of altruism and fertility in a value of life type of framework we are able to express adults willingness to pay for changes in child mortality and also to incorporate the welfare of future generations in the evaluation of current policies our model clarifies a series of puzzles from the literature on the value of life and on intergenerational welfare comparisons we show that by incorporating altruism and fertility into the analysis of the recent u s experience the estimated welfare gain of a young adult from reductions in mortality easily doubles

labor market estimates of the senior discount for the value of statistical life abstract this article develops the first measures of age industry job risks to examine the age variations in the value of statistical life because of the greater risk vulnerability of older workers they face flatter wage risk gradients than younger workers which we show to be the case empirically accounting for this heterogeneity in hedonic market equilibria leads to estimates of the value of statistical life age relationship that follows an inverted u shape the estimates of the value of statistical life range from 6 4 million for younger workers to a peak of 9 0 million for those aged 35 44 and then a decline to 3 8 million for those aged 55 62 the decline of the estimated value of statistical life with age is consistent with there being some senior discount in the clear skies initiative analysis

using mandated speed limits to measure the value of a statistical life in 1987 the federal government permitted states to raise the speed limit on their rural interstate roads but not on their urban interstate roads from 55 mph to 65 mph since the states that adopted the higher speed limit must have valued the travel hours they saved more than the fatalities incurred this institutional change provides an opportunity to estimate an upper bound on the public s willingness to trade off wealth for a change in the probability of death our estimates indicate that the adoption of the 65 mph limit increased speeds by approximately 4 percent or 2 5 mph and fatality rates by roughly 35 percent together the estimates suggest that about 125 000 hours were saved per lost life when the time saved is valued at the average hourly wage the estimates imply that adopting states were willing to accept risks that resulted in a savings of 1 54 million 1997 dollars per fatality with a sampling error roughly one third this value we set out a simple model of states decisions to adop

volatility spillovers and macroeconomic announcements evidence from crude oil markets the paper applies an event study methodologyaims to investigate the macroeconomic announcements effects on standard poor s500 and oil prices our results provide evidence for a significant impact of the us macroeconomic news on oil prices this impact is split into two components namely the direct effect common response and indirect effect volatility transmission altogether our results show that the volatility transmission is bidirectional not only a significant volatility transmission from the oil market to the us stock market is revealed but also a high volatility transmission is recorded from the oil market to the stock market especially after the release of consumption indicators

health care expenditure in the last months of life in oecd countries a considerable share of health care expenditure hce is spent for the care of the terminally ill this paper derives the demand for hce in the last 2 years of life from a model that accounts for age mortality risk and wealth the empirical tests are based on data of deceased members of a major swiss sick fund the empirical evidence confirms most of the hypotheses derived from the model i e i hce increases with closeness to death ii for retired individuals hce decreases with age and iii low income individuals as compared to high income individuals incur lower hce in the last months of life

substance abuse treatment and mortality abstract drug overdose deaths which have more than doubled over the past decade represent a growing public health concern though substance abuse treatment may be effective in reducing drug abuse evidence for a causal effect of treatment on drug related mortality is lacking i analyze the effect of substance abuse treatment on mortality by exploiting county level variation in treatment facilities driven by facility openings and closings the estimates indicate that a 10 increase in facilities lowers a county s drug induced mortality rate by 2 the estimated effects persist across individual and county characteristics and further indicate that spillovers of treatment reduce other related causes of death

the value of life and the rise in health spending over the past half century americans spent a rising share of total economic resources on health and enjoyed substantially longer lives as a result debate on health policy often focuses on limiting the growth of health spending we investigate an issue central to this debate is the growth of health spending a rational response to changing economic conditions notably the growth of income per person we develop a model based on standard economic assumptions and argue that this is indeed the case standard preferences of the kind used widely in economics to study consumption asset pricing and labor supply imply that health spending is a superior good with an income elasticity well above one as people get richer and consumption rises the marginal utility of consumption falls rapidly spending on health to extend life allows individuals to purchase additional periods of utility the marginal utility of life extension does not decline as a result the optimal composition of total spending shifts toward health and the health share grows along with income in projections based on the quantitative analysis of our model the optimal health share of spending seems likely to exceed 30 percent by the middle of the century

risk aversion and weekly money does the market expect the fed to offset large increase in m1 abstract the risk premium hypothesis suggests that absolute changes in short term interest rates will be larger if the unanticipated component of the federal reserve s weakly money supply announcement is positive statistical tests suggest however that the magnitude of interest rate changes is unrelated to the sign of monetary surprises

longevity complementarities under competing risks many of the high expenditure health programs established by international organizations or national and subnational governments involve disease specific interventions such as measles vaccinations hiv education programs mammogram screening malaria prevention and lung cancer research typically these programs are evaluated solely upon the success or failure of their impact on the targeted disease this paper argues that such an exclusive evaluation may significantly underestimate the overall effect of disease specific interventions when multiple risks act as competing forces on life we suggest that programs that target one disease may have important spillover effects on the mortality and morbidity of other causes of death in order to better understand and evaluate the overall effects of disease specific programs it is necessary to understand and measure these spillover effects this paper provides a theoretical and empirical analysis of the incentives introduced by disease specific mortality interventions more precisely we discuss predictions about health investment incentives as implied by the competing risk model which is the empirical framework almost exclusively used to study multiple cause mortality we show that important complementary effects between niultiple causes of death operate to equalize the occurrence of the causes we argue that this complementarity should alter the evaluation of cause specific interventions by discrediting the argument that interventions are wasted because competing mortality risks are just around the corner in support of the existence of such complementarities we present substantive evidence from one of the most important public health programs ever introduced in developing countries the expanded programme on immunization epi of the united nations the paper is organized as follows section i provides a theoretical analysis arguing that the competing risk model of multiple causes of mortality corresponds to the leontief production function of survival this implies that there are inherent complementarities between investments in the prevention of cause specific mortality risks both on the individual level and on the aggregate level for competing risks the marginal benefit of investing to avoid one cause of death increases as a function of the survival rates of other causes the implications of this complementarity are important and have not received sufficient attention in theoretical or practical evaluations of causespecific interventions when mortality is treated as exogenous a disease specific intervention may seem wasteful if members of the targeted group are likely to die from a second cause as soon as the first has been eliminated then reducing the mortality from one cause of death would not appear to substantially increase life expectancy indeed this argument is repeatedly made by economists and demographers about medical care interventions in old age however it is sguided to use the preintervention background mortality when assessing the effectiveness of an interventionbehavior under one policy should not be assumed to prevail under a new policy as the leontief nature of competing risks predicts health investments will be focused upon he most immediate cause of death so that there are dow department of health policy and administration cb 7400 university of north carolina chapel hill nc 27599 philipson irving b harris graduate school of public policy studies department of economics and the law school university of chicago 1155 east 60th street chicago il 60637 sala i martin department of econornics columbia university 420 west 118th street 1005 new york ny 10027 and universitat pompeu fabra we are thankful to three anonymous referees for comments that substantially improved the paper and we especially acknowledge the contributions of jessica holmes who was a research assistant and co author on early drafts of this work we also thank gary becker kate howe steen jorgenson casey mulligan sherwin rosen paul schultz and participants at numerous workshops for discussions dow acknowledges financial support from national institute on aging grant no t32 ag00244 philipson from the national science foundation and the rockefeller foundation this research was begun while all authors were at yale university during 1994

old age longevity and mortality contingent claims this paper analyzes the savings and longevity impacts of mortality contingent claims defined here as income measures such as annuities and life insurance under which earned income is contingent on the length of one s life the postwar increase in mandatory annuity and life insurance programs as well as the rapid increase in the life expectancy of older ages motivates a better understanding of the incentive effects that mortality contingent claims have on longevity related behavior we claim that these incentives in often alter the standard conclusions obtained about old age support when mortality is treated exogenously in particular we argue that annuities involve moral hazard effects that increase longevity and among other things introduce a positive interaction between public programs for health care and income support for the elderly programs that have grown enormously in developed countries

survival versus consumption we develop an indirect method to estimate utility and willingness to pay wtp for reductions in the risk of death at various ages using a life cycle model of consumption we assume that an individual sets his consumption level each year so as to maximize his expected lifetime utility alternative assumptions about opportunities for borrowing and annuities characterize two polar types of societies in our robinson crusoe case an individual must be entirely self sufficient and annuities are not available in our perfect markets case an individual can borrow against future earnings and purchase actuarially fair annuities we show that under these assumptions wtp is the sum of livelihood discounted expected future earnings and consumer surplus to illustrate our methods we derive wtp for an average financially independent american man under plausible assumptions the model is calibrated to 1978 earnings e g 18 000 per year for men aged 45 54 with at least some income in the robinson crusoe case wtp increases from 500 000 at age 20 to a peak of 1 250 000 at age 40 and declines to 630 000 at age 60 in the perfect markets case age variations are less pronounced wtp is 1 050 000 at age 20 peaks at 1 070 000 at age 25 and declines to 600 000 at age 60 these results suggest that individuals value risks to their lives at several times the pro rata share of their future earnings

pricing and r d when consumption affects longevity we analyze goods for which the amount of consumption determines the duration of consumption focusing on health related consumption that affects longevity the characteristics of the demand for such goods lead to unique predictions about private pricing and investment in r d as well as the fiscal effects of public subsidies and taxes in particular we argue that there is an r d feedback for such goods when the market size expands through longevity induced population growth we also argue that as developed countries devote large shares of public spending to old age programs that may themselves affect longevity e g medicare and social security the nonstandard effects that these programs introduce may become increasingly important

reference health and the demand for medical care we propose that health in prior periods termed reference health is theoretically and empirically relevant to the demand for medical care to address non normality in the distributions of medical care spending consumption and health we use a conditional density estimator nested in a finite mixture framework we find that reference health can help explain the variation in spending among individuals with the same contemporaneous health particularly in the top tail of the spending distribution we demonstrate that omitting reference health understates the potential cost savings of healthy aging initiatives by 50 percent this article is protected by copyright all rights reserved

willingness to pay and sensitivity to time framing a theoretical analysis and an application on car safety stated preference sp surveys attempt to obtain monetary values for non market goods that reflect individuals true preferences numerous empirical studies suggest that monetary values from sp studies are sensitive to survey design and so may not reflect respondents true preferences this study examines the effect of time framing on respondents willingness to pay wtp for car safety we explore how wtp per unit risk reduction depends on the time period over which respondents pay and face reduced risk in a theoretical model and by using data from a swedish contingent valuation survey our theoretical model predicts the effect to be nontrivial in many scenarios used in empirical applications in our empirical analysis we examine the sensitivity of wtp to an annual and a monthly scenario our theoretical model predicts the effect from the time framing to be negligible but the empirical estimates from the annual scenario are about 70 higher than estimates from the monthly scenario

u s war costs two parts temporary one part permanent military spending fatalities and the destruction of capital all of which are immediately felt and are often large are the most overt costs of war they are also relatively short lived but the costs of war borne by combatants and their caretakers which includes families communities and the modern welfare state tend instead to be lifelong in this paper i show that a significant component of the budgetary costs associated with u s wars is long lived one third to one half of the total present value of historical war costs are benefits distributed over the remaining life spans of veterans and their dependents even thirty years after the end of hostilities typically half of all benefits remain to be paid estimates of the costs of injuries and deaths suggest that the private burden of war borne by survivors namely the uncompensated costs of service related injuries are also large and long lived

do measures of monetary policy in a var make sense no in many vector autoregressions vars monetary policy shocks are identified with the least squares residuals from a regression of the federal funds rate on an assortment of variables such regressions appear to be structurally fragile and are at odds with other evidence on the nature of the u s federal reserve s reaction function furthermore the residuals from these regressions show little correlation across various vars or with funds rate shocks that are derived from forward looking financial markets my results provide a sharp critique of current monetary vars

the welfare value of fda s mercury in fish advisory a dynamic reanalysis assessing the welfare impact of consumer health advisories is a thorny task recently shimshack and ward 2010 studied how u s households responded to fda s 2001 mercury in fish advisory they found that the average at risk household reduced fish consumption by 21 resulting in a 17 reduction in mercury exposure at the cost of a 21 reduction in cardioprotective omega 3 fatty acids based on a static assessment of the health costs and benefits shimshack and ward concluded that the advisory policy resulted in an overall consumer welfare loss in this note we propose a dynamic assessment that links the long term cardiovascular health effects of the advisory to life cycle consumption we find that under reasonable assumptions the welfare loss might be much larger than suggested our analysis highlights the importance of accounting for dynamic effects when evaluating persistent changes in exposure to environmental health risks

your money or your life a prescriptive model for health safety and consumption decisions in this paper we develop a conceptual framework and model for valuing risks to an individual s health and life and to support decision making about investments in health quality of life and safety our treatment of health risks in the model builds on the popular quality adjusted life year qaly framework that balances health quality and length of life issues we extend this framework to consider financial concerns as well as health quality and length of life our model considers uncertainty in income and health and incorporates the decision maker s ability to adjust consumption over time in response to changes in expectations about health and income we use this model to study the optimal tradeoffs between financial gains or losses and improvements or reductions in health or longevity and apply it in two example medical decision problems

the impact of nearly universal insurance coverage on health care utilization evidence from medicare the onset of medicare eligibility at age 65 leads to sharp changes in the health insurance coverage of the u s population these changes lead to increases in the use of medical services with a pattern of gains across socioeconomic groups that varies by type of service while routine doctor visits increase more for groups that previously lacked insurance hospital admissions for relatively expensive procedures like bypass surgery and joint replacement increase more for previously insured groups that are more likely to have supplementary coverage after 65 reflecting the relative generosity of their combined insurance package under medicare