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Closing down the shop: Optimal health and wealth dynamics near the end of life

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  • Julien Hugonnier
  • Florian Pelgrin
  • Pascal St‐Amour

Abstract

Near the end of life, health declines, mortality risk increases, and curative care is replaced by uninsured long‐term care, accelerating the fall in wealth. Whereas standard explanations emphasize inevitable aging processes, we propose a complementary closing down the shop justification where agents' decisions affect their health and the timing of death. Despite preferring to live, individuals optimally deplete their health and wealth towards levels associated with high death risk and gradual indifference between life and death. Reinstating exogenous aging processes reinforces the relevance of closing down. Using Health and Retirement Study–Consumption and Activities Mail Survey data for elders, a structural estimation of the closed‐form decisions identifies, tests, and confirms the relevance of closing down.

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  • Julien Hugonnier & Florian Pelgrin & Pascal St‐Amour, 2020. "Closing down the shop: Optimal health and wealth dynamics near the end of life," Health Economics, John Wiley & Sons, Ltd., vol. 29(2), pages 138-153, February.
  • Handle: RePEc:wly:hlthec:v:29:y:2020:i:2:p:138-153
    DOI: 10.1002/hec.3960
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    JEL classification:

    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • D14 - Microeconomics - - Household Behavior - - - Household Saving; Personal Finance
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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