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Long-Term Care of the Disabled Elderly: Do Children Increase Caregiving by Spouses?

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Author Info
Liliana E. Pezzin
Robert A. Pollak
Barbara S. Schone

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Abstract

Do adult children affect the care elderly parents provide each other? We develop two models in which the anticipated behavior of adult children provides incentives for elderly parents to increase care for their disabled spouses. The "demonstration effect" postulates that adult children learn from a parent's example that family caregiving is appropriate behavior. The "punishment effect" postulates that adult children may punish parents who fail to provide spousal care by not providing future care for the nondisabled spouse when necessary. Thus, joint children act as a commitment mechanism, increasing the probability that elderly spouses will provide care for each other; stepchildren with weak attachments to their parents provide weaker incentives for spousal care than joint children. Using data from the HRS, we find evidence that spouses provide more care when they have children with strong parental attachment.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 14328.

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Date of creation: Sep 2008
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Handle: RePEc:nbr:nberwo:14328

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Find related papers by JEL classification:
D1 - Microeconomics - - Household Behavior
J1 - Labor and Demographic Economics - - Demographic Economics
J2 - Labor and Demographic Economics - - Demand and Supply of Labor

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  1. Maxim Engers & Steven Stern, 2002. "Long-Term Care and Family Bargaining," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 43(1), pages 73-114, February. [Downloadable!] (restricted)
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  2. Steven Stern & Bridget Hiedemann, 1999. "Strategic Play Among Family Members When Making Long-Term Care Decisions," Virginia Economics Online Papers 321, University of Virginia, Department of Economics. [Downloadable!]
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  3. Steven Stern & Tennille J. Neuharth, 2000. "Shared Caregiving Responsibilities of Adult Siblings with Elderly Parents," Virginia Economics Online Papers 323, University of Virginia, Department of Economics. [Downloadable!]
  4. Liliana E. Pezzin & Robert A. Pollak & Barbara S. Schone, 2007. "Efficiency in Family Bargaining: Living Arrangements and Caregiving Decisions of Adult Children and Disabled Elderly Parents," CESifo Economic Studies, Oxford University Press, vol. 53(1), pages 69-96, March. [Downloadable!] (restricted)
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  5. Carpenter, Jeffrey P., 2007. "Punishing free-riders: How group size affects mutual monitoring and the provision of public goods," Games and Economic Behavior, Elsevier, vol. 60(1), pages 31-51, July. [Downloadable!] (restricted)
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  6. Cox, Donald & Stark, Oded, 2005. "On the demand for grandchildren: tied transfers and the demonstration effect," Journal of Public Economics, Elsevier, vol. 89(9-10), pages 1665-1697, September. [Downloadable!] (restricted)
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