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The Impact of Income on Mortality: Evidence from the Social Security Notch

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Author Info
Stephen E. Snyder
William N. Evans

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Abstract

There is widespread and longstanding agreement that life expectancy and income are positively correlated. However, it has proven much more difficult to establish a causal relationship since income and health are jointly determined. We use a major change in the Social Security law as exogenous variation in income to examine the impact of income on mortality in an elderly population. The legislation created a notch' in Social Security benefits based upon date of birth; those born before January 1, 1917 generally receive higher benefits than those born afterwards. We compare mortality rates after age 65 for males born in the second half of 1916 and the first half of 1917. Data from restricted-use versions of the National Mortality Detail File combined with Census data allows us to count all deaths among elderly Americans between 1979 and 1993. We find that the higher income group has a statistically significantly higher mortality rate, contradicting the previous literature. We also find that the younger cohort responded to lower incomes by increasing post-retirement work effort. These results suggest that moderate employment has beneficial health effects for the elderly.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 9197.

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Date of creation: Sep 2002
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Handle: RePEc:nbr:nberwo:9197

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Find related papers by JEL classification:
I12 - Health, Education, and Welfare - - Health - - - Health Production
H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
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  2. Christopher J. Ruhm, 2000. "Are Recessions Good For Your Health?," The Quarterly Journal of Economics, MIT Press, vol. 115(2), pages 617-650, May. [Downloadable!] (restricted)
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  3. Anne Case, 2001. "Does Money Protect Health Status? Evidence from South African Pensions," NBER Working Papers 8495, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  4. Michael Hurd & Daniel McFadden & Angela Merrill, 1999. "Predictors of Mortality Among the Elderly," NBER Working Papers 7440, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  5. R. Haveman & B. Wolfe & L. Buron & S. C. Hill, . "The loss of earnings capability from disability/health limitations: Toward a new social indicator," Institute for Research on Poverty Discussion Papers 1016-93, University of Wisconsin Institute for Research on Poverty. [Downloadable!]
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  6. Gary V. Engelhardt & Jonathan Gruber & Cynthia D. Perry, 2002. "Social Security and Elderly Living Arrangements," NBER Working Papers 8911, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  8. Bound, John, 1989. "The Health and Earnings of Rejected Disability Insurance Applicants," American Economic Review, American Economic Association, vol. 79(3), pages 482-503, June. [Downloadable!] (restricted)
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  9. Deaton, Angus S & Paxson, Christina H, 1998. "Aging and Inequality in Income and Health," American Economic Review, American Economic Association, vol. 88(2), pages 248-53, May. [Downloadable!] (restricted)
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  10. Angrist, Joshua D, 1990. "Lifetime Earnings and the Vietnam Era Draft Lottery: Evidence from Social Security Administrative Records," American Economic Review, American Economic Association, vol. 80(3), pages 313-36, June.
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  11. Victor R. Fuchs, 1982. "Time Preference and Health: An Exploratory Study," NBER Working Papers 0539, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. David M. Cutler & Adriana Lleras-Muney & Tom Vogl, 2008. "Socioeconomic Status and Health: Dimensions and Mechanisms," NBER Working Papers 14333, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  2. Ruhm, Christopher J., 2003. "Healthy Living in Hard Times," IZA Discussion Papers 711, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  3. Bommier Antoine & Magnac Thierry & Rapoport Benoit & Roger Muriel, 2003. "Pensions and differential mortality in France," Research Unit Working Papers 0303, Laboratoire d'Economie Appliquee, INRA. [Downloadable!]
  4. Gerdtham, Ulf-G. & Ruhm, Christopher J., 2002. "Deaths Rise in Good Economic Times: Evidence From the OECD," IZA Discussion Papers 654, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  5. Andreea Balan-Cohen, 2008. "Healthy, Wealthy, and Wise? The Impact of the Old Age Assistance Program on Elderly Mortality in the United States," Discussion Papers Series, Department of Economics, Tufts University 0719, Department of Economics, Tufts University. [Downloadable!]
  6. Mari Rege, Kjetil Telle and Mark Votruba, 2005. "The Effect of Plant Downsizing on Disability Pension Utilization," Discussion Papers 435, Research Department of Statistics Norway. [Downloadable!]
    Other versions:
  7. Thomas L. Hungerford, 2002. "Is There an American Way of Aging?: Income Dynamics of the Elderly in the U.S. and Germany," Economics Working Paper Archive 365, Levy Economics Institute, The. [Downloadable!]
  8. Mark E. Votruba, 2003. "Social Security and Retirees' Decision to Work," Working Papers 853, Princeton University, Department of Economics, Industrial Relations Section.. [Downloadable!]
  9. Gary V. Engelhardt & Jonathan Gruber, 2004. "Social Security and the Evolution of Elderly Poverty," NBER Working Papers 10466, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  10. John R. Moran & Kosali Ilayperuma Simon, 2004. "Income and the Use of Prescription Drugs by the Elderly: Evidence from the Notch Cohorts," Center for Policy Research Working Papers 66, Center for Policy Research, Maxwell School, Syracuse University. [Downloadable!]
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  11. Rajeev Dehejia & Adriana Lleras-Muney, 2003. "The Timing of Births: Is the Health of Infants Counter-Cyclical?," NBER Working Papers 10122, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  12. Florence Jusot, 2006. "The shape of the relationship between mortality and income in France," Annales d'Economie et de Statistique, ADRES, issue 83-84, pages 04, Juillet-D. [Downloadable!]
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