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An Empirical Analysis of Health-Dependent Utility on SHARE and ELSA Data

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  • Elena Bassoli

    (Ca’ Foscari University of Venice)

Abstract

This paper investigates the presence of health-dependent utility on a panel of European countries. We follow the strategy of Finkelstein et al. (J Eur Econ Assoc 11:221–258, 2013) and extend their analysis focusing on different health measures. The results show that utility exhibits an increase in the marginal utility to consume when physical health deterioration occurs. For cognitive decline, we find a decrease in the marginal utility for low memory skills and an increase in the marginal utility for low verbal fluency. However, both are not statistically significant, thus the evidence is limited. We show that individuals living in low-spending countries for long-term care services experience the greatest drop in marginal utility compared to the others. Overall, these results suggest the presence of heterogeneity in the direction of the marginal utility when the sick state occurs, and this evidence goes in the opposite direction compared to the recent empirical findings for US. A potential explanation might be found in different welfare systems.

Suggested Citation

  • Elena Bassoli, 2023. "An Empirical Analysis of Health-Dependent Utility on SHARE and ELSA Data," Italian Economic Journal: A Continuation of Rivista Italiana degli Economisti and Giornale degli Economisti, Springer;Società Italiana degli Economisti (Italian Economic Association), vol. 9(3), pages 1217-1261, November.
    • Handle: RePEc:spr:italej:v:9:y:2023:i:3:d:10.1007_s40797-022-00208-0
    DOI: 10.1007/s40797-022-00208-0
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    1. Amy Finkelstein & Erzo F. P. Luttmer & Matthew J. Notowidigdo, 2009. "Approaches to Estimating the Health State Dependence of the Utility Function," American Economic Review, American Economic Association, vol. 99(2), pages 116-121, May.
    2. Robert J. MacCulloch & Rafael Di Tella & Andrew J. Oswald, 2001. "Preferences over Inflation and Unemployment: Evidence from Surveys of Happiness," American Economic Review, American Economic Association, vol. 91(1), pages 335-341, March.
    3. Weiss, Alexander & King, James E. & Inoue-Murayama, Miho & Matsuzawa, Tetsuro & Oswald, Andrew J., 2012. "Evidence for a ‘Midlife Crisis’ in Great Apes Consistent with the U-Shape in Human Well-Being," IZA Discussion Papers 7009, Institute of Labor Economics (IZA).
    4. Levy, Moshe & Nir, Adi Rizansky, 2012. "The utility of health and wealth," Journal of Health Economics, Elsevier, vol. 31(2), pages 379-392.
    5. Amy Finkelstein & Erzo F. P. Luttmer & Matthew J. Notowidigdo, 2013. "What Good Is Wealth Without Health? The Effect Of Health On The Marginal Utility Of Consumption," Journal of the European Economic Association, European Economic Association, vol. 11, pages 221-258, January.
    6. Daniel J Benjamin & Jakina Debnam Guzman & Marc Fleurbaey & Ori Heffetz & Miles Kimball, 2023. "What do Happiness Data Mean? Theory and Survey Evidence," Journal of the European Economic Association, European Economic Association, vol. 21(6), pages 2377-2412.
    7. Atella, Vincenzo & Brunetti, Marianna & Maestas, Nicole, 2012. "Household portfolio choices, health status and health care systems: A cross-country analysis based on SHARE," Journal of Banking & Finance, Elsevier, vol. 36(5), pages 1320-1335.
    8. Carol Graham & Julia Ruiz Pozuelo, 2017. "Happiness, stress, and age: how the U curve varies across people and places," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(1), pages 225-264, January.
    9. W. Kip Viscusi & William N. Evans, 1998. "Estimation Of Revealed Probabilities And Utility Functions For Product Safety Decisions," The Review of Economics and Statistics, MIT Press, vol. 80(1), pages 28-33, February.
    10. Frijters, Paul & Beatton, Tony, 2012. "The mystery of the U-shaped relationship between happiness and age," Journal of Economic Behavior & Organization, Elsevier, vol. 82(2), pages 525-542.
    11. Sven Tengstam, 2014. "Disability And Marginal Utility Of Income: Evidence From Hypothetical Choices," Health Economics, John Wiley & Sons, Ltd., vol. 23(3), pages 268-282, March.
    12. Edwards, Ryan D, 2008. "Health Risk and Portfolio Choice," Journal of Business & Economic Statistics, American Statistical Association, vol. 26, pages 472-485.
    13. W. Kip Viscusi, 2019. "Utility functions for mild and severe health risks," Journal of Risk and Uncertainty, Springer, vol. 58(2), pages 143-166, June.
    14. Lillard, Lee A & Weiss, Yoram, 1997. "Uncertain Health and Survival: Effects on End-of-Life Consumption," Journal of Business & Economic Statistics, American Statistical Association, vol. 15(2), pages 254-268, April.
    15. Trevisan, Elisabetta & Zantomio, Francesca, 2016. "The impact of acute health shocks on the labour supply of older workers: Evidence from sixteen European countries," Labour Economics, Elsevier, vol. 43(C), pages 171-185.
    16. Giorgio Brunello & Guglielmo Weber & Christoph T. Weiss, 2017. "Books are Forever: Early Life Conditions, Education and Lifetime Earnings in Europe," Economic Journal, Royal Economic Society, vol. 127(600), pages 271-296, March.
    17. Sendhil Mullainathan & Marianne Bertrand, 2001. "Do People Mean What They Say? Implications for Subjective Survey Data," American Economic Review, American Economic Association, vol. 91(2), pages 67-72, May.
    18. Ludovico Carrino & Cristina Elisa Orso & Giacomo Pasini, 2018. "Demand of long‐term care and benefit eligibility across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 27(8), pages 1175-1188, August.
    19. Lisa Callegaro & Giacomo Pasini, 2007. "Social interaction effects in an inter-generational model of informal care giving," Working Papers 2007_10, Department of Economics, University of Venice "Ca' Foscari".
    20. Jeffrey R. Brown & Gopi Shah Goda & Kathleen McGarry, 2016. "Heterogeneity In State-Dependent Utility: Evidence From Strategic Surveys," Economic Inquiry, Western Economic Association International, vol. 54(2), pages 847-861, April.
    21. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    22. Avendano, M. & Glymour, M.M. & Banks, J. & Mackenbach, J.P., 2009. "Health disadvantage in US adults aged 50 to 74 years: A comparison of the health of rich and poor Americans with that of Europeans," American Journal of Public Health, American Public Health Association, vol. 99(3), pages 540-548.
    23. Kools, Lieke & Knoef, Marike, 2019. "Health and consumption preferences; estimating the health state dependence of utility using equivalence scales," European Economic Review, Elsevier, vol. 113(C), pages 46-62.
    24. Norbert Hirschauer & Mira Lehberger & Oliver Musshoff, 2015. "Happiness and Utility in Economic Thought—Or: What Can We Learn from Happiness Research for Public Policy Analysis and Public Policy Making?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 121(3), pages 647-674, April.
    25. William N. Evans & W. Kip Viscusi, 1993. "Income Effects and the Value of Health," Journal of Human Resources, University of Wisconsin Press, vol. 28(3), pages 497-518.
    26. Giorgio Brunello & Guglielmo Weber & Christoph T. Weiss, 2017. "Books are Forever: Early Life Conditions, Education and Lifetime Earnings in Europe," Economic Journal, Royal Economic Society, vol. 127(600), pages 271-296, March.
    27. Viscusi, W. Kip, 2020. "Wellbeing measures of mortality risks: life-cycle contradictions and ordinal index challenges," Behavioural Public Policy, Cambridge University Press, vol. 4(2), pages 245-253, July.
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    More about this item

    Keywords

    Health-status; Physical decline; Cognitive decline; Health-dependent utility; Marginal utility; Long-term care; SHARE data;
    All these keywords.

    JEL classification:

    • D90 - Microeconomics - - Micro-Based Behavioral Economics - - - General
    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • D81 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Criteria for Decision-Making under Risk and Uncertainty
    • I10 - Health, Education, and Welfare - - Health - - - General
    • D01 - Microeconomics - - General - - - Microeconomic Behavior: Underlying Principles

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