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Sick Leave Cuts and (Unhealthy) Returns to Work

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  • Olivier Marie
  • Judit Vall Castello

Abstract

We investigate the impact on work absence of a massive reduction in paid sick leave benefits. We exploit a policy change that only affected public sector workers in Spain and compare changes in the number and length of spells they take relative to unaffected private sector workers. Our results highlight a large drop in frequency mostly offset by increases in duration. Overall, the policy did reduce the number of days lost to sick leave. For some however, return to work was premature as we document very large increases in both the proportion of relapses and, especially in the number of working accidents. The displacement towards this latter (unaffected) benefit cancels out almost two-fifths of the estimated gains in terms of days lost to absences from cutting sick leave generosity.

Suggested Citation

  • Olivier Marie & Judit Vall Castello, 2022. "Sick Leave Cuts and (Unhealthy) Returns to Work," CESifo Working Paper Series 9550, CESifo.
    • Handle: RePEc:ces:ceswps:_9550
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    References listed on IDEAS

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    Cited by:

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    2. Kakoulidou, Theoni & Doolan, Michael & Roantree, Barra, 2022. "Earnings-related benefits in Ireland: Rationale, costs and work incentives," Papers BP2023/2, Economic and Social Research Institute (ESRI).
    3. Pichler, Stefan & Ziebarth, Nicolas R., 2024. "Sick Leave and Medical Leave in the United States: A Categorization and Recent Trends," IZA Policy Papers 206, Institute of Labor Economics (IZA).
    4. Pablo Blanchard & Gabriel Burdín & Andrés Dean, 2023. "Property Rights and Effort Supply," Documentos de Trabajo (working papers) 23-01, Instituto de Economía - IECON.
    5. Cronin, C.J.; & Harris, M. C.; & Ziebarth, N. R.;, 2024. "The Anatomy of U.S. Sick Leave Schemes:Evidence from Public School Teachers," Health, Econometrics and Data Group (HEDG) Working Papers 24/10, HEDG, c/o Department of Economics, University of York.
    6. Guida Ayza Estopa, 2024. "Return-to-work policies for disability insurance recipients: The role of financial incentives," French Stata Users' Group Meetings 2024 17, Stata Users Group.

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    More about this item

    Keywords

    sickness insurance; paid sick leave; absenteeism; presenteeism; relapses; contagious diseases; benefit displacement; working accidents; Spain;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • J28 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Safety; Job Satisfaction; Related Public Policy
    • J32 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Nonwage Labor Costs and Benefits; Retirement Plans; Private Pensions

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