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How Does Basic Income for the Elderly Affect Health of the Self-employed?

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  • Emma Aguila
  • Raquel Fonseca

Abstract

This study explores how basic income for elderly (non-contributory pension program) affects the health of self-employed and salaried workers differently, which is particularly interesting given the greater social protection and lower income volatility of the latter. The study uses a cluster-randomized controlled trial that provides supplemental incomes to adults aged 70 or older in two towns in Yucatan, Mexico, and compares the effects of supplemental income over two waves for Valladolid (where eligible individuals received a monthly income supplement throughout the analysis period) and Motul (a demographically matched control town). The results indicate that self-employed workers experience a decrease in anemia, an improvement in peak expiratory flow, and better health care use and well-being. In contrast, salaried workers' health outcomes show no significant effect from the program. The program improves food availability for both self-employed and salaried workers, but its impact on food availability is stronger for self-employed workers. Cette étude examine comment le revenu de base pour les personnes âgées (programme de pension non contributif) affecte différemment la santé des travailleurs indépendants et des travailleurs salariés, ce qui est particulièrement intéressant compte tenu de la plus grande protection sociale et de la plus faible volatilité des revenus de ces derniers. L'étude utilise un essai contrôlé randomisé en grappes qui fournit des revenus supplémentaires aux adultes âgés de 70 ans ou plus dans deux villes du Yucatan, au Mexique, et compare les effets du revenu supplémentaire sur deux vagues pour Valladolid (où les personnes éligibles ont reçu un supplément de revenu mensuel tout au long de la période d'analyse) et Motul (une ville de contrôle appariée sur le plan démographique). Les résultats indiquent que les travailleurs indépendants connaissent une diminution de l'anémie, une amélioration du débit expiratoire maximal, ainsi qu'une meilleure utilisation des soins de santé et un meilleur bien-être. En revanche, le programme n'a pas eu d'effet significatif sur la santé des travailleurs salariés. Le programme améliore la disponibilité alimentaire tant pour les travailleurs indépendants que pour les salariés, mais son impact sur la disponibilité alimentaire est plus important pour les travailleurs indépendants.

Suggested Citation

  • Emma Aguila & Raquel Fonseca, 2024. "How Does Basic Income for the Elderly Affect Health of the Self-employed?," CIRANO Working Papers 2024s-04, CIRANO.
  • Handle: RePEc:cir:cirwor:2024s-04
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    1. Cameron,A. Colin & Trivedi,Pravin K., 2013. "Regression Analysis of Count Data," Cambridge Books, Cambridge University Press, number 9781107667273, November.
    2. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    3. Raquel Fonseca & Pierre-Carl Michaud & Titus Galama & Arie Kapteyn, 2021. "Accounting for the Rise of Health Spending and Longevity," Journal of the European Economic Association, European Economic Association, vol. 19(1), pages 536-579.
    4. Anne Case, 2004. "Does Money Protect Health Status? Evidence from South African Pensions," NBER Chapters, in: Perspectives on the Economics of Aging, pages 287-312, National Bureau of Economic Research, Inc.
    5. Michaud, Pierre-Carl & Crimmins, Eileen M. & Hurd, Michael D., 2016. "The effect of job loss on health: Evidence from biomarkers," Labour Economics, Elsevier, vol. 41(C), pages 194-203.
    6. Fairlie, Robert W. & Kapur, Kanika & Gates, Susan, 2011. "Is employer-based health insurance a barrier to entrepreneurship?," Journal of Health Economics, Elsevier, vol. 30(1), pages 146-162, January.
    7. Emma Aguila & Arie Kapteyn & Francisco Perez-Arce, 2017. "Consumption Smoothing and Frequency of Benefit Payments of Cash Transfer Programs," American Economic Review, American Economic Association, vol. 107(5), pages 430-435, May.
    8. Douglas Gollin, 2002. "Getting Income Shares Right," Journal of Political Economy, University of Chicago Press, vol. 110(2), pages 458-474, April.
    9. Schatz, Enid & Gómez-Olivé, Xavier & Ralston, Margaret & Menken, Jane & Tollman, Stephen, 2012. "The impact of pensions on health and wellbeing in rural South Africa: Does gender matter?," Social Science & Medicine, Elsevier, vol. 75(10), pages 1864-1873.
    10. Douglas Holtz-Eakin & Harvey S. Rosen (ed.), 2004. "Public Policy and the Economics of Entrepreneurship," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262083299, December.
    11. Dethier, Jean-Jacques & Pestieau, Pierre & Ali, Rabia, 2010. "Universal minimum old age pensions : impact on poverty and fiscal cost in 18 Latin American countries," Policy Research Working Paper Series 5292, The World Bank.
    12. Eric French, 2005. "The Effects of Health, Wealth, and Wages on Labour Supply and Retirement Behaviour," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(2), pages 395-427.
    13. Kate Strully, 2009. "Job loss and health in the U.S. labor market," Demography, Springer;Population Association of America (PAA), vol. 46(2), pages 221-246, May.
    14. Disney, Richard & Emmerson, Carl & Wakefield, Matthew, 2006. "Ill health and retirement in Britain: A panel data-based analysis," Journal of Health Economics, Elsevier, vol. 25(4), pages 621-649, July.
    15. Zissimopoulos, Julie M. & Karoly, Lynn A., 2007. "Transitions to self-employment at older ages: The role of wealth, health, health insurance and other factors," Labour Economics, Elsevier, vol. 14(2), pages 269-295, April.
    16. Emma Aguila & Mariana López-Ortega & Luis Miguel Gutiérrez Robledo, 2018. "Non-contributory pension programs and frailty of older adults: Evidence from Mexico," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-19, November.
    17. Kerstin Gerst-Emerson & Rebeca Wong & Alejandra Michaels-Obregon & Alberto Palloni, 2015. "Cross-National Differences in Disability Among Elders: Transitions in Disability in Mexico and the United States," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(5), pages 759-768.
    18. Paul J. Gertler & Sebastian W. Martinez & Marta Rubio-Codina, 2012. "Investing Cash Transfers to Raise Long-Term Living Standards," American Economic Journal: Applied Economics, American Economic Association, vol. 4(1), pages 164-192, January.
    19. Guillermo E. Perry & William F. Maloney & Omar S. Arias & Pablo Fajnzylber & Andrew D. Mason & Jaime Saavedra-Chanduvi, 2007. "Informality : Exit and Exclusion," World Bank Publications - Books, The World Bank Group, number 6730, April.
    20. Johannes Haushofer & Jeremy Shapiro, 2016. "The Short-term Impact of Unconditional Cash Transfers to the Poor: ExperimentalEvidence from Kenya," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1973-2042.
    21. Susan W. Parker & Joseph Saenz & Rebeca Wong, 2018. "Health Insurance and the Aging: Evidence From the Seguro Popular Program in Mexico," Demography, Springer;Population Association of America (PAA), vol. 55(1), pages 361-386, February.
    22. Judite Gonçalves & Pedro S. Martins, 2021. "Effects of self-employment on hospitalizations: instrumental variables analysis of social security data," Small Business Economics, Springer, vol. 57(3), pages 1527-1543, October.
    23. Peter Lloyd-Sherlock & João Saboia & Baruch Ramírez-Rodríguez, 2012. "Cash Transfers and the Well-being of Older People in Brazil," Development and Change, International Institute of Social Studies, vol. 43(5), pages 1049-1072, September.
    24. 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.
    25. Peter Lloyd-Sherlock & Sutapa Agrawal, 2014. "Pensions and the Health of Older People in South Africa: Is there an Effect?," Journal of Development Studies, Taylor & Francis Journals, vol. 50(11), pages 1570-1586, November.
    26. Simon Parker & Jonathan Rougier, 2007. "The retirement behaviour of the self-employed in Britain," Applied Economics, Taylor & Francis Journals, vol. 39(6), pages 697-713.
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    JEL classification:

    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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