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A Kink that Makes You Sick: The Incentive Effect of Sick Pay on Absence

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  • Böckerman, Petri

    (University of Jyväskylä)

  • Kanninen, Ohto

    (Labour Institute for Economic Research)

  • Suoniemi, Ilpo

    (Labour Institute for Economic Research)

Abstract

This paper examines the effect of the replacement rule of the Finnish sickness insurance system on the duration of sickness absence. A pre-determined, piecewise linear policy rule in which the replacement rate is determined by past earnings allows identification of the effect using a regression kink design. We find a substantial and robust behavioral response. The statistically significant point estimate of the elasticity of the duration of sickness absence with respect to the replacement rate is on the order of 1.4.

Suggested Citation

  • Böckerman, Petri & Kanninen, Ohto & Suoniemi, Ilpo, 2014. "A Kink that Makes You Sick: The Incentive Effect of Sick Pay on Absence," IZA Discussion Papers 8205, Institute of Labor Economics (IZA).
  • Handle: RePEc:iza:izadps:dp8205
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    References listed on IDEAS

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    1. Nicolas R. Ziebarth & Martin Karlsson, 2014. "The Effects Of Expanding The Generosity Of The Statutory Sickness Insurance System," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 29(2), pages 208-230, March.
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    4. Jonathan Gruber, 2000. "Disability Insurance Benefits and Labor Supply," Journal of Political Economy, University of Chicago Press, vol. 108(6), pages 1162-1183, December.
    5. Helena Skyt Nielsen & Torben Sørensen & Christopher Taber, 2010. "Estimating the Effect of Student Aid on College Enrollment: Evidence from a Government Grant Policy Reform," NBER Chapters, in: Income Taxation, Trans-Atlantic Public Economics Seminar (TAPES), pages 185-215, National Bureau of Economic Research, Inc.
    6. Zhuan Pei & David Card & David S. Lee & Andrea Weber, 2012. "Nonlinear Policy Rules and the Identification and Estimation of Causal Effects in a Generalized Regression Kink Design," Working Papers 60, Brandeis University, Department of Economics and International Business School.
    7. Puhani, Patrick A. & Sonderhof, Katja, 2010. "The effects of a sick pay reform on absence and on health-related outcomes," Journal of Health Economics, Elsevier, vol. 29(2), pages 285-302, March.
    8. Magnus Henrekson & Mats Persson, 2004. "The Effects on Sick Leave of Changes in the Sickness Insurance System," Journal of Labor Economics, University of Chicago Press, vol. 22(1), pages 87-114, January.
    9. Treble,John & Barmby,Tim, 2011. "Worker Absenteeism and Sick Pay," Cambridge Books, Cambridge University Press, number 9780521806954, September.
    10. Elisabeth Fevang & Simen Markussen & Knut Røed, 2014. "The Sick Pay Trap," Journal of Labor Economics, University of Chicago Press, vol. 32(2), pages 305-336.
    11. Maria De Paola & Vincenzo Scoppa & Valeria Pupo, 2014. "Absenteeism in the Italian Public Sector: The Effects of Changes in Sick Leave Policy," Journal of Labor Economics, University of Chicago Press, vol. 32(2), pages 337-360.
    12. Johansson, Per & Palme, Marten, 2005. "Moral hazard and sickness insurance," Journal of Public Economics, Elsevier, vol. 89(9-10), pages 1879-1890, September.
    13. Per Pettersson-Lidbom & Peter Skogman Thoursie, 2013. "Temporary Disability Insurance and Labor Supply: Evidence from a Natural Experiment," Scandinavian Journal of Economics, Wiley Blackwell, vol. 115(2), pages 485-507, April.
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    Cited by:

    1. Olivier Marie & Judit Vall Castello, 2020. "If sick-leave becomes more costly, will I go back to work? Could it be too soon?," Working Papers 2020/09, Institut d'Economia de Barcelona (IEB).
    2. Stijn Baert & Bas van der Klaauw & Gijsbert van Lomwel, 2018. "The effectiveness of medical and vocational interventions for reducing sick leave of self‐employed workers," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 139-152, February.
    3. Bryson, Alex & Dale-Olsen, Harald, 2017. "Does Sick Pay Affect Workplace Absence?," IZA Discussion Papers 11222, Institute of Labor Economics (IZA).
    4. Ratnikova, Tatiana & Kopytok, Vitovt, 2019. "The effects of compulsory military service on income and wages in Russia," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 55, pages 51-72.
    5. Ganong, Peter & Jäger, Simon, 2014. "A Permutation Test and Estimation Alternatives for the Regression Kink Design," IZA Discussion Papers 8282, Institute of Labor Economics (IZA).

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    More about this item

    Keywords

    paid sick leave; sickness absence; labor supply; sick pay; regression kink design;
    All these keywords.

    JEL classification:

    • 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

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