IDEAS home Printed from https://ideas.repec.org/p/ris/albaec/2020_013.html
   My bibliography  Save this paper

Loss of Life and Labor Productivity: The Canadian Opioid Crisis

Author

Listed:
  • Cheung, Alexander

    (University of Alberta, Department of Economics)

  • Marchand, Joseph

    (University of Alberta, Department of Economics)

  • Mark, Patricia

    (Vancouver Island Health Authority)

Abstract

Opioids were declared a public health emergency in British Columbia, Canada, in 2016, and from that year through 2021, 29,894 Canadians lost their lives to opioid overdoses. With more than two-thirds of those victims were employed in the five years prior to their deaths from opioids, this study aims to quantify their lost productivity to the Canadian economy, focusing on the pre-COVID period from 2016 to 2019. We apply two human capital model variants in our analysis, projecting forward the future economic output of individuals who died from opioids, based on industry when employed and age at time of death, from their deaths to what would have been their eventual retirements. The total estimated productivity loss to Canada is at least 8.8 billion dollars, with the equivalent value of statistical life calculations an order of magnitude higher, which are instead based on estimates of the amount of money that individuals would pay to avoid death. Our results challenge the notion that the opioid crisis predominantly affects unproductive members of society.

Suggested Citation

  • Cheung, Alexander & Marchand, Joseph & Mark, Patricia, 2020. "Loss of Life and Labor Productivity: The Canadian Opioid Crisis," Working Papers 2020-13, University of Alberta, Department of Economics, revised Dec 2022.
  • Handle: RePEc:ris:albaec:2020_013
    as

    Download full text from publisher

    File URL: https://sites.ualberta.ca/~econwps/2020/wp2020-13.pdf
    File Function: Full text
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Anne Case & Angus Deaton, 2017. "Mortality and Morbidity in the 21st Century," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(1 (Spring), pages 397-476.
    2. Banzhaf, H. Spencer, 2022. "The Value of Statistical Life: A Meta-Analysis of Meta-Analyses," Journal of Benefit-Cost Analysis, Cambridge University Press, vol. 13(2), pages 182-197, July.
    3. Hollingsworth, Alex & Ruhm, Christopher J. & Simon, Kosali, 2017. "Macroeconomic conditions and opioid abuse," Journal of Health Economics, Elsevier, vol. 56(C), pages 222-233.
    4. Antonis Targoutzidis, 2018. "Some adjustments to the human capital and the friction cost methods," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(9), pages 1225-1228, December.
    5. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fernández Guerrico, Sofía, 2021. "The effects of trade-induced worker displacement on health and mortality in Mexico," Journal of Health Economics, Elsevier, vol. 80(C).
    2. Ilaria Natali & Mathias Dewatripont & Victor Ginsburgh & Michel Goldman & Patrick Legros, 2023. "Prescription opioids and economic hardship in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(9), pages 1473-1504, December.
    3. Buckles, Kasey & Evans, William N. & Lieber, Ethan M.J., 2023. "The drug crisis and the living arrangements of children," Journal of Health Economics, Elsevier, vol. 87(C).
    4. Aliprantis, Dionissi & Fee, Kyle & Schweitzer, Mark E., 2023. "Opioids and the labor market," Labour Economics, Elsevier, vol. 85(C).
    5. Powell, David & Pacula, Rosalie Liccardo & Taylor, Erin, 2020. "How increasing medical access to opioids contributes to the opioid epidemic: Evidence from Medicare Part D," Journal of Health Economics, Elsevier, vol. 71(C).
    6. Ruhm, Christopher J., 2019. "Drivers of the fatal drug epidemic," Journal of Health Economics, Elsevier, vol. 64(C), pages 25-42.
    7. Sumedha Gupta & Morhaf Al Achkar & Bradley Ray, 2022. "Are prescription drug monitoring laws effective for all? Evidence from administrative data," Contemporary Economic Policy, Western Economic Association International, vol. 40(1), pages 28-47, January.
    8. David Beheshti, 2019. "Adverse health effects of abuse‐deterrent opioids: Evidence from the reformulation of OxyContin," Health Economics, John Wiley & Sons, Ltd., vol. 28(12), pages 1449-1461, December.
    9. Schwandt, Hannes & Wachter, Till von, 2020. "Socioeconomic Decline and Death: Midlife Impacts of Graduating in a Recession," IZA Discussion Papers 12908, Institute of Labor Economics (IZA).
    10. Lucy Xiaolu Wang, 2021. "The complementarity of drug monitoring programs and health IT for reducing opioid‐related mortality and morbidity," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2026-2046, September.
    11. Lowenstein, Christopher, 2024. "“Deaths of despair” over the business cycle: New estimates from a shift-share instrumental variables approach," Economics & Human Biology, Elsevier, vol. 53(C).
    12. Hannes Schwandt & Till M. von Wachter, 2020. "Socio-Economic Decline and Death: The Life-Cycle Impacts of Recessions for Labor Market Entrants," NBER Working Papers 26638, National Bureau of Economic Research, Inc.
    13. Shannon M. Monnat, 2019. "The Contributions of Socioeconomic and Opioid Supply Factors to Geographic Variation in U.S. Drug Mortality Rates," Working Papers Series 87, Institute for New Economic Thinking.
    14. Haan, Peter & Hammerschmid, Anna & Schmieder, Julia, 2019. "Mortality in midlife for subgroups in Germany," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 14.
    15. Cristina Borra & Jerònia Pons-Pons & Margarita Vilar-Rodríguez, 2020. "Austerity, healthcare provision, and health outcomes in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(3), pages 409-423, April.
    16. Alex Hollingsworth & Ivan Rudik, 2021. "The Effect of Leaded Gasoline on Elderly Mortality: Evidence from Regulatory Exemptions," American Economic Journal: Economic Policy, American Economic Association, vol. 13(3), pages 345-373, August.
    17. Kevin Milligan & Tammy Schirle, 2021. "The evolution of longevity: Evidence from Canada," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 54(1), pages 164-192, February.
    18. Deaton, Angus, 2018. "What do self-reports of wellbeing say about life-cycle theory and policy?," Journal of Public Economics, Elsevier, vol. 162(C), pages 18-25.
    19. Jérôme Adda & Yarine Fawaz, 2020. "The Health Toll of Import Competition," The Economic Journal, Royal Economic Society, vol. 130(630), pages 1501-1540.
    20. McGranahan, David & Parker, Timothy, 2021. "The Opioid Epidemic: A Geography in Two Phases," Economic Research Report 327197, United States Department of Agriculture, Economic Research Service.

    More about this item

    Keywords

    British Columbia; Canada; human capital; labor productivity; opioids; public health emergency; value of statistical life;
    All these keywords.

    JEL classification:

    • E24 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - Employment; Unemployment; Wages; Intergenerational Income Distribution; Aggregate Human Capital; Aggregate Labor Productivity
    • I10 - Health, Education, and Welfare - - Health - - - General
    • J17 - Labor and Demographic Economics - - Demographic Economics - - - Value of Life; Foregone Income
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • O47 - Economic Development, Innovation, Technological Change, and Growth - - Economic Growth and Aggregate Productivity - - - Empirical Studies of Economic Growth; Aggregate Productivity; Cross-Country Output Convergence

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ris:albaec:2020_013. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Joseph Marchand (email available below). General contact details of provider: https://edirc.repec.org/data/deualca.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.