nep-hea New Economics Papers
on Health Economics
Issue of 2009‒09‒05
four papers chosen by
Yong Yin
SUNY at Buffalo, USA

  1. Employer Health Benefit Costs and Demand for Part-Time Labor By Jennifer Feenstra Schultz; David Doorn
  2. Did Vietnam Veterans Get Sicker in the 1990s? The Complicated Effects of Military Service on Self-Reported Health By Joshua Angrist; Stacey Chen; Brigham Frandsen
  3. The Effect of Traffic Safety Laws and Obesity Rates on Living Organ Donations By Fernandez, Jose; Stohr, Lisa
  4. Disease, Institutions and Underdevelopment By Hasan, Lubna

  1. By: Jennifer Feenstra Schultz; David Doorn
    Abstract: The link between rising employer costs for health insurance benefits and demand for part-time workers is investigated using non-public data from the Medical Expenditure Panel Survey- Insurance Component (MEPS-IC). The MEPS-IC is a nationally representative, annual establishment survey from the Agency for Healthcare Research and Quality (AHRQ). Pooling the establishment level data from the MEPS-IC from 1996-2004 and matching with the Longitudinal Business Database and supplemental economic data from the Bureau of Labor Statistics, a reduced form model of the percent of total FTE employees working part-time is estimated. This is modeled as a function of the employer health insurance contribution, establishment characteristics, and state-level economic indicators. To account for potential endogeneity, health insurance expenditures are estimated using instrumental variables (IVs). The unit of analysis is establishments that offer health insurance to full-time employees but not part time employees. Conditional on establishments offering health insurance to full-time employees, a 1 percent increase in employer health insurance contributions results in a 3.7 percent increase in part-time employees working at establishments in the U.S.
    Keywords: employer health insurance costs; labor demand; part-time employment
    Date: 2009–04
    URL: http://d.repec.org/n?u=RePEc:cen:wpaper:09-08&r=hea
  2. By: Joshua Angrist; Stacey Chen; Brigham Frandsen
    Abstract: The veterans disability compensation (VDC) program, which provides a monthly stipend to disabled veterans, is the third largest American disability insurance program. Since the late 1990s, VDC growth has been driven primarily by an increase in claims from Vietnam veterans, raising concerns about costs as well as health. We use the draft lottery to study the long-term effects of Vietnam-era military service on health and work in the 2000 Census. These estimates show no significant overall effects on employment or work-related disability status, with a small effect on non-work-related disability for whites. On the other hand, estimates for white men with low earnings potential show a large negative impact on employment and a marked increase in non-work-related disability rates. The differential impact of Vietnam-era service on low-skill men cannot be explained by more combat or war-theatre exposure for the least educated, leaving the relative attractiveness of VDC for less skilled men and the work disincentives embedded in the VDC system as a likely explanation.
    Date: 2009–08
    URL: http://d.repec.org/n?u=RePEc:cen:wpaper:09-19&r=hea
  3. By: Fernandez, Jose; Stohr, Lisa
    Abstract: This paper uses variation in traffic safety laws and obesity rates to identify substitution patterns between living and cadaveric kidney donors. Using panel data from 1988-2008, we find that a 1% decrease in the supply of cadaveric donors per 100,000 increases the supply of living donors per 100,000 by .7%. With respect to traffic safety laws, a national adoption of partial helmet laws is estimated to decrease cadaveric donors by 6%, but leads to a 4.2% increase in the number of living donors, or a net effect of 1.8% decrease in the supply of kidney donations. The recent rise in obesity rates is estimated to increase living donor rates by roughly 18%. Lastly, we find evidence that increases in disposable income per capita is associated with an increase in the number of non-biological living donors within a state, but is not found to have an effect on biological donor rates.
    Keywords: organ donations; fatalities; seat belt; helmet laws; altruism
    JEL: D62 I12 D64
    Date: 2009–08–31
    URL: http://d.repec.org/n?u=RePEc:pra:mprapa:17033&r=hea
  4. By: Hasan, Lubna
    Abstract: What explains poverty of Sub Saharan Africa and South Asia? One view holds the disease environment of these regions as the primary culprit. Others see it as a typical symptom of growth retarding institutions. We test validity of these competing assertions for a cross section of countries. Our results indicate that institutions are the prime determinant of economic performance of countries. Disease does not play a significant role in determining outcomes. On the contrary, we find support for the indirect effect of disease via institutions, as asserted by the 'institutions school'. Interestingly, the 'institutions school' contention about geography having no direct effect on income is also not validated. Our results show that being land locked can pose significant disadvantage for a country. Endowment of hydrocarbon, however, is beneficial for economic outcomes.
    Keywords: Economic Performance; Institutions; Disease.
    JEL: O43 I10
    Date: 2009–08–19
    URL: http://d.repec.org/n?u=RePEc:pra:mprapa:17090&r=hea

This nep-hea issue is ©2009 by Yong Yin. It is provided as is without any express or implied warranty. It may be freely redistributed in whole or in part for any purpose. If distributed in part, please include this notice.
General information on the NEP project can be found at http://nep.repec.org. For comments please write to the director of NEP, Marco Novarese at <director@nep.repec.org>. Put “NEP” in the subject, otherwise your mail may be rejected.
NEP’s infrastructure is sponsored by the School of Economics and Finance of Massey University in New Zealand.