没有健康,财富有何用?健康对消费边际效用的影响

WHAT GOOD IS WEALTH WITHOUT HEALTH? THE EFFECT OF HEALTH ON THE MARGINAL UTILITY OF CONSUMPTION

Journal of the European Economic Association · 2008
被引 131
人大 AABS 4

中文导读

利用美国健康与退休研究的面板数据,估计健康恶化如何降低消费的边际效用,发现慢性病数量增加一个标准差会使边际效用下降约11%,这对健康保险和生命周期储蓄等经济问题有重要影响。

Abstract

"We estimate how the marginal utility of consumption varies with health. To do so, we develop a simple model in which the impact of health on the marginal utility of consumption can be estimated from data on permanent income, health, and utility proxies. We estimate the model using the Health and Retirement Study's panel data on the elderly and near-elderly, and proxy for utility with measures of subjective well-being. We find robust evidence that the marginal utility of consumption declines as health deteriorates. Our central estimate is that a one-standard-deviation increase in the number of chronic diseases is associated with an 11 percent decline in the marginal utility of consumption relative to this marginal utility when the individual has no chronic diseases. The 95 percent confidence interval allows us to reject declines in marginal utility of less than 2 percent or more than 17 percent. Point estimates from a wide range of alternative specifications tend to lie within this confidence interval. We present some simple, illustrative calibration results that suggest that state dependence of the magnitude we estimate can have a substantial effect on important economic problems such as the optimal level of health insurance benefits and the optimal level of life-cycle savings"--National Bureau of Economic Research web site

健康与消费边际效用慢性疾病主观幸福感状态依赖