关店:生命末期的最优健康与财富动态

Closing down the shop: Optimal health and wealth dynamics near the end of life

Health Economics · 2019
被引 15
人大 A-

中文导读

研究了生命末期个体如何主动消耗健康和财富,导致死亡风险上升,并用美国老年人数据验证了这一“关店”行为。

Abstract

Near the end of life, health declines, mortality risk increases, and curative care is replaced by uninsured long-term care, accelerating the fall in wealth. Whereas standard explanations emphasize inevitable aging processes, we propose a complementary closing down the shop justification where agents' decisions affect their health and the timing of death. Despite preferring to live, individuals optimally deplete their health and wealth towards levels associated with high death risk and gradual indifference between life and death. Reinstating exogenous aging processes reinforces the relevance of closing down. Using Health and Retirement Study-Consumption and Activities Mail Survey data for elders, a structural estimation of the closed-form decisions identifies, tests, and confirms the relevance of closing down.

生命末期决策健康资本财富消耗死亡风险