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来源类型Working Paper
规范类型报告
DOI10.3386/w16170
来源IDWorking Paper 16170
The Risk of Out-of-Pocket Health Care Expenditure at End of Life
Samuel Marshall; Kathleen M. McGarry; Jonathan S. Skinner
发表日期2010-07-08
出版年2010
语种英语
摘要There is conflicting evidence on the importance of out-of-pocket medical expenditures as a risk to financial security, particularly at older ages. We revisit this question, focusing on health care spending near the end of life using data from the Health and Retirement Study for the years 1998-2006. We address difficulties with missing values for various categories of expenditures, outliers, and variations across individuals in the length of the reporting period. Spending in the last year of life is estimated to be $11,618 on average, with the 90th percentile equal to $29,335, the 95th percentile $49,907, and the 99th equal to $94,310. These spending measures represent a substantial fraction of liquid wealth for decedents. Total out-of-pocket expenditures are strongly positively related to wealth and weakly related to income. We find evidence for a mechanism by which wealth could plausibly buy health: large expenditures on home modifications, helpers, home health care, and higher-quality nursing homes, which have been shown elsewhere to improve longevity.
主题Health, Education, and Welfare ; Health ; Education ; Poverty and Wellbeing ; Labor Economics ; Demography and Aging
URLhttps://www.nber.org/papers/w16170
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/573843
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Samuel Marshall,Kathleen M. McGarry,Jonathan S. Skinner. The Risk of Out-of-Pocket Health Care Expenditure at End of Life. 2010.
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