Closing Down the Shop: Optimal Health and Wealth Dynamics Near the End of Life

Détails

ID Serval
serval:BIB_851A2531061B
Type
Rapport: document publié par une institution, habituellement élément d'une série.
Sous-type
Working paper: document de travail dans lequel l'auteur présente les résultats de ses travaux de recherche. Les working papers ont pour but de stimuler les discussions scientifiques avec les milieux intéressés et servent de base pour la publication d'articles dans des revues spécialisées.
Collection
Publications
Institution
Titre
Closing Down the Shop: Optimal Health and Wealth Dynamics Near the End of Life
Auteur⸱e⸱s
Hugonnier J., Pelgrin F., St-Amour P.
Détails de l'institution
HEC Lausanne
Date de publication
2016
Langue
anglais
Résumé
The observed health decline near the end of life coincides with less curative (e.g. hospital stay, doctor visits), and more comfort (e.g. nursing home) care, which accelerate both the fall in wealth, and the timing of death. We investigate whether these dynamics jointly result from a closing down the shop decision i.e. a depletion of the health stock is optimally selected (and eventually accelerated), leading to states characterized by indifference between life, and death. Towards that aim, we expand, structurally estimate, and simulate a life cycle model of financial,and health expenses with endogenous mortality exposure (Hugonnier et al., 2013). Under economically plausible, and statistically verified conditions, we find that, unless sufficiently rich and healthy, agents will optimally select expected depletion of their health capital, and associated increase in death likelihood. Moreover, we identify a wealth and health locus below which agents accelerate their health depletion. Importantly, wealth is also expected to decline for all, such that all surviving agents eventually enter the closing down phase.

Mots-clé
End of life, Life cycle, Dis-savings, Endogenous mortality risk, Unmet medical needs, Right to refuse treatment
Création de la notice
19/10/2017 11:37
Dernière modification de la notice
21/08/2019 6:17
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