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research article

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

Hugonnier, Julien  
•
Pelgrin, Florian
•
St-Amour, Pascal
2020
Health Economics

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.

  • Details
  • Metrics
Type
research article
DOI
10.1002/hec.3960
Web of Science ID

WOS:000508009900001

Author(s)
Hugonnier, Julien  
•
Pelgrin, Florian
•
St-Amour, Pascal
Date Issued

2020

Publisher

WILEY

Published in
Health Economics
Volume

29

Issue

2

Start page

138

End page

153

Subjects

Economics

•

Health Care Sciences & Services

•

Health Policy & Services

•

Business & Economics

•

Health Care Sciences & Services

•

dis-savings

•

end of life

•

endogenous mortality risk

•

life cycle

•

portfolio choice

•

retirement

•

income

•

cycle

•

risk

•

causality

•

insurance

•

mortality

•

utility

•

demand

Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
SFI-JH  
Available on Infoscience
January 31, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/165044
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