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Quantifying the mortality impact of the 1935 old-age assistance

Author

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  • Gregori Galofré-Vilà
  • Martin McKee
  • David Stuckler

Abstract

In 1935, the United States introduced the old-age assistance (OAA) program, a means-tested program to help the elderly poor. The OAA improved retirement conditions and aimed to enable older persons to live independently. We use the transition from early elderly plans to OAA and the large differences in payments and eligibility across states to show that OAA reduced mortality by between 30 and 39 percent among those older than 65 years. This finding, based on an event study design, is robust to a range of specifications, a range of fixed effects, placebo tests, and a border-pair policy discontinuity design using county-level data. The largest mortality reductions came from drops in communicable and infectious diseases, such as influenza and nephritis, and mostly affected white citizens.

Suggested Citation

  • Gregori Galofré-Vilà & Martin McKee & David Stuckler, 2022. "Quantifying the mortality impact of the 1935 old-age assistance," European Review of Economic History, European Historical Economics Society, vol. 26(1), pages 62-77.
    • Handle: RePEc:oup:ereveh:v:26:y:2022:i:1:p:62-77.
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    File URL: http://hdl.handle.net/10.1093/ereh/heab001
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    1. Fogel, Robert W. & Grotte, Nathaniel, 2011. "Major Findings from The Changing Body: Health, Nutrition, and Human Development in the Western World since 1700," The Journal of Economic Asymmetries, Elsevier, vol. 8(2), pages 1-9.
    2. Janet Currie & Jonathan Gruber, 1996. "Health Insurance Eligibility, Utilization of Medical Care, and Child Health," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 431-466.
    3. Wallis, John Joseph, 1991. "The Political Economy of New Deal Fiscal Federalism," Economic Inquiry, Western Economic Association International, vol. 29(3), pages 510-524, July.
    4. Fishback, Price V. & Haines, Michael R. & Kantor, Shawn, 2001. "The Impact of the New Deal on Black and White Infant Mortality in the South," Explorations in Economic History, Elsevier, vol. 38(1), pages 93-122, January.
    5. Price Fishback, 2017. "How Successful Was the New Deal? The Microeconomic Impact of New Deal Spending and Lending Policies in the 1930s," Journal of Economic Literature, American Economic Association, vol. 55(4), pages 1435-1485, December.
    6. Andrew Goodman-Bacon, 2018. "Public Insurance and Mortality: Evidence from Medicaid Implementation," Journal of Political Economy, University of Chicago Press, vol. 126(1), pages 216-262.
    7. Fishback, Price & Kachanovskaya, Valentina, 2015. "The Multiplier for Federal Spending in the States During the Great Depression," The Journal of Economic History, Cambridge University Press, vol. 75(1), pages 125-162, March.
    8. Stefan Bauernschuster & Anastasia Driva & Erik Hornung, 2020. "Bismarck’s Health Insurance and the Mortality Decline [Disease and Development: The Effect of Life Expectancy on Economic Growth]," Journal of the European Economic Association, European Economic Association, vol. 18(5), pages 2561-2607.
    9. Galofré-Vilà, Gregori & Meissner, Christopher M. & McKee, Martin & Stuckler, David, 2021. "Austerity and the Rise of the Nazi Party," The Journal of Economic History, Cambridge University Press, vol. 81(1), pages 81-113, March.
    10. Arindrajit Dube & T. William Lester & Michael Reich, 2010. "Minimum Wage Effects Across State Borders: Estimates Using Contiguous Counties," The Review of Economics and Statistics, MIT Press, vol. 92(4), pages 945-964, November.
    11. Quadagno, Jill, 1988. "The Transformation of Old Age Security," University of Chicago Press Economics Books, University of Chicago Press, edition 1, number 9780226699233, April.
    12. Willmore, Larry, 2007. "Universal Pensions for Developing Countries," World Development, Elsevier, vol. 35(1), pages 24-51, January.
    13. Arthi, Vellore, 2018. "“The Dust Was Long in Settling”: Human Capital and the Lasting Impact of the American Dust Bowl," The Journal of Economic History, Cambridge University Press, vol. 78(1), pages 196-230, March.
    14. Stoian, Adrian & Fishback, Price, 2010. "Welfare spending and mortality rates for the elderly before the Social Security era," Explorations in Economic History, Elsevier, vol. 47(1), pages 1-27, January.
    15. Costa, Dora L., 1999. "A house of her own: old age assistance and the living arrangements of older nonmarried women," Journal of Public Economics, Elsevier, vol. 72(1), pages 39-59, April.
    16. Parsons, Donald O., 1991. "Male Retirement Behavior in the United States, 1930–1950," The Journal of Economic History, Cambridge University Press, vol. 51(3), pages 657-674, September.
    17. Sonia Bhalotra & Atheendar Venkataramani, 2011. "The Captain of the Men of Death and His Shadow: Long-Run Impacts of Early Life Pneumonia Exposure," The Centre for Market and Public Organisation 11/273, The Centre for Market and Public Organisation, University of Bristol, UK.
    18. Floud,Roderick & Fogel,Robert W. & Harris,Bernard & Hong,Sok Chul, 2011. "The Changing Body," Cambridge Books, Cambridge University Press, number 9780521879750.
      • Floud,Roderick & Fogel,Robert W. & Harris,Bernard & Hong,Sok Chul, 2011. "The Changing Body," Cambridge Books, Cambridge University Press, number 9780521705615, September.
    19. Price V. Fishback & Michael R. Haines & Shawn Kantor, 2007. "Births, Deaths, and New Deal Relief during the Great Depression," The Review of Economics and Statistics, MIT Press, vol. 89(1), pages 1-14, February.
    20. Costa, Dora L., 2010. "Pensions and Retirement Among Black Union Army Veterans," The Journal of Economic History, Cambridge University Press, vol. 70(3), pages 567-592, September.
    21. Daron Acemoglu & Pascual Restrepo, 2017. "Secular Stagnation? The Effect of Aging on Economic Growth in the Age of Automation," American Economic Review, American Economic Association, vol. 107(5), pages 174-179, May.
    22. Robert Fogel & Dora Costa, 1997. "A theory of technophysio evolution, with some implications for forecasting population, health care costs, and pension costs," Demography, Springer;Population Association of America (PAA), vol. 34(1), pages 49-66, February.
    23. Alston, Lee J. & Ferrie, Joseph P., 1985. "Labor Costs, Paternalism, and Loyalty in Southern Agriculture: A Constraint on the Growth of the Welfare State," The Journal of Economic History, Cambridge University Press, vol. 45(1), pages 95-117, March.
    24. Daniel K. Fetter & Lee M. Lockwood, 2018. "Government Old-Age Support and Labor Supply: Evidence from the Old Age Assistance Program," American Economic Review, American Economic Association, vol. 108(8), pages 2174-2211, August.
    25. Currie, Janet & Gruber, Jonathan, 1996. "Saving Babies: The Efficacy and Cost of Recent Changes in the Medicaid Eligibility of Pregnant Women," Journal of Political Economy, University of Chicago Press, vol. 104(6), pages 1263-1296, December.
    26. Robert W. Fogel & Nathaniel Grotte, 2011. "An Overview of The Changing Body: Health, Nutrition, and Human Development in the Western World Since 1700," NBER Working Papers 16938, National Bureau of Economic Research, Inc.
    27. Johannes Haushofer & Jeremy Shapiro, 2016. "The Short-term Impact of Unconditional Cash Transfers to the Poor: ExperimentalEvidence from Kenya," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1973-2042.
    28. Fishback, Price V., 2020. "Social Insurance and Public Assistance in the Twentieth-Century United States," The Journal of Economic History, Cambridge University Press, vol. 80(2), pages 311-350, June.
    29. Roderick Floud & Robert W. Fogel & Bernard Harris & Sok Chul Hong, 2011. "The Changing Body: Health, Nutrition, and Human Development in the Western World since 1700," NBER Books, National Bureau of Economic Research, Inc, number foge10-1.
    30. Lewis, Joshua, 2018. "Infant Health, Women's Fertility, and Rural Electrification in the United States, 1930–1960," The Journal of Economic History, Cambridge University Press, vol. 78(1), pages 118-154, March.
    31. Friedberg, Leora, 1999. "The effect of old age assistance on retirement," Journal of Public Economics, Elsevier, vol. 71(2), pages 213-232, February.
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    3. Heaney, Tiarnán, 2024. "From pensions to pupils? Schooling, resource constraints and old age pensions in Ireland 1901-11," QUCEH Working Paper Series 24-09, Queen's University Belfast, Queen's University Centre for Economic History.

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