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What happens when you wait? Effects of Social Security Disability Insurance wait time on health and financial well‐being

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  • Sarah Prenovitz

Abstract

While waiting for a decision, individuals who apply for Social Security Disability Insurance face strong incentives to remain out of the labor force and receive no support from the program. An extended period with low income, high uncertainty, and lowered access to health insurance has the potential to harm applicants' well‐being along many dimensions. In this study, I estimate the effect of initial wait time on health, healthcare access, and financial well‐being, using the prevailing wait at the time an applicant applied as an instrument for their own initial wait. I find that a longer wait decreases the likelihood that an applicant has benefits terminated at the time of survey and increases the likelihood that they are currently receiving benefits, consistent with prior findings that longer waits decrease future work and earnings. Wait time also increases the number of conditions causing activity limitations. This suggests that new or worsening medical conditions contribute to the effect of wait time on employment and earnings, and that wait time has effects that extend beyond labor force outcomes.

Suggested Citation

  • Sarah Prenovitz, 2021. "What happens when you wait? Effects of Social Security Disability Insurance wait time on health and financial well‐being," Health Economics, John Wiley & Sons, Ltd., vol. 30(3), pages 491-504, March.
    • Handle: RePEc:wly:hlthec:v:30:y:2021:i:3:p:491-504
    DOI: 10.1002/hec.4203
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    References listed on IDEAS

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    1. Chen, Susan & van der Klaauw, Wilbert, 2008. "The work disincentive effects of the disability insurance program in the 1990s," Journal of Econometrics, Elsevier, vol. 142(2), pages 757-784, February.
    2. Alexander Gelber & Timothy J. Moore & Alexander Strand, 2017. "The Effect of Disability Insurance Payments on Beneficiaries' Earnings," American Economic Journal: Economic Policy, American Economic Association, vol. 9(3), pages 229-261, August.
    3. David H. Autor & Mark G. Duggan, 2003. "The Rise in the Disability Rolls and the Decline in Unemployment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(1), pages 157-206.
    4. Moore, Timothy J., 2015. "The employment effects of terminating disability benefits," Journal of Public Economics, Elsevier, vol. 124(C), pages 30-43.
    5. repec:mpr:mprres:7005 is not listed on IDEAS
    6. Eric French & Jae Song, 2014. "The Effect of Disability Insurance Receipt on Labor Supply," American Economic Journal: Economic Policy, American Economic Association, vol. 6(2), pages 291-337, May.
    7. Nicole Maestas & Kathleen J. Mullen & Alexander Strand, 2013. "Does Disability Insurance Receipt Discourage Work? Using Examiner Assignment to Estimate Causal Effects of SSDI Receipt," American Economic Review, American Economic Association, vol. 103(5), pages 1797-1829, August.
    8. Gross, Tal & Notowidigdo, Matthew J., 2011. "Health insurance and the consumer bankruptcy decision: Evidence from expansions of Medicaid," Journal of Public Economics, Elsevier, vol. 95(7-8), pages 767-778, August.
    9. 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.
    10. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1057-1106.
    11. Bound, John, 1989. "The Health and Earnings of Rejected Disability Insurance Applicants," American Economic Review, American Economic Association, vol. 79(3), pages 482-503, June.
    12. David Card & Carlos Dobkin & Nicole Maestas, 2009. "Does Medicare Save Lives?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 597-636.
    13. Garcia-Gomez, Pilar & Gielen, Anne C., 2014. "Health Effects of Containing Moral Hazard: Evidence from Disability Insurance Reform," IZA Discussion Papers 8386, Institute of Labor Economics (IZA).
    14. Norma B. Coe & Stephan Lindner & Kendrew Wong & April Yanyuan Wu, 2013. "How Do the Disabled Cope While Waiting for SSDI?," Working Papers, Center for Retirement Research at Boston College wp2013-12, Center for Retirement Research.
    15. repec:mpr:mprres:6274 is not listed on IDEAS
    16. repec:mpr:mprres:7006 is not listed on IDEAS
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    1. Chris Sampson’s journal round-up for 8th March 2021
      by Chris Sampson in The Academic Health Economists' Blog on 2021-03-08 12:00:01

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    3. Dan Pan & Yi Yu & Kaiwen Ji, 2024. "The impact of rural living environment improvement programs on the subjective well-being of rural residents in China," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-17, December.
    4. Engin Üngüren & Ömer Akgün Tekin & Hüseyin Avsallı & Yaşar Yiğit Kaçmaz, 2021. "The Moderator Role of Financial Well-Being on the Effect of Job Insecurity and the COVID-19 Anxiety on Burnout: A Research on Hotel-Sector Employees in Crisis," Sustainability, MDPI, vol. 13(16), pages 1-20, August.
    5. Panos Margaris & Johanna Wallenius, 2024. "Can Wealth Buy Health? A Model of Pecuniary and Non-Pecuniary Investments in Health," Journal of the European Economic Association, European Economic Association, vol. 22(3), pages 1097-1138.

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