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The effect of involuntary retirement on healthcare use

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  • Anikó Bíró
  • Réka Branyiczki
  • Péter Elek

Abstract

We analyze the causal effect of involuntary retirement on detailed indicators of healthcare use and mortality. We leverage a pension reform in Hungary which forced public sector workers above the statutory retirement age to full time retirement. Using rich administrative data, we find that on the 3‐year horizon, involuntary retirement decreases the number of primary care doctor visits, the use of systemic antiinfectives and respiratory drugs, and the non‐zero spending on antiinfectives, the drugs of the alimentary tract and metabolism and of the cardiovascular system. The impact on the latter two drug categories is driven by the drop in income due to involuntary retirement. We conclude that there is little evidence for health deteriorating effects of involuntary retirement and discuss the possible mechanisms behind our results.

Suggested Citation

  • Anikó Bíró & Réka Branyiczki & Péter Elek, 2022. "The effect of involuntary retirement on healthcare use," Health Economics, John Wiley & Sons, Ltd., vol. 31(6), pages 1012-1032, June.
    • Handle: RePEc:wly:hlthec:v:31:y:2022:i:6:p:1012-1032
    DOI: 10.1002/hec.4493
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    1. Frimmel, Wolfgang & Pruckner, Gerald J., 2020. "Retirement and healthcare utilization," Journal of Public Economics, Elsevier, vol. 184(C).
    2. Celidoni, Martina & Dal Bianco, Chiara & Weber, Guglielmo, 2017. "Retirement and cognitive decline. A longitudinal analysis using SHARE data," Journal of Health Economics, Elsevier, vol. 56(C), pages 113-125.
    3. Kuhn, Michael & Wrzaczek, Stefan & Prskawetz, Alexia & Feichtinger, Gustav, 2015. "Optimal choice of health and retirement in a life-cycle model," Journal of Economic Theory, Elsevier, vol. 158(PA), pages 186-212.
    4. Gove, Walter R., 1984. "Gender differences in mental and physical illness: The effects of fixed roles and nurturant roles," Social Science & Medicine, Elsevier, vol. 19(2), pages 77-84, January.
    5. Warman, Casey & Worswick, Christopher, 2010. "Mandatory Retirement Rules and the Retirement Decisions of University Professors in Canada," Labour Economics, Elsevier, vol. 17(6), pages 1022-1029, December.
    6. Emslie, Carol & Fuhrer, Rebecca & Hunt, Kate & Macintyre, Sally & Shipley, Martin & Stansfeld, Stephen, 2002. "Gender differences in mental health: evidence from three organisations," Social Science & Medicine, Elsevier, vol. 54(4), pages 621-624, February.
    7. Zhang, Yi & Salm, Martin & van Soest, Arthur, 2018. "The effect of retirement on healthcare utilization: Evidence from China," Journal of Health Economics, Elsevier, vol. 62(C), pages 165-177.
    8. Eibich, Peter, 2015. "Understanding the effect of retirement on health: Mechanisms and heterogeneity," Journal of Health Economics, Elsevier, vol. 43(C), pages 1-12.
    9. Clémentine Garrouste & Elsa Perdrix, 2021. "Is there a consensus on the health consequences of retirement? A literature review," Post-Print hal-03384922, HAL.
    10. Coe, Norma B. & Zamarro, Gema, 2011. "Retirement effects on health in Europe," Journal of Health Economics, Elsevier, vol. 30(1), pages 77-86, January.
    11. Nielsen, Nick Fabrin, 2019. "Sick of retirement?," Journal of Health Economics, Elsevier, vol. 65(C), pages 133-152.
    12. Hessel, Philipp, 2016. "Does retirement (really) lead to worse health among European men and women across all educational levels?," Social Science & Medicine, Elsevier, vol. 151(C), pages 19-26.
    13. Kevin Neuman, 2008. "Quit Your Job and Get Healthier? The Effect of Retirement on Health," Journal of Labor Research, Springer, vol. 29(2), pages 177-201, June.
    14. Titus Galama & Arie Kapteyn & Raquel Fonseca & Pierre‐Carl Michaud, 2013. "A Health Production Model With Endogenous Retirement," Health Economics, John Wiley & Sons, Ltd., vol. 22(8), pages 883-902, August.
    15. Stefanie Behncke, 2012. "Does retirement trigger ill health?," Health Economics, John Wiley & Sons, Ltd., vol. 21(3), pages 282-300, March.
    16. William T. Gallo & Elizabeth H. Bradley & Michele Siegel & Stanislav V. Kasl, 2000. "Health Effects of Involuntary Job Loss Among Older Workers," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 55(3), pages 131-140.
    17. Orley Ashenfelter & David Card, 2002. "Did the Elimination of Mandatory Retirement Affect Faculty Retirement?," American Economic Review, American Economic Association, vol. 92(4), pages 957-980, September.
    18. Rose, Liam, 2020. "Retirement and health: Evidence from England," Journal of Health Economics, Elsevier, vol. 73(C).
    19. William T. Gallo & Elizabeth H. Bradley & Joel A. Dubin & Richard N. Jones & Tracy A. Falba & Hsun-Mei Teng & Stanislav V. Kasl, 2006. "The Persistence of Depressive Symptoms in Older Workers Who Experience Involuntary Job Loss: Results From the Health and Retirement Survey," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(4), pages 221-228.
    20. Anikó Bíró & Péter Elek, 2018. "How does retirement affect healthcare expenditures? Evidence from a change in the retirement age," Health Economics, John Wiley & Sons, Ltd., vol. 27(5), pages 803-818, May.
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    1. Todd Morris & Benoit Dostie, 2023. "Graying and staying on the job: The welfare implications of employment protection for older workers," Cahiers de recherche / Working Papers 15, Institut sur la retraite et l'épargne / Retirement and Savings Institute.

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