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Impacts of Home-Care Subsidies: Evidence from Quasi-Random Assignment

Author

Listed:
  • Ofek-Shanny, Yuval

    (FAU, Erlangen Nuremberg)

  • Strulov-Shlain, Avner

    (University of Chicago Booth School of Business)

  • Zeltzer, Dan

    (Tel Aviv University)

Abstract

We study the impact of subsidizing home-based long-term care on recipients' health and the labor supply of their working-age children. We use administrative data from Israel on the universe of welfare benefit applications linked with tax records of applicants and their adult children. To address the endogeneity of benefit recipients' health status, we instrument for benefit receipt using the leniency of randomly assigned evaluators who assess the applicant's functional status and determine benefit eligibility. We find that for compliers - applicants who receive subsidies only from more lenient evaluators - subsidizing home-based care has large adverse effects on recipient health but no detectable effects on the labor market outcomes of their children. The results are consistent with the crowd-out of self-care for the marginal recipient, highlighting the need to assess the heterogeneous eects of home-care subsidies.

Suggested Citation

  • Ofek-Shanny, Yuval & Strulov-Shlain, Avner & Zeltzer, Dan, 2023. "Impacts of Home-Care Subsidies: Evidence from Quasi-Random Assignment," IZA Discussion Papers 16551, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp16551
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    References listed on IDEAS

    as
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    3. Roméo Fontaine & Agnès Gramain & Jérôme Wittwer, 2009. "Providing care for an elderly parent: interactions among siblings?," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 1011-1029, September.
    4. Barnay, Thomas & Juin, Sandrine, 2016. "Does home care for dependent elderly people improve their mental health?," Journal of Health Economics, Elsevier, vol. 45(C), pages 149-160.
    5. Bolin, K. & Lindgren, B. & Lundborg, P., 2008. "Your next of kin or your own career?: Caring and working among the 50+ of Europe," Journal of Health Economics, Elsevier, vol. 27(3), pages 718-738, May.
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    More about this item

    Keywords

    home-based long-term care; labor supply;

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs

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