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Health, Medical Innovation, and Disability Insurance: A Care Study of HIV Antiretroviral Therapy

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Abstract

The growth of the US Social Security Disability Insurance (SSDI) program has raised questions about whether the program targets the disabled population effectively. To address these questions, this study examines the direct effect of health on SSDI outcomes. The effect is identified by a new antiretroviral therapy introduced in late 1995 and early 1996 to treat the human immunodeficiency virus. Administrative data on SSDI applications come from the Disability Research File. According to the analysis, the new therapy had an immediate and persistent effect on program entry. By 1997, the therapy decreased HIV-related applications by 35.2 percent and new awards by 36.7 percent. The therapy did not substantially increase program exits for work and, instead, decreased program exits through death. By 1999, the therapy increased HIV-related expenditures by $43.6 million, reflecting a decrease in mortality among existing beneficiaries who continued to receive benefits.

Suggested Citation

  • Perry Singleton, 2015. "Health, Medical Innovation, and Disability Insurance: A Care Study of HIV Antiretroviral Therapy," Center for Policy Research Working Papers 182, Center for Policy Research, Maxwell School, Syracuse University.
    • Handle: RePEc:max:cprwps:182
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    File URL: https://surface.syr.edu/cpr/210/
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    More about this item

    Keywords

    Health; HIV; Social Security; Disability Insurance;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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