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Welfare Spending and Mortality Rates for the Elderly Before the Social Security Era

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  • Adrian Stoian
  • Price V. Fishback

Abstract

We analyze the impact of the original means-tested Old Age Assistance (OAA) programs on the health of the elderly prior to the first Social Security pension payments. Before 1935 a number of states had enacted their own OAA laws. After 1935 the federal government began offering matching grants and thus stimulated the adoption of OAA programs by the states. A new panel data set of 75 cities for each year between 1929 and 1938 combines mortality rates for older age groups with three measures of the OAA programs, spending on non-age-specific relief and a rich set of correlates. The data are analyzed using difference-in-difference-in-difference and instrumental variables methods. Our results suggest that Old Age Assistance in the 1930s had little impact on the death rate of the elderly. Our sense is that the OAA programs in the 1930s transferred the elderly from general relief programs without necessarily increasing the resources available to them.

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  • Adrian Stoian & Price V. Fishback, 2009. "Welfare Spending and Mortality Rates for the Elderly Before the Social Security Era," NBER Working Papers 14970, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:14970
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    Cited by:

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    2. Jose A. Valderrama & Javier Olivera, 2023. "The effects of social pensions on mortality among the extreme poor elderly," Documentos de Trabajo / Working Papers 2023-525, Departamento de Economía - Pontificia Universidad Católica del Perú.
    3. Jonathan F. Fox, 2011. "Public health, poor relief and improving urban child mortality outcomes in the decade prior to the New Deal," MPIDR Working Papers WP-2011-005, Max Planck Institute for Demographic Research, Rostock, Germany.
    4. 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.
    5. J.C. Herbert Emery & Jesse A. Matheson, 2012. "Should income transfers be targeted or universal? Insights from public pension influences on elderly mortality in Canada, 1921-1966," Canadian Journal of Economics, Canadian Economics Association, vol. 45(1), pages 247-269, February.
    6. Robert L. Clark & Lee A. Craig & John Sabelhaus, 2011. "State and Local Retirement Plans in the United States," Books, Edward Elgar Publishing, number 13685.
    7. Jäger, Philipp, 2023. "Can pensions save lives? Evidence from the introduction of old-age assistance in the UK," Ruhr Economic Papers 995, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    8. Jäger, Philipp, 2019. "The introduction of social pensions and elderly mortality: Evidence 1870-1939," Ruhr Economic Papers 808, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    9. Price V. Fishback, 2012. "Relief During the Great Depression in Australia and America," Australian Economic History Review, Economic History Society of Australia and New Zealand, vol. 52(3), pages 221-249, November.
    10. 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.
    11. Price Fishback & Samuel Allen & Jonathan Fox & Brendan Livingston, 2010. "A Patchwork Safety Net: A Survey Of Cliometric Studies Of Income Maintenance Programs In The United States In The First Half Of The Twentieth Century," Journal of Economic Surveys, Wiley Blackwell, vol. 24(5), pages 895-940, December.
    12. Price V. Fishback, 2020. "Social Insurance and Public Assistance in the Twentieth-Century United States: 2019 Presidential Address for the Economic History Association," NBER Working Papers 26938, National Bureau of Economic Research, Inc.
    13. Noghanibehambari, Hamid & Engelman, Michal, 2022. "Social insurance programs and later-life mortality: Evidence from new deal relief spending," Journal of Health Economics, Elsevier, vol. 86(C).

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    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I1 - Health, Education, and Welfare - - Health
    • N32 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - U.S.; Canada: 1913-

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