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Do Elections Make You Sick?

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  • Hung-Hao Chang
  • Chad Meyerhoefer

Abstract

Anecdotal reports and small-scale studies suggest that elections are stressful, and might lead to a deterioration in voters’ mental well-being. Nonetheless, researchers have yet to establish whether elections actually make people sick, and if so, why. By applying a regression discontinuity design to administrative health care claims from Taiwan, we determine that elections increased health care use and expense only during legally specified campaign periods by as much as 19%. Overall, the treatment cost of illness caused by elections exceeded publicly reported levels of campaign expenditure, and accounted for 2% of total national health care costs during the campaign period.

Suggested Citation

  • Hung-Hao Chang & Chad Meyerhoefer, 2020. "Do Elections Make You Sick?," NBER Working Papers 26697, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:26697
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    1. Giovanni Cerulli & Yingying Dong & Arthur Lewbel & Alexander Poulsen, 2017. "Testing Stability of Regression Discontinuity Models," Advances in Econometrics, in: Regression Discontinuity Designs, volume 38, pages 317-339, Emerald Group Publishing Limited.
    2. Bach, Laurent & Guillouzouic, Arthur & Malgouyres, Clément, 2021. "Does holding elections during a Covid-19 pandemic put the lives of politicians at risk?," Journal of Health Economics, Elsevier, vol. 78(C).
    3. Bruce, Raphael & Lima, Rafael Costa, 2019. "Compulsory voting and TV news consumption," Journal of Development Economics, Elsevier, vol. 138(C), pages 165-179.
    4. Chang, Hung-Hao & Meyerhoefer, Chad D., 2019. "Inter-brand competition in the convenience store industry, store density and healthcare utilization," Journal of Health Economics, Elsevier, vol. 65(C), pages 117-132.
    5. Niederdeppe, Jeff & Avery, Rosemary J. & Liu, Jiawei & Gollust, Sarah E. & Baum, Laura & Barry, Colleen L. & Welch, Brendan & Tabor, Emmett & Lee, Nathaniel W. & Fowler, Erika Franklin, 2021. "Exposure to televised political campaign advertisements aired in the United States 2015–2016 election cycle and psychological distress," Social Science & Medicine, Elsevier, vol. 277(C).
    6. Dhaval Dave & Andrew Friedson & Kyutaro Matsuzawa & Drew McNichols & Connor Redpath & Joseph J. Sabia, 2021. "Risk avoidance, offsetting community effects, and COVID-19: Evidence from an indoor political rally," Journal of Risk and Uncertainty, Springer, vol. 63(2), pages 133-167, October.
    7. Steven D. Levitt, 1995. "Policy Watch: Congressional Campaign Finance Reform," Journal of Economic Perspectives, American Economic Association, vol. 9(1), pages 183-193, Winter.
    8. Abraham Abebe Asfaw, 2019. "The effect of prescription drug insurance on health behavior: Evidence from Medicare Part D," Health Economics, John Wiley & Sons, Ltd., vol. 28(3), pages 403-418, March.
    9. Filip Palda & Kristian Palda, 1998. "The impact of campaign expenditures on political competition in the French legislative elections of 1993," Public Choice, Springer, vol. 94(1), pages 157-174, January.
    10. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    11. Christine Fauvelle-Aymar & Abel François, 2006. "The impact of closeness on turnout: An empirical relation based on a study of a two-round ballot," Public Choice, Springer, vol. 127(3), pages 461-483, June.
    12. Levitt, Steven D, 1994. "Using Repeat Challengers to Estimate the Effect of Campaign Spending on Election Outcomes in the U.S. House," Journal of Political Economy, University of Chicago Press, vol. 102(4), pages 777-798, August.
    13. Kevin B Smith & Matthew V Hibbing & John R Hibbing, 2019. "Friends, relatives, sanity, and health: The costs of politics," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-13, September.
    14. James M. Snyder Jr. & Hasin Yousaf, 2020. "Making Rallies Great Again: The Effects of Presidential Campaign Rallies on Voter Behavior, 2008-2016," NBER Working Papers 28043, National Bureau of Economic Research, Inc.
    15. Sebastian Calonico & Matias D. Cattaneo & Max H. Farrell & Roc ́ıo Titiunik, 2017. "rdrobust: Software for regression-discontinuity designs," Stata Journal, StataCorp LP, vol. 17(2), pages 372-404, June.
    16. A. J. Culyer & J. P. Newhouse (ed.), 2000. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, edition 1, volume 1, number 1.
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    Cited by:

    1. Mukhopadhyay, Sankar, 2022. "Elections have (health) consequences: Depression, anxiety, and the 2020 presidential election," Economics & Human Biology, Elsevier, vol. 47(C).
    2. Daniel J. Smith & George R. Crowley & J. Sebastian Leguizamon, 2021. "Long live the doge? Death as a term limit on Venetian chief executives," Public Choice, Springer, vol. 188(3), pages 333-359, September.
    3. Niederdeppe, Jeff & Avery, Rosemary J. & Liu, Jiawei & Gollust, Sarah E. & Baum, Laura & Barry, Colleen L. & Welch, Brendan & Tabor, Emmett & Lee, Nathaniel W. & Fowler, Erika Franklin, 2021. "Exposure to televised political campaign advertisements aired in the United States 2015–2016 election cycle and psychological distress," Social Science & Medicine, Elsevier, vol. 277(C).
    4. Schreiner, Nicolas, 2021. "Changes in Well-Being Around Elections," Working papers 2021/03, Faculty of Business and Economics - University of Basel.

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    More about this item

    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
    • P16 - Political Economy and Comparative Economic Systems - - Capitalist Economies - - - Capitalist Institutions; Welfare State

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