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健康、健康保险与退休:一项综述

Health, Health Insurance, and Retirement: A Survey
Annual Review of Economics · 2017 · Eric French、John Bailey Jones

中文摘要

退休决策在多大程度上由健康状况驱动,是学术界和政策制定者共同关注的关键问题。在本综述中,我们考察发达国家关于健康与退休关系的经济学文献,阐述健康影响劳动供给的机制,并讨论这些机制如何与公共养老金和公共健康保险相互作用。历史证据表明,健康并非各国之间以及不同时期退休差异的主要来源;此外,健康状况随年龄增长而恶化,只能解释临近退休年龄时就业率下降的一小部分。尽管如此,健康因素仍发挥着重要作用,尤其有助于解释一国内部就业及其他结果的横截面差异。我们评述健康影响退休的机制,并讨论近期的实证分析。

Abstract

The degree to which retirement decisions are driven by health is a key concern for both academics and policy makers. In this review, we survey the economic literature on the health–retirement link in developed countries. We describe the mechanisms through which health affects labor supply and discuss how these mechanisms interact with public pensions and public health insurance. The historical evidence suggests that health is not the primary source of variation in retirement across countries and over time. Furthermore, the decline of health with age can only explain a small share of the decline in employment near retirement age. Health considerations nonetheless play an important role, especially in explaining cross-sectional variation in employment and other outcomes within countries. We review the mechanisms through which health affects retirement and discuss recent empirical analyses.
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