Closing down the shop: Optimal health and wealth dynamics near the end of life

B-Tier
Journal: Health Economics
Year: 2020
Volume: 29
Issue: 2
Pages: 138-153

Authors (3)

Julien Hugonnier (École Polytechnique Fédérale d...) Florian Pelgrin (not in RePEc) Pascal St‐Amour (not in RePEc)

Score contribution per author:

0.670 = (α=2.01 / 3 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

Near the end of life, health declines, mortality risk increases, and curative care is replaced by uninsured long‐term care, accelerating the fall in wealth. Whereas standard explanations emphasize inevitable aging processes, we propose a complementary closing down the shop justification where agents' decisions affect their health and the timing of death. Despite preferring to live, individuals optimally deplete their health and wealth towards levels associated with high death risk and gradual indifference between life and death. Reinstating exogenous aging processes reinforces the relevance of closing down. Using Health and Retirement Study–Consumption and Activities Mail Survey data for elders, a structural estimation of the closed‐form decisions identifies, tests, and confirms the relevance of closing down.

Technical Details

RePEc Handle
repec:wly:hlthec:v:29:y:2020:i:2:p:138-153
Journal Field
Health
Author Count
3
Added to Database
2026-02-02