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Essays on elderly asset management the role of medical expenses and housing.

机译:论文对老年资产管理医疗费用和住房的作用。

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摘要

With baby-boomers approaching their retirement age, the financial security of elderly Americans has become increasingly crucial for both policy-makers and retirees themselves. Based on the data from the Health and Retirement Survey (HRS), this dissertation examines how healthcare costs and housing affect retirees' saving and investment decisions.;In chapter 1, I investigate the pattern of asset allocation among elderly Americans and test if large out-of-pocket (OOP) medical expenses were preventing older households from holding risky assets. My results show that the elderly are more likely to own risky financial assets while less likely to own housing assets as their OOP medical expenses go up. And conditional on ownership, relatively large OOP medical expenses are significantly correlated with high share of risky financial assets and low share of housing assets. These results imply that large OOP medical expenses may be capturing something other than poor health, which I explain by a "mechanical" effect that older households sell their houses to finance their large OOP medical expenses, driving up the risky financial assets share.;In chapter 2, I develop a life-cycle dynamic programming model that particularly assumes elder homeowners would sell their houses to finance large medical expenses such as nursing home costs. My model finds that retirees with housing are less sensitive to the magnitude of medical expense shocks and thus maintain fewer precautionary savings. Without housing assets, retirees tend to take fewer risks while investing at the early stage of their retirement, but may have to take chances to finance elevated medical expenses as they approach the end of their life cycle.;In chapter 3, I relax the borrowing constraint assumed in the prior two chapters and study the impact of health problems and related expenses on elderly households' financial security. I estimate the probability of medical default among 65 and above age group using various qualitative choice models. Results indicate that high medical debt to income ratio rather than OOP medical expense itself contributes to the high probability of default.
机译:随着婴儿潮一代临近退休年龄,美国人的财务安全对于决策者和退休者自身都变得越来越重要。基于健康与退休调查(HRS)的数据,本论文研究了医疗成本和住房如何影响退休人员的储蓄和投资决策。;在第一章中,我研究了美国老年人中资产配置的模式,并测试了资产规模是否庞大。自付费用(OOP)的医疗费用阻止了老年家庭持有风险资产。我的结果显示,随着OOP医疗费用的增加,老年人更有可能拥有风险金融资产,而拥有住房资产的可能性较小。并且,以所有权为条件,相对较大的OOP医疗费用与高风险金融资产份额和低住房资产份额显着相关。这些结果表明,大额OOP医疗费用可能捕获了不良健康状况以外的其他东西,我通过“机械”效应解释说,老年家庭出售房屋以支付其大额OOP医疗费用,从而增加了风险金融资产的份额。在第2章中,我开发了一个生命周期动态规划模型,该模型特别假设老年房主将出售房屋来支付诸如养老院费用之类的大笔医疗费用。我的模型发现,有住房的退休人员对医疗费用冲击的幅度较不敏感,因此减少了预防性储蓄。没有住房资产,退休人员在退休初期投资时往往承担较少的风险,但是随着生命周期的结束,退休人员可能不得不趁机筹集高额的医疗费用。;在第3章中,我放松了借款。前两章假定了约束条件,并研究了健康问题和相关费用对老年家庭财务安全的影响。我使用各种定性选择模型估算了65岁及以上年龄组的医疗违规率。结果表明,较高的医疗债务与收入之比而不是OOP医疗费用本身会导致较高的违约概率。

著录项

  • 作者

    Li, Li.;

  • 作者单位

    State University of New York at Albany.;

  • 授予单位 State University of New York at Albany.;
  • 学科 Economics General.;Economics Finance.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 149 p.
  • 总页数 149
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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