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Income Effects on Health: Evidence from Union Army Pensions

Published online by Cambridge University Press:  04 June 2015

Shari Eli*
Affiliation:
Assistant Professor in the Economics Department, University of Toronto, 150 St. George Street #326, Toronto, ON M5S 3G7, Canada. E-mail: [email protected].

Abstract

To what extent do rising income levels explain the decline in adult mortality rates experienced in the United States a century ago? I explore this question by investigating the income effect of the country's first wide-scale entitlement program: the Union Army pensions. Documenting that Republican Congressional candidates boosted pensions to secure votes, I exploit exogenous increases in income stemming from patronage politics to estimate the semi-elasticity of disease onset with respect to pensions. Income effects are large for cardiovascular, gastrointestinal, and respiratory illnesses.

Type
Articles
Copyright
Copyright © The Economic History Association 2015 

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Footnotes

This research stems from a chapter of my dissertation completed at U.C. Berkeley under the advising of Barry Eichengreen, J. Bradford DeLong, and Ronald Lee, who I thank for their comments and suggestions. I also thank Dora Costa, Martha Bailey, Hoyt Bleakley, Louis Cain, Robert Fogel, Nicholas Li, Edward Miguel, Suresh Naidu, and Noam Yuchtman as well as seminar participants of the U.C. Berkeley Economic History seminar, the Aging and Health Workshop at the Center for Population Economics at the University of Chicago, and the Empirical Microeconomics Seminar at the University of Toronto for helpful comments. I thank Carlos Villareal for constructing the digitized Congressional district maps and Noelle Yetter for her advice and assistance with the Union Army sample. I gratefully acknowledge the financial support of the NICHD grant T32-HD007275, NIA grant T32-AG000246, and the All-UC Group in Economic History.

References

REFERENCES

Case, Anne. “Does Money Protect Health Status? Evidence from South African Pensions.” In Perspectives on the Economics of Aging, edited by Wise, David, 247–86. Chicago: University of Chicago Press for NBER, 2004.Google Scholar
Costa, Dora L.Pensions and Retirement: Evidence from Union Army Veterans.” Quarterly Journal of Economics 110, no. 2 (1995): 297319.CrossRefGoogle Scholar
Costa, Dora L.Displacing the Family: Union Army Pensions and Elderly Living Arrangements.” The Journal of Political Economy 105, no. 6 (1997): 1269–92.CrossRefGoogle Scholar
Costa, Dora L., and Kahn, Matthew. Heroes and Cowards: The Social Face of War. Princeton: Princeton University Press, 2008.Google Scholar
Cutler, David, and Miller, Grant. “The Role of Public Health Improvements in Health Advances: The Twentieth-Century United States.” Demography 42, no. 1 (2005): 122.CrossRefGoogle ScholarPubMed
Dubin, Michael. United States Congressional Elections, 1788-1997. Jefferson: McFarland & Company, 1998.Google Scholar
Dyer, Frederick. A Compendium of the War Rebellion, Vol. 1 New York: Thomas Yoseloff, 11, 1959.Google Scholar
Eli, Shari, and Logan, Trevon. “Income and Health in African America: Evidence from Union Army Pensions.” Unpublished Manuscript, 2014.Google Scholar
Ferrie, Joseph P., and Troesken, Werner. “Water and Chicago's Mortality Transition, 1850-1925.” Explorations in Economic History 45, no. 1 (2005): 116.CrossRefGoogle Scholar
Fogel, Robert. The Escape from Hunger and Premature Death, 1700-2100. Cambridge: Cambridge University Press, 2004.CrossRefGoogle Scholar
Glasson, William H. Federal Military Pensions in the United States. New York: Oxford University Press, 1918.Google Scholar
Imbens, Guido, and Wooldridge, Jeffrey M.. “Control Functions and Related Methods.” NBER Lecture Notes No. 6, Cambridge, MA, Summer 2007.Google Scholar
James, Scott C.Patronage Regimes and American Party Development from ‘The Age of Jackson’ to the Progressive Era.” British Journal of Political Science 36, no. 1 (2006): 3960.CrossRefGoogle Scholar
Jayachandran, Seema, Lleras-Muney, Adriana, and Smith, Kimberly V.. “Modern Medicine and the Twentieth Century Decline in Mortality: Evidence from Sulfa Drugs.” American Economic Journal: Applied Economics 2, no. 2 (2010): 118–46.Google Scholar
Martis, Kenneth. The Historical Atlas of the United States Congressional Districts: 1789-1983. New York: The Free Press, 1982.Google Scholar
McKeown, Thomas. The Modern Rise of Population. London: Edward Arnold, 1976.Google Scholar
McKinlay, John B., and McKinlay, Sonja M.. “The Questionable Contribution of Medical Measures to the Decline of Mortality in the U.S. in the Twentieth Century.” The Millbank Memorial Fund Quarterly. Health and Society 55, no. 3 (1977): 405–28.CrossRefGoogle Scholar
Preston, Samuel H., and Haines, Michael. Fatal Years: Child Mortality in Late-Nineteenth Century America. Princeton: Princeton University Press, 1991.CrossRefGoogle Scholar
Skocpol, Theda. Protecting Soldiers and Mothers. Cambridge: The Belknap Press of Harvard University Press, 1992.CrossRefGoogle Scholar
The Campaign Text Book of the Democratic Party of the United States, for the Presidential Election of 1888. New York: Brentanos, 1888.Google Scholar
United States Pension Bureau. Instructions to Examining Surgeons for Pensions. Washington: GPO, 1882.Google Scholar
U.S. Census Bureau. Historical Statistics of the United States, Colonial Times to 1957. Prepared by the Bureau of the Census with the Cooperation of the Social Science Research Council. Washington D.C: GPO, 1960.Google Scholar
Warner, A. J. Testimony Taken by the Committee on Payment of Pensions, Bounty, and Back Pay. Prepared by the Committee on Payment of Pensions, Bounty and Back Pay, 48th Congress, 2nd Session. Washington: GPO, 1885.Google Scholar