Did Vietnam Veterans Get Sicker in the 1990s? The Complicated Effects of Military Service on Self-Reported Health

The veterans disability compensation (VDC) program, which provides a monthly stipend to disabled veterans, is the third largest American disability insurance program. Since the late 1990s, VDC growth has been driven primarily by an increase in claims from Vietnam veterans, raising concerns about costs as well as health. We use the draft lottery to study the long-term effects of Vietnam-era military service on health and work in the 2000 Census. These estimates show no significant overall effects on employment or work-related disability status, with a small effect on non-work-related disability for whites. On the other hand, estimates for white men with low earnings potential show a large negative impact on employment and a marked increase in non-work-related disability rates. The differential impact of Vietnam-era service on low-skill men cannot be explained by more combat or wartheatre exposure for the least educated, leaving the relative attractiveness of VDC for less skilled men and the work disincentives embedded in the VDC system as a likely explanation.Public economics, social security and public pensions, health, education, welfare,labour, demographic economics

Identifying and estimating the distributional effects of unionization and the long-term consequences of military service

Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Economics, 2010.Cataloged from PDF version of thesis.Includes bibliographical references.This thesis is concerned with the economic consequences for individuals of two important U.S. labor market institutions: unionization and the military draft. The first chapter develops an econometric procedure for estimating quantile treatment effects in a regression discontinuity design. It shows nonparametric identification, develops estimators, including a data-driven bandwidth choice, and illustrates the methodology by estimating the effects of an Oklahoma universal pre-K program on the quantiles of student outcomes. The second chapter applies the econometric procedure developed in the first chapter and estimates effects of unionization on the distribution of employees' earnings using a regression discontinuity design based on union certification elections. The results suggest that unionization raises the lower end of the distribution by up to 25 log points, but has a large negative effect on the upper tail of earnings, with little effect on average earnings. Unionization also increases retention among workers with lower pre-election earnings, but decreases it for higher-earning workers. These effects are interpreted as reflecting the political incentives unions face in certification elections. The final chapter (joint with Joshua Angrist and Stacey Chen) explores the long-term effects of Vietnam-era military service on disability outcomes using a research design based on the draft lottery. We find no evidence that military service affected overall employment rates or overall work-limiting disability. At the same time, military service drastically increased federal transfer income, especially for lower skilled white men, among whom there was a large negative impact on employment and an increase in disability rates. The differential impact of Vietnam-era service on low-skilled men cannot be explained by more combat exposure for the least educated, leaving the relative attractiveness of VDC for less skilled men and the work disincentives embedded in the VDC system as a likely explanation.by Brigham R. Frandsen.Ph.D

Did Vietnam veterans get sicker in the 1990s? The complicated effects of military service on self-reported health

The veterans disability compensation (VDC) program, which provides a monthly stipend to disabled veterans, is the third largest American disability insurance program. Since the late 1990s, VDC growth has been driven primarily by an increase in claims from Vietnam veterans, raising concerns about costs as well as health. We use the draft lottery to study the long-term effects of Vietnam-era military service on health and work in the 2000 Census. We find no evidence that military service affected overall employment rates or overall work-limiting disability rates (that is, health conditions that make work difficult). At the same time, military service sharply increased federal transfer income, especially for lower skilled white men, among whom there was also a large negative impact on employment and a marked increase in disability rates. The differential impact of Vietnam-era service on low-skilled men cannot be explained by more combat or war-theatre exposure for the least educated, because high school graduates were at least as likely to be exposed to combat or war theatre as the less-educated. This leaves the relative attractiveness of VDC for less-skilled men and the work disincentives embedded in the VDC system as a likely explanation for our findings.Military service PTSD Disability insurance Health Employment