Caring for Mom and Neglecting Yourself? The Health Effects of Caring for an Elderly Parent

We examine the physical and mental health effects of providing care to an elderly mother on the adult child caregiver. We address the endogeneity of the selection in and out of caregiving using an instrumental variable approach, and carefully control for baseline health and work status of the adult child using fixed effects and Arellano-Bond estimation techniques. Continued caregiving over time increases depressive symptoms for married women and married men. In addition, the increase in depressive symptoms is persistent for married men. Depressive symptoms for single men and women are not affected by continued caregiving. There is a small protective effect on the likelihood (10%) of having any heart conditions among married women who continue caregiving. Robustness checks confirm that the increase in depressive symptoms and decrease in likelihood of heart conditions can be directly attributable to caregiving behavior, and not due to a direct effect of the death of the mother. The initial onset of caregiving, by contrast, has no immediate effects on physical or mental health for any subgroup of caregivers.CES-D;depressive symptoms;heart conditions;elderly parents;informal care

Non-Market Valuation and the Household

The purpose of this paper is to describe the implications of the collective model of household behavior for the methods used to estimate the economic value of non-marketed environmental resources. The effects of public good and risk are considered, along with revealed and stated preference methods. To the extent the collective framework is adopted, then recover of individual preferences from household behavior requires distinguishing how preference and within household income allocations affect choices.

Benefit Transfer as Preference Calibration

This paper proposes and illustrates the use of a new approach to benefit transfer for the non-market valuation of environmental resources. It treats transfer as an identification problem that requires assessing whether available benefit estimates permit the parameters of a preference function to be identified. The transfer method proposed uses these identifying restrictions to calibrate preference parameters and bases the benefit estimates on that preference function. The approach is illustrated using travel cost, hedonic and contingent valuation estimates, as well as combinations of estimates. It has three potential advantages over conventional practice: (1) it allows multiple, potentially overlapping estimates of the benefits of an improvement in environmental quality to be combined consistently; (2) it assures the transferred estimates of the benefits attributed to a proposed change can never exceed income; and (3) it provides a set of additional "outputs" that offer plausibility checks of the benefit transfers.

When is a life too costly to save? : evidence from U.S. environmental regulations

Except for two relatively minor statutes, U.S. environmental laws do not permit the balancing of costs and benefits in setting environmental standards. The Clean Air Act, for example, prohibits the Environmental Protection Agency (EPA) from considering costs in setting ambient air quality standards. Similarly, the Clean Water Act does not allow consideration of benefits in setting effluent standards. When the EPA is allowed to balance benefits against costs, it has considerable discretion in defining"balancing."The authors ask two questions: Whether allowed to or not, has the EPA balanced costs and benefits in setting environmental standards? Where has the EPA drawn the line in deciding how much to spend to save a statistical life? Their answers are based on data about the costs and benefits of regulations involving three classes of pollutants: cancer-causing pesticides usedon food crops (1975-89); carcinogenic air pollutants (1975-90); and all uses of asbestos regulated under the Toxic Substances Control Act. The following are their findings. The EPA behaved as though it were balancing costs and benefits in its regulation of pesticides under Federal Insecticide, Fungicide and Rodenticide Act (FIFRA) and of asbestos under Toxic Substance Control Act (TSCA), the two so-called balancing statutes. The higher the cost of the ban, the less likely the EPA was to ban the use of these products. The greater the number of lives saved, the more likely the EPA was to ban their use. But the amount the EPA was (implicitly) willing to spend to save a life was high: $52 million to prevent cancer among pesticide applicators, and$49 million to avoid cancer through exposure to asbestos. The value the EPA attached to saving a life was higher for workers than for consumers. The value attached to avoiding a case of cancer through exposure to pesticide resides on food was less than $100,000, in contrast with the$52 million value of preventing cancer among pesticide applicators - perhaps because workers are exposed to higher levels of pollution than consumers. After 1987, when the Natural Resources Defense Council sued the EPA for considering costs in setting emissions standards for vinyl chloride, the EPA considered costs in setting emissions standards only after an acceptable level of risk was achieved. Ironically, before the vinyl chloride decision, the value per cancer case avoided was only $15 million. The amount the EPA was willing to spend to save a life was thus less under the Clean Air Act than under the balancing statutes. But after this decision, the EPA did not consider costs at all if the risk of cancer to the maximally exposed individual was above one in 10,000.Environmental Economics&Policies,Health Monitoring&Evaluation,Economic Theory&Research,Health Economics&Finance,Montreal Protocol

Economic Consequences of Failing to Adapt to Sea Level Rise in the Hampton Roads Region

PDF of powerpoint presentation given at the workshop The Economic Impacts of Sea-Level Rise in Hampton Roads: An Appraisal of the Projects Underway on May 18, 2016 at the Virginia Modeling and Simulation Center, 1030 University Blvd, Suffolk, VA 2343

The value of superfund cleanups : evidence from U.S. Environmental Protection Agency decisions

Under the Superfund law, the U.S. Environmental Protection Agency (EPA) is responsible for inspecting hazardous waste sites and for putting those with the most serious contamination problems on a national priorities list. The EPA then oversees the cleanup of these sites, suing potentially responsible parties for the costs of cleanup when possible, and funding the cleanup of"orphaned"sites out of the Superfund, money raised taxing chemical and petroleum products. The Superfund program is controversial. Cleanups are costly and it is unclear whether the benefits of cleanup, especially the relative benefits of more permanent clenanup, are worth the costs. At many sites, imminent danger of exposure to contaminants can be removed at low cost. What raises the cost of cleanup is the decision to clean up the site for future generations - to incinerate contaminated soil, for example, or to pump and treat an aquifer for 30 years. To shed light on this debate, the authors infer the EPA's willingness to pay (or have others pay) for more permanent cleanups at Superfund sites. They do so by analyzing cleanup decisions for contaminated soils at 110 Superfund sites. They find that, other things being equal, the EPA was more likely to choose less expensive cleanup options. But, holding costs constant, the EPA was more likely to select more permanent options, such as incinerating the soil instead of capping it or putting it in a landfill. The EPA was willing to pay at least twice as much for onsite incineration of contaminated soil as it was for capping the soil. Has the EPA chosen more permanent Superfund cleanups in areas where residents are predominantly white and have high incomes? The authors find no evidence that the percentage of minority residents near a site influences the choice of cleanup selected. But offsite treatment was more likely at sites with higher incomes.General Technology,Environmental Governance,Sanitation and Sewerage,TF030632-DANISH CTF - FY05 (DAC PART COUNTRIES GNP PER CAPITA BELOW USD 2,500/AL,Environmental Economics&Policies

The use of willingness to pay experiments : estimating demand for piped water connections in Sri Lanka

The authors show how willingness to pay surveys can be used to gauge household demand for improved network water and sanitation services. They do this by presenting a case-study from Sri Lanka, where they surveyed approximately 1,800 households in 2003. Using multivariate regression, they show that a complex combination of factors drives demand for service improvements. While poverty and costs are found to be key determinants of demand, the authors also find that location, self-provision, and perceptions matter as well, and that subsets of these factors matter differently for subsamples of the population. To evaluate the policy implications of the demand analysis, they use the model to estimate uptake rates of improved service under various scenarios-demand in subgroups, the institutional decision to rely on private sector provision, and various financial incentives targeted to the poor. The simulations show that in this particular environment in Sri Lanka, demand for piped water services is low, and that it is unlikely that under the present circumstances the goal of nearly universal piped water coverage is going to be achieved. Policy instruments, such as subsidization of connection fees, could be used to increase demand for piped water, but it is unclear whether the benefits of the use of such policies would outweigh the costs.Town Water Supply and Sanitation,Environmental Economics&Policies,Water Use,Small Area Estimation Poverty Mapping,Urban Water Supply and Sanitation

Combining Revealed and Stated Preference Data to Estimate the Nonmarket Value of Ecological Services: An Assessment of the State of the Science

This paper reviews the marketing, transportation, and environmental economics literature on the joint estimation of revealed and stated preference data. The revealed preference and stated preference approaches are first described with a focus on the strengths and weaknesses of each. Recognizing these strengths and weaknesses, the potential gains from combining data are described. A classification system for combined data that emphasizes the type of data combination and the econometric models used is proposed. A methodological review of the literature is pursued based on this classification system. Examples from the environmental economics literature are highlighted. A discussion of the advantages and disadvantages of each type of jointly estimated model is then presented. Suggestions for future research, in particular opportunities for application of these models to environmental quality valuation, are presented.Nonmarket Valuation, Revealed Preference, Stated Preference

Trajectories of disability and long-term care utilization after acute health events

Funding Information: Judite Gonçalves acknowledges funding from the Portuguese National Funding Agency for Science, Research, and Technology (FCT, grant number CEECIND/03117/2018) and Luís Filipe from the National Institute for Health Research Applied Research Collaboration North West Coast (NIHR ARC NWC). The views expressed are those of the authors and not necessarily those of their institutions. We appreciate comments from two anonymous reviewers, Joana Pestana, France Weaver, Joan Costa-Font, Helena Telles, Álvaro Almeida, Pedro Pita Barros, and participants at the Conference of the Portuguese Health Economics Association, a Lisbon Microgroup meeting, the European Health Economics Association Conference, the Workshop of the Portuguese Health Economics Association, and the Public Sector Economics Conference on Ageing and Long-Term Care. Publisher Copyright: © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.Hip fractures, strokes, and heart attacks are common acute health events that can lead to long-term disability, care utilization, and unmet needs. However, such impacts, especially in the long term, are not fully understood. Using data from the Health and Retirement Study, 1992–2018, this study examines the long-term trajectories of individuals suffering such health shocks, comparing with individuals not experiencing health shocks. Hip fracture, stroke, and heart attack are confirmed to have severe implications for disability. In most cases of stroke and heart attack, informal caregivers provide the daily support needed by survivors, whereas following hip fracture, nursing home care is more relevant. These health shocks put individuals on worse trajectories of disability, care utilization, and unmet needs. There is no long-term recovery or convergence with individuals who do not suffer shocks. Unmet need is prevalent, even pre-shock and among individuals who do not experience health shocks, emphasizing the importance of preventative care measures. These findings support policy action to ensure hospitalized individuals, especially those aged 50 and above, receive rehabilitative services and other post-acute care. Furthermore, hospitalization is an event that requires the detection and addressing of unmet care needs beyond the short run.publishersversioninpres

The model and photographer of the Portrait of a Woman submitted to the SFP in 1867 by Tessié du Motay and Maréchal

Cet article identifie la femme assise du Portrait de femme comme étant Marguerite Arosa, fille de Gustave Arosa, qui a collaboré avec Tessié du Motay et Maréchal, les inventeurs d’un nouveau procédé de collotype, afin de créer la Société de Phototypie Arosa et Cie. Il examine la formation de ce partenariat via son acte de constitution, et en lien avec la présentation du procédé à l’Assemblée générale de la Société Française de Photographie en avril 1867 lors de l’annonce du lauréat du concours Duc de Luynes, et l’ouverture de l’Exposition Universelle où ils ont obtenu une médaille d’or. L’article traite de la formation et future carrière de peintre de Marguerite, du devenir d’Arosa et Cie et des relations de la famille avec l’artiste Paul Gauguin. Il conclut que le portrait est le résultat d’une collaboration étroite entre Gustave Arosa et Nadar.This article identifies the sitter in the Portrait of a Woman as Marguerite Arosa, the daughter of Gustave Arosa, who partnered with Tessié du Motay and Maréchal, the inventors of a new collotype process, to create the Société de Phototypie Arosa et Cie. It looks at the formation of the partnership according to its acte de constitution and in relation to the presentation of the new process at the SFP general assembly of April 1867, when the winner of the Duc de Luynes competition was announced, and the opening of the Exposition Universelle, where they won a gold medal. It discusses Marguerite’s training and future career as a painter, the future of Arosa et Cie and the family’s relationship with the artist Paul Gauguin. It concludes that the portrait was the result of a joint collaboration between Gustave Arosa and Nadar