Rogowski J, Karoly L
RAND, Washington, DC 20005, USA.
J Health Econ. 2000 Jul;19(4):529-39. doi: 10.1016/s0167-6296(00)00038-2.
This paper studies the role of health insurance in the retirement decisions of older workers. As policymakers consider mechanisms for how to increase access to affordable health insurance for the near elderly, considerations of the potential labor force implications of such policies will be important to consider--potentially inducing retirements just at a time when the labor force is shrinking. Using data from the 1992 and 1996 waves of the Health and Retirement Survey, this study demonstrates that access to post-retirement health insurance has a large effect on retirement. Among older male workers, those with retiree health benefit offers are 68% more likely to retire (and those with non-employment based insurance are 44% more likely to retire) than their counterparts who would lose employment-based health insurance upon retirement. In addition, the study demonstrated that in retirement models, when retiree health benefits are controlled for, the effects of pension coverage are reduced, suggesting that these effects may have been overestimated in the prior literature.
本文研究了医疗保险在老年工人退休决策中的作用。随着政策制定者考虑如何为临近老年的人群增加获得可负担医疗保险的机制,考量此类政策对劳动力可能产生的影响将十分重要——因为这可能恰好在劳动力萎缩之际促使人们退休。利用1992年和1996年健康与退休调查的数据,本研究表明,获得退休后医疗保险对退休有很大影响。在老年男性工人中,有退休人员健康福利的人比退休后会失去基于就业的医疗保险的同行退休可能性高68%(有非就业型保险的人退休可能性高44%)。此外,研究表明,在退休模型中,当控制退休人员健康福利时,养老金覆盖的影响会降低,这表明这些影响在先前的文献中可能被高估了。