Abt Associates, Durham, North Carolina, USA.
Health Econ. 2021 Mar;30(3):491-504. doi: 10.1002/hec.4203. Epub 2020 Dec 11.
While waiting for a decision, individuals who apply for Social Security Disability Insurance face strong incentives to remain out of the labor force and receive no support from the program. An extended period with low income, high uncertainty, and lowered access to health insurance has the potential to harm applicants' well-being along many dimensions. In this study, I estimate the effect of initial wait time on health, healthcare access, and financial well-being, using the prevailing wait at the time an applicant applied as an instrument for their own initial wait. I find that a longer wait decreases the likelihood that an applicant has benefits terminated at the time of survey and increases the likelihood that they are currently receiving benefits, consistent with prior findings that longer waits decrease future work and earnings. Wait time also increases the number of conditions causing activity limitations. This suggests that new or worsening medical conditions contribute to the effect of wait time on employment and earnings, and that wait time has effects that extend beyond labor force outcomes.
在等待决策的过程中,申请社会保障残疾保险的个人面临着强烈的激励,即保持失业状态,并且不接受该计划的任何支持。收入低、不确定性高且获得医疗保险的机会减少的延长时间有可能在多个方面损害申请人的福祉。在这项研究中,我使用申请人申请时的现行等待时间作为他们自己的初始等待时间的工具,来估计初始等待时间对健康、医疗保健获取和财务福祉的影响。我发现,等待时间的延长降低了申请人在调查时福利被终止的可能性,并增加了他们目前正在领取福利的可能性,这与先前的研究结果一致,即较长的等待时间会减少未来的工作和收入。等待时间也增加了导致活动受限的疾病数量。这表明新的或恶化的医疗状况导致了等待时间对就业和收入的影响,并且等待时间的影响超出了劳动力市场结果。