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Harsh occupations, health status and social security

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Abstract

We study the optimal design of a social security system when individuals differ in health status and occupation. Health status is private information but is imperfectly correlated with occupation: individuals in harsh occupations are more likely to be in poor health. We explore the desirability of letting the social security policy differ by occupation and compare the results with those obtained when disability tests are used instead. We show that tagging by occupation is preferable to testing when the audit technology is relatively expensive and/or the proportion of disabled workers differs markedly across occupations. Expected utility differences between occupations could induce workers to switch occupations if they were able to. We explore the implications of imposing equality of expected utility across occupations.

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Notes

  1. There is a growing body of empirical evidence on the link between occupation and health, particularly health status at older ages: see Cambois et al. (2011), Sindelar et al. (2007), Fletcher et al. (2011), Fletcher (2012), and Gueorguieva et al. (2009), among others.

  2. Debrand and Lengagne (2008) note that primary sector jobs–which are often associated with heavy physical workloads—are becoming rarer. Despite this, physical risks at work, as well as psychological problems, are increasing. Stressful work appears to be responsible for a growing number of work-related health problems.

  3. Cambois et al. (2011) provide evidence on differences in health expectancies across occupations but also within occupations.

  4. Admittedly this specification is much simpler than that of Diamond and Mirrlees (1978), who distinguish different types of utility of consumption depending on whether individuals are able or disabled, and working or not.

  5. Individuals learn their health status at some point during their working life. Up to that point they are identical. We focus on the relevant problem (choice of consumption and retirement age) after workers know their type. We normalize this relevant period to an interval of length 1 without loss of generality.

  6. In the following we denote the individuals in good and poor health as healthy and disabled, respectively, for convenience. It is worth pointing out that we have in mind types of disability that make prolonging activity displeasurable, not necessarily chronic disabilities that prevent individuals from working altogether, which could be more readily observable.

  7. By assuming equal productivity across occupations we focus on social insurance against disability risks and abstract from the standard redistribution one would expect from high to low-productivity individuals. We take at first occupation as given and in this case the equality of productivity does not matter. Later we explore the implications of letting workers choose occupation in response to expected utility differentials across occupations.

  8. Note that the utility for consumption is independent of health status, which is different from Diamond and Mirrlees (1978).

  9. This decomposition of the implicit tax on prolonging activity is at the heart of the work of Gruber and Wise (1999).

  10. Neutrality at the margin means that there is no distortion on the choice of retirement age (\(T^{\prime }\left( z_{ij}\right) =0\)) as opposed to average neutrality (\(T\left( z_{ij}\right) =0\)).

  11. The joint fully-fledged testing and tagging case is included in the appendix. We prefer to analyse the two policies separately in the main text for the sake of intuition.

  12. We assume that the government uses existing statistical information about the relationship between health status and occupation, and that this information does not rely on disability tests being performed. Many households surveys contain information about occupation and health status. This is for instance the case of the Survey on Health Ageing and Retirement in Europe (Börsch-Supan et al. 2005), commonly known as SHARE.

  13. Formally the production function can be written as \(Y=nwz\) where the productivity w is fixed, the number of slots n is given and z corresponds to the lifetime labor supply of workers.

  14. These values are consistent with those employed for the disutility of prolonging activity in Cremer et al. (2007), which previously explored the role of disability tests. The setting is however slightly different. The purpose of their numerical illustration was to analyze the use of disability tests to separate leisure-prone from genuinely disabled individuals who display the same disutility of effort parameter. The aim of our illustration is however to compare the use of disability tests and tagging by occupation. Accordingly, the ratios of disabled to healthy workers in different occupations play a crucial role in our simulations. We vary these ratios to assess the role that alternative distributions play, whereas the proportions of individuals of different types was kept constant in their illustration.

  15. In the tables \(T^{\prime }\) stands for the marginal tax rate on earnings from prolonging activity to enable relatively straightforward comparison, in terms of magnitude, with traditional optimal income taxes.

  16. Note that we allow the audit probability to differ by occupation in this case, for consistency with the use of the occupation information for tagging purposes.

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Correspondence to Pierre Pestieau.

Additional information

We would like to thank the hospitality of the Instituto Universitario de Desarrollo Regional at the University of La Laguna. We also thank participants at the 2nd ANU-Japan Workshop on Public Economics, the PET13 Conference and the ANU Research School of Economics Applied Microeconomics Seminar for their comments. We are grateful to Chiara Canta and three anonymous referees for their insightful and helpful suggestions. Errors remain ours.

Appendix: Joint testing and tagging second-best problem

Appendix: Joint testing and tagging second-best problem

In this appendix we present the formal derivation of the second-best problem when the planner simultaneously employs differentiated policies by occupation and disability tests. The planner chooses then a combination of consumption and retirement age \(\left( c_{ij},z_{ij}\right) \), one for each type ij, and now an audit probability \(\pi _{j}\), one for each occupation j. We assume however that the penalty for individuals caught lying is the same in both occupations, which we have represented by a minimum utility \( \underline{u}\). There is a self-selection contraint for each occupation that ensures that healthy workers do not have incentives to mimic disabled ones. These self-selection constraints take into account that those claiming to be disabled are audited with a probability \(\pi _{j}\) that depends on the occupation and are fined with a minimum utility \(\underline{u}\) if caught lying. The Lagrangian for this problem is:

$$\begin{aligned} \pounds= & {} \underset{j=1,2}{\sum n_{j}}\left[ \left( 1-p_{j}\right) \left( u(c_{Hj})-v(z_{Hj};h_{H})\right) +p_{j}\left( u(c_{Dj})-v(z_{Dj};h_{D})\right) \right] \\&+\mu \underset{j=1,2}{\sum n_{j}}\left[ w\left( \left( 1-p_{j}\right) z_{Hj}+p_{j}z_{Di}\right) -\left( \left( 1-p_{j}\right) c_{Hj}+p_{j}c_{Dj}\right) \right] \\&-k\left( n_{1}p_{1}\pi _{1}\right) -k\left( n_{2}p_{2}\pi _{2}\right) \\&+\lambda _{1}\left[ u(c_{H1})-v(z_{H1};h_{H})-\left[ \left( 1-\pi _{1}\right) \left[ u(c_{D1})-v(z_{D1};h_{H})\right] +\pi _{1}\underline{u} \right] \right] \\&+\lambda _{2}\left[ u(c_{H2})-v(z_{H2};h_{H})-\left[ \left( 1-\pi _{2}\right) \left[ u(c_{D2})-v(z_{D2};h_{H})\right] +\pi _{2}\underline{u} \right] \right] \end{aligned}$$

Rearraging the FOCs we obtain

$$\begin{aligned} u^{\prime }\left( c_{Hj}\right) =\frac{\mu n_{j}\left( 1-p_{j}\right) }{ \lambda _{j}+n_{j}\left( 1-p_{j}\right) }, \text { and }, \frac{v^{\prime }(z_{Hj};h_{H})}{u^{\prime }\left( c_{Hj}\right) }=w \end{aligned}$$

for the healthy workers in occupation j, and

$$\begin{aligned}&u^{\prime }\left( c_{Dj}\right) =\frac{\mu n_{j}p_{j}}{\lambda _{j}\left( 1-\pi _{j}\right) +n_{j}p_{j}} \text { and } \\&\frac{v^{\prime }(z_{Dj};h_{D})}{ u^{\prime }\left( c_{Dj}\right) }=w-\frac{\lambda _{j}\left( 1-\pi _{j}\right) }{n_{j}p_{j}}\left( w-\frac{v^{\prime }(z_{Dj};h_{H})}{u^{\prime }\left( c_{Dj}\right) }\right) <w \end{aligned}$$

for the disabled workers in occupation j.

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Pestieau, P., Racionero, M. Harsh occupations, health status and social security. J Econ 117, 239–257 (2016). https://doi.org/10.1007/s00712-015-0449-1

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