Essays on economics of aging

Shishupalji Raut, Nilesh (2022) Essays on economics of aging. PhD thesis, London School of Economics and Political Science.

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Abstract

Ageing and inequality – these are two major challenges the world has been facing for ages. Inequality is a condition of not being equal on various grounds, whereas ageing is inevitable process that affects individual’s ability to participate fully in society and in economy, affecting the need of support to undertake activities of daily living (ADLs) or instrumental activities of daily living (IADLs). The process of ageing involves multiple factors such as the decline of physical and mental health and rise of demand for access to health and care services. The focus of my PhD dissertation is on the demand and supply of caregiving, and how best to finance such demand. The initial two chapters of my dissertation deal with informal caregiving supply available for elderly individuals and with caregivers’ outcomes. The first chapter investigates the effect of the Affordable Care Act’s Medicaid expansion on the mental wellbeing of spousal caregivers. The results indicate that availability of health insurance to adult spousal caregivers can significantly reduce the mental burden associated with informal caregiving. The findings from this chapter offer some answers to the demand of sustainable arrangements for informal caregiving. The second chapter of the dissertation examines the intergenerational transmission of caregiving duties and finds strong evidence suggesting the presence of intergenerational transmission of caregiving. The subsequent chapters of this dissertation study care-financing arrangements. The third chapter investigates the impact of Deficit Reduction Act’s (2005) long-term care insurance partnership (LTCIP) on the uptake of public (Medicaid) and private-LTCI. The findings reveal that the rollout of LTCIP increased the uptake of LTCI coverage. LTCIP program has a direct impact on means testing component of the implicit tax on private-LTCI. The fourth chapter identifies the impact of housing and financial wealth on public and private insurance. It documents that the individuals view their housing assets as a form of self-insurance to be used in financing their future long-term care costs.

Item Type:	Thesis (PhD)
Additional Information:	© 2022 Nilesh Shishupalji Raut
Library of Congress subject classification:	H Social Sciences > HC Economic History and Conditions H Social Sciences > HV Social pathology. Social and public welfare. Criminology R Medicine > RA Public aspects of medicine
Sets:	Departments > Health Policy
Supervisor:	Costa-Font, Joan
URI:	http://etheses.lse.ac.uk/id/eprint/4685

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