Life cycle responses to health insurance status

This paper studies the lifetime effects of exogenous changes in health insurance coverage (e.g. Medicare, PPACA, termination of employer-provided plans) on the dynamic optimal allocation (consumption, leisure, health expenditures), status (health, wealth and survival rates), and welfare. We solve, structurallyestimate, and simulate a parsimonious life cycle model with endogenous exposition to morbidity and mortality risks to analyze the impact of young (resp. old) insurance status conditional on old (resp. young) coverage. Our results highlight strong substitution across instruments (health expenditures, and leisure) as well as across time (postponing and accelerating expenses, leisure) induced by changes in insurance statuses.