Health and Work in the Family: Evidence from Spouses’ Cancer Diagnoses

Jeon, Sung-Hee and R. Vincent Pohl. 2017. “Health and Work in the Family: Evidence from Spouses’ Cancer Diagnoses.” Journal of Health Economics 52, 1–18. DOI 10.1016/j.jhealeco.2016.12.008.

Download here

Abstract: Using Canadian administrative data from multiple sources, we provide the first nationally representative estimates for the effect of spouses’ cancer diagnoses on individuals’ employment and earnings and on family income. Our identification strategy exploits unexpected health shocks and combines matching with individual fixed effects in a generalized difference-in-differences framework to control for observable and unobservable heterogeneity. While the effect of spousal health shocks on labor supply is theoretically ambiguous, we find strong evidence for a decline in employment and earnings of individuals whose spouses are diagnosed with cancer. We interpret this result as individuals reducing their labor supply to provide care to their sick spouses and to enjoy joint leisure. Family income substantially declines after spouses’ cancer diagnoses, suggesting that the financial consequences of such health shocks are considerable.

Online Appendix

Media coverage: NPR (WUGA), U.S. News & World Report, Consumer Affairs, Specialty Pharmacy Times

French working paper version: Jeon, Sung-Hee and R. Vincent Pohl. 2016. “Santé et travail dans la famille : les données probantes liées au diagnostic de cancer d’un conjoint.” Direction des études analytiques : documents de recherche No 381.