Beyond Income : Health, Wealth, and Racial/Ethnic Welfare Gaps Among Older Americans

We estimate racial and ethnic disparities in well-being among the older U.S. population using an expected utility framework that incorporates differences in consumption, leisure, health, mortality, and wealth. We use longitudinal data from the Health and Retirement Study (HRS) supplemented with data from the Consumption and Activities Mail Survey (CAMS). Together, these provide a long and rich panel (1992-2016) for our analysis. Our measure broadly indicates that racial and ethnic inequality is larger than suggested by other welfare metrics such as income or consumption. We also find health, mortality, and wealth gaps are important in explaining the level of racial and ethnic welfare inequality among the older Americans in our sample, with leisure playing a comparatively minor role. Our decomposition exercises show that a majority of the estimated welfare gaps are determined by age sixty initial conditions as opposed to racial and ethnic differences in dynamic processes after age sixty. Our morbidity counterfactuals further suggest that eliminating common heath risk factors such as hypertension or diabetes in late-life only marginally closes overall welfare gaps. These simulations suggest that policies aimed at closing racial and ethnic gaps in late-life may be more successful and efficient if targeted earlier in the life-cycle. In other words, outside of direct wealth transfers, it may largely be too late to target such interventions directly at older populations