Econometrica

Journal Of The Econometric Society

An International Society for the Advancement of Economic
Theory in its Relation to Statistics and Mathematics

Edited by: Guido W. Imbens • Print ISSN: 0012-9682 • Online ISSN: 1468-0262

Econometrica: Sep, 2024, Volume 92, Issue 5

Lifestyle Behaviors and Wealth-Health Gaps in Germany

https://doi.org/10.3982/ECTA20603
p. 1697-1733

Lukas Mahler|Minchul Yum

We document significant gaps in wealth across health status over the life cycle in Germany—a country with a universal healthcare system and negligible out‐of‐pocket medical expenses. To investigate the underlying sources of these wealth‐health gaps, we build a heterogeneous‐agent life‐cycle model in which health and wealth evolve endogenously. In the model, agents exert efforts to lead a healthy lifestyle, which helps maintain good health status in the future. Effort choices, or lifestyle behaviors, are subject to adjustment costs to capture their habitual nature in the data. We find that our estimated model generates the great majority of the empirical wealth gaps by health and quantify the role of earnings and savings channels through which health affects these gaps. We show that variations in individual health efforts account for around a quarter of the model‐generated wealth gaps by health, illustrating their role as an amplification mechanism behind the gaps.


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Supplemental Material

Supplement to "Lifestyle Behaviors and Wealth-Health Gaps in Germany"

Lukas Mahler and Minchul Yum

This supplemental appendix contains material not found within the manuscript.

Supplement to "Lifestyle Behaviors and Wealth-Health Gaps in Germany"

Lukas Mahler and Minchul Yum

The replication package for this paper is available at https://doi.org/10.5281/zenodo.12734086. The authors were granted an exemption to publish their data because either access to the data is restricted or the authors do not have the right to republish them. Therefore, the replication package only includes the codes but not the data. However, the authors provided the Journal with (or assisted the Journal to obtain) temporary access to the data. The Journal checked the restricted data and the provided codes for their ability to reproduce the results in the paper and approved online appendices.