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Disease and Gender Gaps in Human Capital Investment: Evidence from Niger's 1986 Meningitis Epidemic

American Economic Review 2017 107(5), 530-535 open access
This paper examines whether disease burdens, especially prevalent in the tropics, contribute significantly to widening gender gaps in educational attainment. We estimate the impact of sudden exposure to the 1986 meningitis epidemic in Niger on girls' education relative to boys. Our results suggest that increases in meningitis cases during epidemic years significantly reduce years of education disproportionately for primary school-aged going girls in areas with higher meningitis exposure. There is no significant effect for boys in the same cohort and no effects of meningitis exposure for non-epidemic years. Our findings have broader implications for climate-induced disease effects on social inequality.

The Ethics of Incentivizing the Uninformed: A Vignette Study

American Economic Review 2017 107(5), 91-95 open access
Our recent working paper (Ambuehl, Ockenfels, and Stewart 2017) shows theoretically and experimentally that people with higher costs of information processing respond more to an increase in the incentive for a complex transaction, and decide to participate based on a worse understanding of its consequences. Here, we address the resulting tradeoff between the principle of informed consent and the principle of free contract. Respondents to our vignette study on oocyte donation overwhelmingly favor the former and support policies that require donors to thoroughly understand the transaction. This finding helps design markets that are not only efficient but also considered ethical.

Cross-Country Evidence on the Relationship between Overwork and Skilled Women's Job Choices

American Economic Review 2017 107(5), 105-109 open access
This paper examines the relationship between the prevalence of overwork and skilled women's labor force participation and occupational choice. Using country-level variation, we find a negative relationship between the share of males working 50+ hours a week and the LFP of young married women, with the correlation being much smaller for single women and older married women. Using a panel of occupations across countries, we find that overwork in an occupation is negatively correlated with the share of married women working in that occupation. This finding is robust to controlling for the occupational distribution of groups with fewer household responsibilities.

Traditional Beliefs and Learning about Maternal Risk in Zambia

American Economic Review 2017 open access
Maternal mortality remains very high in many parts of the developing world, especially in sub-Saharan Africa. While maternal deaths are observable, it may not be straightforward for individuals to learn about risk factors. This paper utilizes novel data on male and female perceptions of maternal risk in Zambia to document that superstitions about causes of maternal mortality are pervasive and to uncover evidence that such beliefs impede learning about maternal health risk levels and correlates. In our data, people who hold traditional beliefs disregard past birth complications completely in assessing future risk, unlike those who hold modern beliefs.

Challenges in Constructing a Survey-Based Well-Being Index

American Economic Review 2017 open access
How should a survey-based measure of well-being be implemented? How could it be constructed in a systematic and politically neutral way? These questions should be approached by economists with the same level of care that has been taken in the theoretical and practical development of GDP. We focus on two essential requirements for implementation: formulating a list of different aspects of well-being that is theoretically valid and can be measured accurately via surveys, and choosing and interpreting the survey response scales. We discuss progress to date on these issues, remaining challenges, and some possible approaches to overcoming them.

How the Second-Order Free Rider Problem Is Solved in a Small-Scale Society

American Economic Review 2017 open access
Moralistic punishment enables human cooperation, but an outstanding question is why people voluntarily sanction when they can obtain the benefits of punishment without being enforcers themselves. To address how decentralized societies solve this second-order free rider issue, I examine why people punish among the Turkana, a population in Kenya in which informal peer sanctioning sustains participation in high-stakes interethnic warfare. Using vignette experiments I show that Turkana subjects express punitive sentiments toward second-order free riders and those who sanction irresponsibly. The prevalence of such meta norms regulating punishment reveal a possible pathway by which moralistic punishment could have evolved.

Altruistic Capital

American Economic Review 2017 open access
To understand altruistic behavior, we must understand the process through which altruism develops and is shaped by the agents' own choices and exogenous factors. We introduce the concept of altruistic capital, which grows with effort devoted to altruistic acts and facilitates future altruism. We illustrate its potential use in the context of banking and conclude by showing that returns to altruistic effort shape the agent's choices and are shaped by external events such as the financial crisis.

Quantifying the Disincentive Effects of Joint Taxation on Married Women's Labor Supply

American Economic Review 2017 open access
We quantify the disincentive effects of elements of joint taxation in the labor income tax codes of 17 European countries and the US. We analyze the extent to which hours worked of married men and women would change if each country switched to a system of separate taxation of married couples. In this hypothetical tax reform, we keep the average tax burden of married households constant. With the exception of four countries featuring already a system of separate taxation, the model predicts that married women's hours worked increase on average by 115 hours, or 10.5 percent, through this reform.

Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs

American Economic Review 2017 107(5), 486-490 open access
Alan Garber and Jonathan Skinner (2008) famously conjectured that the US health care system was “uniquely inefficient” relative to other countries. We test this idea using cross-country data on prescription drug sales newly linked with an arguably objective measure of relative therapeutic benefits, or drug quality. Specifically, we investigate how higher and lower quality drugs diffuse in the US relative to Australia, Canada, Switzerland, and the UK. Our tabulations suggest that lower quality drugs diffuse more in the US relative to high quality drugs compared to each of our four comparison countries--consistent with Garber and Skinner's conjecture.

The Relative Power of Employment-to-Employment Reallocation and Unemployment Exits in Predicting Wage Growth

American Economic Review 2017 107(5), 364-368 open access
We study the cyclical comovement nominal wage growth (either monthly earnings or hourly wage rate) and labor market flows. We use microdata from the Survey of Income and Program Participation over 1996-2013 to purge composition effects in worker and job characteristics and to isolate the reallocative effect of Employer-to-Employer (EE) transitions. We find an “EE wage Phillips curve”: wage inflation comoves positively with EE as strongly as with the employment rate. This correlation holds for job stayers; we interpret the EE rate as a measure of labor demand. We find no analogous evidence for the job-finding rate from unemployment.