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Review of Finance 2026

When Loss Strikes Twice: Severe Health Shocks and Financial Well-Being

Kaveh Majlesi1; Elin Molin2; Paula Roth3

1 Monash University, Lund University, IZA, and CEPR · 2 Lund University , UCFS, CED and KWC · 3 Stockholm School of Economics , UCFS and IFN

Abstract

We study how fatal and nonfatal health shocks affect households’ ability to meet their financial obligations. We find that fatal shocks substantially increase the likelihood of default and that housing wealth plays a key role as a self-insurance mechanism. Surviving spouses who experience the largest income losses are more likely to sell their homes, and those without housing wealth face a sharply higher risk of debt collection. In the most financially vulnerable families, these shocks even generate intergenerational spillovers. In contrast, nonfatal health shocks lead to only modest increases in default risk. Taken together, our findings suggest that strengthening survivors’ benefits for households with limited resources could improve welfare across generations.

DOI
10.1093/rof/rfag031
Language
en
Sources
crossref

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