10.03.25

Fit to Consume: How health shapes preferences for consumption

Insights Report
Research Dialogue

This groundbreaking research explores how changes in health status affect the value people derive from consumption, with significant implications for optimal retirement planning and insurance design.

Summary

Using detailed monthly data from Singapore tracking over 12,000 individuals aged 50-70, researchers found that consumption and health are complements—people value spending more when they're healthy than when they're ill. A one-standard deviation decline in health corresponds to a 1.5% reduction in nondurable consumption and a 3.5% reduction in the value derived from an extra dollar of consumption. These findings suggest that optimal retirement savings should be adjusted to allow for more spending during healthier years, younger generations anticipating better health in old age should save more than today's retirees, and models that ignore this relationship may underestimate demand for insurance products.

Key Insights

  • Health status and (non-medical) consumption are complements, not substitutes.
  • Compared to a model that assumes health and consumption are separable, optimal retirement savings are lower to enable more consumption earlier in life when people are healthier.
  • Technological advances that improve health at older ages should lead future generations to save more than today’s retirees because the value of consumption in retirement will be higher.
  • Ignoring the complementarity between consumption and health can lead researchers to underestimate risk and time preferences from observational data, thereby understating demand for annuities and insurance.

A one-standard deviation drop in health reduces the value derived from an extra dollar of nondurable consumption by 3.5%, challenging traditional assumptions about constant consumption value throughout retirement.

Methodology

Researchers analyzed the Singapore Life Panel (SLP), a longitudinal survey collecting monthly data from Singaporean citizens aged 50-70 between 2015 and 2019. The study constructed a health index based on seven chronic conditions and measured how nondurable consumption (excluding medical spending) responded to changes in health status over time. Using economic theory, researchers derived a formula quantifying how people value consumption in different health states, incorporating risk aversion estimates from hypothetical gamble questions. Two supplemental approaches—analyzing how spending influences life satisfaction across health states and examining the effects of lottery winnings—corroborated the main findings.

Relationship between health index and chronic conditions.
Authors
Adam Leive

University of California, Berkeley

Jessica Ya Sun

Huazhong University of Science and Technology

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