Altruism and Exchange in Intergenerational Transfers: The Demand for Children Emergency Room

Abstract

In this paper, we analyze the role of income as a determinant of parents’ care for children. We show that the answer depends on whether Altruism or Exchange motives are the factors that explain intergenerational transfers. We then develop a test to discriminate between these alternatives. Unlike previous approaches, this test focuses on measures of parents’ efforts on child care that are essentially non-monetary. Using data from the United States, we find a negative relationship between family income and the frequency of children’s emergency room utilization which cannot be explained by several alternative controlling factors. In our framework, this is interpreted as evidence against the null of prominently altruistic behavior.

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I. Ortuño-Ortin and A. Romeu, "Altruism and Exchange in Intergenerational Transfers: The Demand for Children Emergency Room," Modern Economy, Vol. 4 No. 1, 2013, pp. 1-9. doi: 10.4236/me.2013.41001.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] R. Barro, “Are Government Bonds Net Wealth?” Journal of Political Economy, Vol. 82, No. 6, 1974, pp. 1095-1117.
[2] G. Becker, “A Theory of Social Interactions.” Journal of Political Economy, Vol. 82, No. 6, 1974, pp. 1063-1093. doi:10.1080/17405620903024263
[3] B. Bernheim, A. Shleifer, and L. Summers, “The Strategic Bequest Motive,” Journal of Political Economy, Vol. 93, No. 6, 1985, pp. 1045-1076. doi:10.1086/261351
[4] D. Cox, “Motives for Private Income Transfers,” Journal of Political Economy, Vol. 95, No. 31, 1987, pp. 508-546. doi:10.1086/261470
[5] N. Tomes, “The Family, Inheritance, and the Intergenerational Transmission of Inequality,” Journal of Political Economy, Vol. 89, No. 5, 1981, pp. 928-958, doi:10.1086/261014
[6] P. Menchik, “Primogeniture, Equal Sharing and the U.S. Distribution of Wealth,” Quarterly Journal of Economics, Vol. 94, No. 2, 1980, pp. 299-316, doi:10.2307/1884542
[7] K. McGarry and R. F. Schoeni, “Transfer Behavior in the Health and Re?tirement Study: Measurement and the Redistribution of Resources within the Fami?ly,” The Journal of Human Resources, Vol. 30, Special Issue, 1995, pp. 184-226, doi:10.2307/146283
[8] K. A. Couch, M. C. Daly and D. A. Wolf, “Time? Money? Both? The Allocation of Resources to Older Parents,” Demography, Vol. 36, No. 2, 1999, pp. 219-232. doi:10.2307/2648110
[9] M. Boldrin and L. E. Jones, “Mortality, Fertility and Saving Decisions in a Malthusian Economy,” Review of Economic Dynamics, Vol. 5, No. 4, 2002, pp. 775-814. doi:10.1006/redy.2002.0186
[10] D. Cox and O. Stark, “Intergenerational Transfers and the Demonstra?tion Effect,” Boston College Working Papers in Economics No. 329, Boston College, Chestnut Hill, 1994. http://fmwww.bc.edu/EC-P/wp329.pdf
[11] L. Kotlikoff and A. Spivak, “The Family as Incomplete Annuities Mar?ket,” Journal of Political Economy, Vol. 89, No. 2, 1981, pp. 372-391. doi:10.1086/260970
[12] S. Budriá-Rodríguez, J. Díaz-Gimenez and J. R. Rull, “Updated Facts on the U.S. Distributions of Earnings, Income, and Wealth,” In Quarterly Review, Vol. 26, No. 3, 2002, pp. 1-35. www.minneapolisfed.org/research/QR/QR2631.pdf
[13] G. Solon, “Cross-Country Differences in Inter-Generational Earnings Mo-bility,” The Journal of Economic Perspectives, Vol. 16, No. 3, 2002, pp. 59-66. doi:10.1257/089533002760278712
[14] M. Corak, “Do Poor Children Become Poor Adults? Lessons from a Cross Country Comparison of Generational Earnings Mobility,” IZA Discussion Paper No. 1993, 2006. http://ftp.iza.org/dp1993.pdf
[15] V. Sharma, S. Simon, J. Bakewell, E. Ellerbeck, M. Fox and D. Wallace, “Factors Influencing Infant Visits to Emergency Departments,” Pedriatics, Vol. 106, No. 5, 2000, pp. 1031-1039. doi:10.1542/peds.106.5.1031
[16] J. Billings and T. Mijanovich, “Emergency Room Use: The New York Story,” In: Issue Brief, The Commonwealth Fund, New York, 2000.
[17] A. Case, D. Lubotsky and C. Paxson, “Economics Status and Health in Childhood: The Origins of the Gradient,” American Economic Review, Vol. 92, No. 5, 2002. pp. 1308-1334. doi:10.1257/000282802762024520
[18] O. Ashenfelter and C. Rouse, “Schooling, Intelligence and Income in America,” Princeton University Press, Princeton, 2000.
[19] J. Currie and E. Moretti, “Mother’s Education and the Intergenerational Transmission of Human Capital: Evidence from College Openings,” Quarterly Jour?nal of Economics, Vol. 118, No. 4, 2003, pp. 1495-523. doi:10.1162/003355303322552856
[20] J. Currie and P. Reagan, “Distance to Hospitals and Children’s Access to Care: Is Being Closer Better, and for Whom?” Economic Inquiry, Vol. 41, No. 3, 2003, pp. 378-391. doi:10.1093/ei/cbg015
[21] A. Jain, B. Khoshnood, K. Lee and J. Concato, “Injury Related Infant Death: the Impact of Race and Birth Weight,” Injury Prevention, Vol. 7, No. 2, 2001, pp. 135-140. doi:10.1136/ip.7.2.135
[22] W. Pickett, M. Garner, W. Boyce and M. King, “Gradients in Risk for Youth Injury Associated with Multiple-Risk Behaviors: A Study of 11,239 Canadian Adolescents,” Social Science and Medicine, Vol. 55, No. 6, 2002, pp. 1055-1068. doi:10.1016/S0277-9536(01)00224-6
[23] D. A. Greene and W. H. Hensher, “Modelling Ordered Choices: A Primer,” Cambridge University Press, Cambridge, 2008.
[24] P. Deb and P. Trivedi, “Demand for Medical Care by the Elderly: A Fi?nite Mixture Approach,” Journal of Applied Econometrics, Vol. 12, No. 3, 1997, pp. 313-336. doi:10.1002/(SICI)1099-1255(199705)12:3<313::AID-JAE440>3.0.CO;2-G
[25] D. I. Levine and B. Mazumder, “Choosing the Right Parents: Changes in the Intergenerational Transmission of Inequality between the 1970s and the Early 1990s,” Working Papers 2002-08, Federal Reserve Bank of Chicago, Chicago, 2002. http://www.escholarship.org/uc/item/9r45b10r.pdf;origin=repeccitec

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