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Rust and coauthors Moshe Buchinsky of Brown University and Hugo Benitez-Silva, of SUNY–Stony Brook have
investigated the reliability of self-reported measures of disability among the elderly in survey data. There is a
concern that self-reported health and disabilities are biased and endogenous. A commonly suggested mechanism is that
survey respondents exaggerate the severity of health problems and the incidence of disabilities in order to
rationalize labor force non-participation, application for disability benefits and/or receipt of those benefits. In
a 2004 paper published in the Journal of Applied Econometrics, the authors re-examined this issue using a
self-reported indicator of disability status from the Health and Retirement Survey (HRS). The authors results
indicate that disability applicants do not exaggerate their disability status at least in anonymous surveys such as
the HRS. Their results were consistent with the hypothesis that disability applicants are aware of the criteria and
decision rules that SSA uses in making awards and act as if they were applying these same criteria and rules when
reporting their own disability status. In another line of recent research, Rust examines the impact of retiree
health insurance coverage on retirement decisions, by looking at university faculty work and retirement decisions.
The argument is that the risk of uninsured health care costs is a major consideration affecting faculty decisions.
This work simulates the elimination of retiree health insurance as a benefit, and shows that cutting back on this
benefit could potentially increase rather than save total costs of compensation, as the policy would induce faculty
to delay retirement. The results show that it may be better for employers to provide a combination package, for
instance to continue retiree health insurance until Medicare eligibility age, which would be less costly than the
policy of providing retiree health insurance regardless of age, or eliminating health insurance after retirement
completely. The work appeared as part of the 2005 publication Recruitment, Retention and Retirement: the Three Rs
of Higher Education in the 21st Century.
Rust’s current research, funded by NIA/NIH, examines the economic and health determinants of retirement behavior.
Using all available waves of the Health and Retirement Survey (HRS) the study estimates a comprehensive dynamic
programming model of behavior at the end of the life cycle. In 2005, Rust completed an NIA funded study in
conjunction with the University of Michigan, on the impact of health insurance on retirement. The study generated
an empirical model that evaluates the welfare costs of lack of access to fairly priced health insurance, and the
effect of government provided health insurance on retirement decisions and disability application and return to work
decisions. Rust also received funding from NSF for three projects, on efficiency of social insurance, optimal models
of natural resources extraction, and for models of bargaining and price determination.
Rust intends to continue his research on the design of efficient social insurance institutions (social security,
disability insurance, Medicare), incorporating theoretical elements, as well as his research aimed at narrowing the
gaps in health insurance coverage among sub-groups of the population.
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