Experimental Design of a Social Security System in Yucatan

描述(由申请人提供)：该项目将设计、实施和评估墨西哥尤卡坦州的社会保障计划，采用随机对照试验方法。社会保障计划将在三年内分阶段实施，允许明智地选择治疗和对照组以及基线和后续测量。拟议的计划将包括每月现金转移和健康部分。为了确定该方案的最佳设计，将评估该方案的每个组成部分对老年受助人的健康和福祉的影响。程序参数将在实验中改变，并对其效果进行评估。干预措施包括贫血治疗、提供保健服务、经济状况调查、津贴支付的频率以及年龄资格规则的变化。将考虑广泛的结果，包括健康行为、饮食习惯、体能测量、功能和选定的生物标志物；卫生保健利用和费用；认知能力；社会联系、消费、财务转移、心理健康、资产和收入。该实验装置将用于揭示关键的行为参数，如财政资源对健康和营养的影响以及对医疗保健利用的影响；财政资源和主观幸福感之间的短期和长期关系；双曲线贴现的重要性；家庭风险管理策略和应对健康冲击的消费平滑；家庭内部转移；老年人劳动力供应的收入弹性。 公共卫生相关性：该项目将设计、实施和评估墨西哥尤卡坦州的社会保障计划，采用随机对照试验方法。

DESCRIPTION (provided by applicant): The project will design, implement, and evaluate a Social Security program in the state of Yucatan, Mexico with a randomized control trial methodology. The Social Security program will be phased in over a three year period, allowing for the judicious choice of treatment and control groups and baseline and follow-up measurements. The proposed program will include both a monthly cash transfer and a health component. In order to ascertain the optimal design of the program, the effects of each component of the program on the health and well-being of elderly recipients will be evaluated. Program parameters will be varied experimentally and their effects will be evaluated. Interventions include anemia treatments, providing health care access, means testing, frequency of benefit payments, and variation of age eligibility rules. A broad spectrum of outcomes will be considered, including health behaviors, dietary practices, physical performance measures, functionality, and selected biomarkers; health care utilization and expenses; cognitive capabilities; social contacts, consumption, financial transfers, mental health, assets and income. The experimental set-up will be used to shed light on key behavioral parameters, such as the effect of financial resources on health and nutrition and on health care utilization; the short and long term relation between financial resources and subjective well-being; the importance of hyperbolic discounting; household risk management strategies and consumption smoothing in response to health shocks; intrahousehold transfers; the income elasticity of labor supply among the elderly. PUBLIC HEALTH RELEVANCE: The project will design, implement, and evaluate a Social Security program in the state of Yucatan, Mexico with a randomized control trial methodology.