TY - JOUR AU - Lee,Chulhee TI - Health and Wealth Accumulation: Evidence from Nineteenth-Century America JF - National Bureau of Economic Research Working Paper Series VL - No. 10035 PY - 2003 Y2 - October 2003 UR - http://www.nber.org/papers/w10035 L1 - http://www.nber.org/papers/w10035.pdf N1 - Author contact info: Chulhee Lee 140 S Crescent Dr #B Beverly Hills, CA 90212 Tel: 310-867-3301 E-Mail: chullee@snu.ac.kr AB - This study explores how the health of Union Army recruits while in the service affected their wealth accumulation through 1870. Wartime wounds and exposure to combat, measured by the company mortality from wounds, had strong negative effects on subsequent savings. Variables on illnesses while in service, if corrected for the potential bias arising from omitted variables by using instrumental variables, also greatly diminished wealth accumulations. The economic impact of poor health was particularly strong for unskilled workers. These results suggest that health was a powerful determinant of economic mobility in the nineteenth century. The strong influences on wealth accumulations of various infectious diseases, such as malaria, typhoid, and diarrhea, found in this study point out that the economic gains from the improvement of the disease environment should be enormous. This study also suggests that the direct economic costs of the Civil War were probably much greater than previously thought, if the persistent adverse effects of wartime experiences on veterans' health are considered. ER -