National Bureau of Economic Research
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How Do Falling Birth Rates Affect Economic Growth?
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The global crude birth rate—the number of births per 100 people—fell from 3.78 in 1950 to 1.71 in 2025. The United Nations projects that populations will begin shrinking in most countries later this century. This will be the first episode of sustained population decline since the fourteenth-century bubonic plague. China, Japan, and South Korea now have some of the lowest birth rates on record and are projected to see substantial population declines and sharply older workforces by the middle of the twenty-first century.
Older workers are often assumed to be less productive and innovative than their younger counterparts, so falling birth rates are sometimes viewed as harbingers of slowing economic growth. Shrinking labor forces can lower aggregate demand and investment. In Baby Busts and Growth Booms: Demographic Change and the Macroeconomy (NBER Working Paper 35401), Daron Acemoglu, David Autor, Keelan Beirne, and Andrew Scott examine seven decades...
From the NBER Reporter: Research, program, and conference summaries
Innovative Investments in Local Jails
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In research conducted in collaboration with Arkey Barnett at the University of Michigan and Meghan Beal at the National Sheriffs’ Association, we investigate the effects of innovative investments in local jails that aim to improve health and rehabilitation outcomes for incarcerated individuals and their communities. The US has one of the highest incarceration rates in the world, with nearly 2 million people detained in correctional facilities every year. While most people are held in state or federal prisons, local jails house 546,000 individuals across 3,116 facilities, the majority of whom are not convicted. Local jails serve as the front door to the criminal justice system, with more than 7.6 million admissions per year and a significant share of those released being rebooked within the same year, revealing a persistent…
From the NBER Bulletin on Health
How Inspection Timing Affects Care Quality in US Nursing Homes
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Nursing homes certified by the Centers for Medicare & Medicaid Services to provide care and receive public reimbursement through Medicare and Medicaid are subject to mandatory annual inspections. While inspections are unannounced, they typically occur on an approximately yearly basis, as 74 percent of inspections take place between 40 and 60 weeks after the previous one. The average gap is around 53 weeks. Due to the cyclical nature of inspections, nursing home operators are able to anticipate when an inspection is likely and adjust their behavior accordingly. They appear to devote more effort to patient care when inspections are approaching.
In Predictably Unpredictable Inspections (NBER Working Paper 34491), Ashvin Gandhi, Andrew Olenski, and Maggie Shi study how the predictability of nursing home inspections shapes facility effort and patient...
From the NBER Bulletin on Entrepreneurship
Mixed Immigrant-Native Founding Teams Excel
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Roughly one-quarter of new employer businesses in the United States are started by immigrants. Immigrant inventors have been responsible for approximately 23 percent of US patents produced since 1976 despite making up only 16 percent of the total US-based inventor population. Yet immigrant entrepreneurs usually do not build companies in isolation—many cofound startups alongside US-born entrepreneurs. In Native-Immigrant Entrepreneurial Synergies (NBER Working Paper 33804), Zhao Jin, Amir Kermani, and Timothy McQuade examine whether startups cofounded by immigrant and native entrepreneurs outperform those with founders from exclusively one...
Featured Working Papers
Diane E. Alexander and Molly Schnell find that a 1 percentage-point rise in unemployment in professions competing with medicine raised medical school applications by 36 percent and shifted the composition of matriculating classes toward non-pre-medical majors. Decades later, recession-cohort physicians billed Medicare more per beneficiary despite seeing healthier patients.
When malaria-negative patients visited health clinics across Kenya, Paul Gertler and Ada Kwan find that providers reported a malaria-positive result in 30 percent of tests, far above the expected 3–5 percent false positive rate. This suggests significant provider-induced demand for health care.
When drivers had access to two rather than just one rideshare platform in Houston, TX, their labor supply elasticity to each firm was about 0.87, nearly double the firm-specific labor supply elasticity of 0.47 for drivers using only one platform. This cuts the implied monopsony markdown from about 68 percent to 50 percent and was larger for women then men, according to Sydnee Caldwell and Emily Oehlsen.
Following more than 2.4 million US workers from the 2000 Census to 2020, Erling Barth, Maria Forthun Hoen, Sari Pekkala Kerr, and William R. Kerr find that workers initially employed in an occupation that later contracted by at least 25 percent earned 4.6 percent less cumulatively, or about $56,000.
Joshua Coven, Sebastian Golder, Arpit Gupta, and Abdoulaye Ndiaye find that raising California's property tax rate from 0.8 to 2 percent, to match Texas, would lower house prices by 12.6 percent and reduce ownership among those 75 and older by 7.6 percentage points while raising it among 25-to-34-year-olds.
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