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Parents' discount rates for child quality.


I. Introduction

Contemporary discussions of economic growth make human capital or knowledge accumulation its primary engine [25]. Human capital as the lead component of the stock of wealth defines a developed economy. Becker and Murphy [4] show that human capital both increases and is increased by the scope of the market. Its rate of return rises with the size of its stock [5]. Human capital also plays significant roles in models of human fertility choice [40], population and environmental degradation Environmental degradation is the deterioration of the environment through depletion of resources such as air, water and soil; the destruction of ecosystems and the extinction of wildlife.  [11; 34], capital mobility [3], and endogenous technological progress [33].

A substantial portion of an adult's human capital is accumulated during childhood. Children as children, however, cannot independently contract for the resources required to support investments in this human capital. Though nearly every society grants parents wide discretion about the nurture they provide their children, little is understood about what motivates investment by one generation in another, the relative importance of different investment modes, or the discount rates which parents apply. Whatever the motivation and the mode, because of the long time span between birth and adulthood, parents' discount rates potentially exert great leverage upon the investment decisions they make for their children. Knowledge of these discount rates is a prerequisite to acquiring an improved understanding of the internal decision processes of the household, a collective decision unit which economics mostly treats as a black box.(1)

Important policy questions, as well as scientific accuracy and logical consistency, demand knowledge of the discount rates parents apply to investments in their children. Healthier, better educated, and wealthier children have a better chance in life. But there is no evident reason to suppose that intrafamily discount rates are socially optimal.(2) Many of the private reactions and behaviors which reinforce or temper the intended effects of public policies are internal to the household. When these intended effects have a substantial temporal dimension, parental discount rates will be influential. For example, increased public investments in children can be neutralized by compensatory reductions in children's shares of household budgets. A public investment in children which yields relatively quick payoffs may substitute in the budget for parental investments with longer term payoffs for children. Similarly, publicly provided social security for parents may replace parental investment in children as a source of retirement funds [9]. In addition, for given prices of caregiving alternatives, the extent to which expanded female labor supply opportunities outside the household will increase child care time and effort will vary inversely with the discount rate the family applies to child investments. If these investments enhance the child's adult production and consumption levels, expanded female current employment opportunities combined with sufficiently low familial discount rates could expand future societal wealth and welfare. Lastly, those who question certain environmental and depletable de·plete  
tr.v. de·plet·ed, de·plet·ing, de·pletes
To decrease the fullness of; use up or empty out.



[Latin d
 resource policies on the ground that the current adult generation might give insufficient weight to posterity's interests must account for the relative strengths of the intergenerational in·ter·gen·er·a·tion·al  
adj.
Being or occurring between generations: "These social-insurance programs are intergenerational and all
 emotional and material dependencies which different parental discount rates register.(3)

In this paper, we use parents' decisions to treat their children's body burdens of lead to infer the discount rates parents attach to investments in their children's intellectual and behavioral development. Lead is a persistent micropollutant widely acknowledged in the biomedical bi·o·med·i·cal
adj.
1. Of or relating to biomedicine.

2. Of, relating to, or involving biological, medical, and physical sciences.
 literature to have long-lasting neurological consequences when allowed to accumulate in the bodies of young children [44].(4) The following two sections develop a simple altruistic model of the impact of the endogenous risks posed by a child's body Noun 1. child's body - the body of a human child
juvenile body - the body of a young person

baby tooth, deciduous tooth, milk tooth, primary tooth - one of the first temporary teeth of a young mammal (one of 20 in children)
 lead burden upon parental utility from child health capital. Section IV describes the data and the setting used in section V to produce estimates of the discount rates which sample parents applied to an investment in the learning capacities and thus the prospective adult production and consumption levels of their children. The paper concludes with a discussion of the implications of our empirical findings for family economics.

II. Parental Altruism and Endogenous Risk

Consider the following parsimonious par·si·mo·ni·ous  
adj.
Excessively sparing or frugal.



parsi·mo
 statement of parental altruism and endogenous risk in a one period lifetime setting.(5) We ignore the continuous linkages among the generations expressed in dynastic utility formulations [6] in order to focus myopically on a parent-child relationship in which parents make a single, once-and-for-all, tied, inter vivos [Latin, Between the living.] A phrase used to describe a gift that is made during the donor's lifetime.

In order for an inter vivos gift to be complete, there must be a clear manifestation of the giver's intent to release to the donee the object of the gift,
 transfer which they believe influences the child's lifetime prospects. Our model incorporates limited forms of parental altruism, including simple caring about the child's health [49], or strategic interests in the child's adult ability and willingness to protect the parents from the hazards of old age [26]. Adults in multiple adult households are assumed to have identified a cooperative equilibrium with respect to the shared household good which the child represents.

Let the parents' utility be a quasi-concave, weakly separable sep·a·ra·ble  
adj.
Possible to separate: separable sheets of paper.



sep
, homothetic function of a vector, X, whose components represent the quantities of non-child health commodities consumed and of parents' perceived risk, R, that their child will develop chronic lead-induced health effects,

U = U(X, R), (1)

with [U.sub.X] [greater than] 0 and [U.sub.R] [less than] 0. R is a measure on a real interval that could be either the perceived probability or the expected severity of the child's ill-health. The child's siblings are included in X and their numbers are predetermined pre·de·ter·mine  
v. pre·de·ter·mined, pre·de·ter·min·ing, pre·de·ter·mines

v.tr.
1. To determine, decide, or establish in advance:
. Perceived risk, R, admits that the child's adult intellectual, physical, social and moral endowments are not yet fully revealed to the parents. Risk perceived to be posed by body burdens of lead is endogenous because parents are aware that they can influence it by reducing exposures, A, and by the use of medical treatment, L:

R = R(A, L; l, [Gamma]), (2)

where l is the child's body lead burden, and [Gamma] is any predetermined family characteristics such as parents' educations which influence risk perception. Reduced exposures to lead can be achieved by using market goods to prevent or correct hazards (mainly interior paint and plumbing) in the home and increased time spent on child supervision [28]. Chelation therapy Chelation Therapy Definition

Chelation therapy is an intravenous treatment designed to bind heavy metals in the body in order to treat heavy metal toxicity.
 is the standard medical procedure for treating elevated body burdens of lead [44].(6) Expenditures on chelation therapy produce nothing of value other than reductions in R.

Given smooth substitutability between parental work and other activities, the full-income budget constraint A Budget Constraint represents the combinations of goods and services that a consumer can purchase given current prices and his income. Consumer theory uses the concepts of a budget constraint and a preference ordering to analyze consumer choices.  faced by households can be written as

[r.sub.X]X + [r.sub.A]A + [r.sub.L]L = Y, (3)

with [r.sub.j] = ([p.sub.j] + w[t.sub.j]), Y = I + w(T - [t.sub.s]), and j [element of] X, A, L. [p.sub.j] is the parametric money price of commodity j, w is the parametric opportunity cost of parental time, [t.sub.j] is the time required to consume one unit of commodity j, and [t.sub.s] is time spent away from the workplace. Full income, Y, is the sum of nonlabor income, I, and labor income, w(T - [t.sub.s]). Equation (3) requires that total time available be allocated among all possible uses of time, including child care and chelation Chelation
The process by which a molecule encircles and binds to a metal and removes it from tissue.

Mentioned in: Heavy Metal Poisoning

chelation
 activities.(7) Full income must equal total expenditures. Parents allocate their time between work and consumption activities; their income is allocated between child health-related expenditures and expenditures on other goods.

Under local nonsatiation The property of local nonsatiation of consumer preferences states that for any bundle of goods there is always another bundle of goods arbitrarily close that is preferred to it.

Formally if X is the consumption set, then for any
, we define the parents' indirect utility function In economics, a consumer's indirect utility function gives the consumer's maximal utility when faced with a price level , V, as the solution to the above utility maximization problem In microeconomics, the utility maximization problem is the problem consumers face: "how should I spend my money in order to maximize my utility?"

Suppose their consumption set

 with wage-price vector r = (w, p):

V [equivalent to] max {U[X, R(A, L; l, [Gamma])] [where] [r.sub.x]X + [r.sub.A]A + [r.sub.L]L = Y}. (4)

Utility is a function of full income, Y, full prices, r, and a contingent claim Contingent claim

A claim that can be made only if one or more specified outcomes occur.
 which specifies the conditions under which a given child body lead burden will confront the parents; that is, V = V(Y, l, r). For a given reduction in perceived risk associated with a guaranteed reduction, [Mathematical Expression A group of characters or symbols representing a quantity or an operation. See arithmetic expression.  Omitted], of child body lead burden, the parents' indirect utility function in (4) can be defined in annualized annualized

Of or relating to a variable that has been mathematically converted to a yearly rate. Inflation and interest rates are generally annualized since it is on this basis that these two variables are ordinarily stated and compared.
 terms as

[Mathematical Expression Omitted],

where CS is the Hicksian compensating surplus. The parents' rate of time preference, [Rho], generates a discount term, [Delta], equal to [Rho]/(1 + [Rho]). CS is the maximum wealth the parents are willing to forego to reduce perceived risks from their child's lead burden while maintaining their original utility level, V. Given that parents perceive the effects of the lead burden to be lifelong for their child and thus (roughly) infinite in length for the parents, the compounded sum of instantaneous parental compensating surpluses is

[summation summation n. the final argument of an attorney at the close of a trial in which he/she attempts to convince the judge and/or jury of the virtues of the client's case. (See: closing argument)  of] CS[(1 where r = 0 to [infinity] + [Rho]).sup.[Tau]]

and the present value of this sum is

CS/[(1 + [Rho])(1 - [(1 + [Rho]).sup.-[Tau]])].(8) (7)

Since (5) constitutes an exact index of lifetime utility and since the parents' horizon is infinite, expression (7) simplifies to CS/(1 + [Rho]), and annualized compensating surplus can be written as

[Delta]CS = [[Rho]/(1 + [Rho])]CS. (8)

A small reduction in the child's body lead burden can thus be valued in terms of the parents' annualized marginal willingness-to-pay (MWT MWT Maintenance of Wakefulness Test
MWT MicroWave Technology Inc., (Fremont, CA)
MWT Movable Weight Technology (Taylor Made Golf Company, Inc.
[P.sub.l]). MWT[P.sub.l] is obtained by totally differentiating the indirect utility function in (5) with respect to l and setting the result equal to zero:

[Delta]MWT[P.sub.l] [equivalent to] [Delta](-dCS/dl) = -([Delta]V/[Delta]l)/([Delta]V/[Delta]Y) [equivalent to] -[V.sub.l]/[V.sub.Y]. (9)

Expression (9) portrays parents' marginal rate of substitution In economics, the marginal rate of substitution (MRS) is the least-favorable rate at which an agent is willing to exchange units of one good or service for units of another. , -[V.sub.l]/[V.sub.Y], between their child's body lead burden and their wealth. This is the annualized implicit price of risk, [Delta](-dCS/dl), parents perceive to be associated with their child's body lead burden. Derivation of the parents' discount term, [Delta], implied through their valuation of reduced lead burden in their child requires that (9) be specified in terms of observable variables. To do this, we derive an alternative but equivalent expression for MWT[P.sub.l] in (9), assume a tractable tractable

easy to manage; tolerable.
 and oft-used functional form for the indirect utility function in (4), and allow the discount term, [Delta], to vary according to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 differences in predetermined parental attributes and individual effects.

III. Arriving at Observables

As in Ehrlich and Becker [12, 640] and Shogren and Crocker [42], the preceding derivation of MWT[P.sub.l] implies that perceptions of child health risks are influenced by the same parameters which shape consumption and investment plans. MWT[P.sub.l] can be defined in terms of observables by defining the pseudo-expenditure function as the minimum value of nonlabor income necessary to sustain utility at [U.sup.0] with wage-price vector r = (w, p):

[S.sup.*] [equivalent to] min {[r.sub.x]X + [r.sub.A]A + [r.sub.L]L + [Mu](U[X, R (A, L; l, [Gamma])] - [U.sup.0])}. (10)

The pseudo-expenditure function is used in place of the traditional expenditure function when consumers are also labor suppliers. Key properties of the pseudo-expenditure function are identical to those of the expenditure function [20, 390].

First order necessary conditions from the expenditure minimization problem In microeconomics, the expenditure minimization problem is the dual problem to the utility maximization problem: "how much money do I need to be happy?". This question comes in two parts.  are

X: [r.sub.x] + [Mu][U.sub.x] = 0 (11)

A: [r.sub.A] + [Mu][U.sub.R][R.sub.A] = 0 (12)

L: [r.sub.L] + [Mu][U.sub.R][R.sub.L] = 0, (13)

plus the utility constraint, U([center dot]) - [U.sup.0] = 0, where [Mu] is the Lagrangian multiplier denoting the shadow price of utility. Expressions (11) through (13) require the value of each commodity or state in marginal utility marginal utility

In economics, the additional satisfaction or benefit (utility) that a consumer derives from buying an additional unit of a commodity or service. The law of diminishing utility implies that utility or benefit is inversely related to the number of units
 terms to equal its respective full price.

Upon applying the Envelope Theorem The envelope theorem is a basic theorem used to solve maximization problems in microeconomics. It may be used to prove Hotelling's lemma, Shephard's lemma, and Roy's identity.  to expression (10) and substituting from (13), parents' MWT[P.sub.l] can be stated as

MWT[P.sub.l] [equivalent to] [Delta][S.sup.*]/[Delta]l = [Mu][U.sub.R][R.sub.l] = -[r.sub.L][R.sub.l]/[R.sub.L]. (14)

As in Berger et al. [7], MWT[P.sub.l] can be expressed as the marginal rate of substitution between the child's body lead burden and medical treatment (chelation therapy).(9) With quasi-concavity of the utility function in (1),

[Delta]L/[Delta]l [equivalent to] [L.sub.l] = [[b.sub.31]([Mu][U.sub.XR][R.sub.l]) + [b.sub.32]([Mu][U.sub.RR][R.sub.A][R.sub.l]) + [b.sub.33]([Mu][U.sub.RR][R.sub.L][R.sub.l]) + [b.sub.34]([U.sub.R][R.sub.l])]/det B = -[R.sub.l]/[R.sub.L], (15)

by the Implicit Function Theorem In the branch of mathematics called multivariable calculus, the implicit function theorem is a tool which allows relations to be converted to functions. It does this by representing the relation as the graph of a function. , where [b.sub.ik], is the cofactor cofactor

An atom, organic molecule, or molecular group that is necessary for the catalytic activity (see catalysis) of many enzymes. A cofactor may be tightly bound to the protein portion of an enzyme and thus be an integral part of its functional structure, or it may
 of the i-k element of the bordered hessian, B, and det B is the determinant of B. When (15) is multiplied by the full price of chelation therapy, MWT[P.sub.l] of expression (14) is obtained. Substituting this latter result into (9) yields

[Delta][r.sub.L][L.sub.l] = -[V.sub.l]/[V.sub.Y], (16)

which contains an unspecified form of the indirect utility function in (4).

Any continuous, nonincreasing, quasi-concave function of prices specifies an indirect utility function for some direct utility function. We wish to use a functional form for indirect utility which embodies the restrictions of classical demand theory but which does not unduly prejudge pre·judge  
tr.v. pre·judged, pre·judg·ing, pre·judg·es
To judge beforehand without possessing adequate evidence.



pre·judg
 the set of admissible (algorithm) admissible - A description of a search algorithm that is guaranteed to find a minimal solution path before any other solution paths, if a solution exists. An example of an admissible search algorithm is A* search.  demand expressions. Yoshihara [53] and Parks [36] show that the indirect addilog utility function is homogeneous of degree zero in prices and income and satisfies the adding-up criterion and the Slutsky symmetry condition. This function imposes severe restrictions on cross-price terms but is widely regarded as adequate when dealing with cross-sectional household budget data involving highly aggregated commodities such as X and A. Substitution and complementarity com·ple·men·tar·i·ty
n.
1. The correspondence or similarity between nucleotides or strands of nucleotides of DNA and RNA molecules that allows precise pairing.

2.
 effects are likely to be small among broad commodity categories [38].(10)

The indirect addilog utility function can be expressed as

V(Y, l, r) = [Alpha][(Y/l).sup.[Beta]] + [summation of] [[Alpha].sub.j][(Y/[r.sub.j]).sup.[Beta]j] where j = 1 to n (17)

which implies that the demand for each commodity can be written as a function of the normalized price of that good and a single index function which appears in every demand function. Parks [36] describes the [[Alpha].sub.j] as preference indicators and the [[Beta].sub.j] as reaction coefficients.

Differentiating (17) with respect to Y and l and substituting the results into (16) yields

[Delta][r.sub.L][L.sub.l] = ([Alpha][Beta][l.sup.-[Beta]-1][y.sup.-[Beta]])/([Alpha][Beta][Y. sup.[Beta]-1][l.sup.-[Beta]] + [summation of] [[Alpha].sub.j][[Beta].sub.j][Y.sup.[Beta]j-1][[r.sub.j].sup.[Bet a]j]), (18)

which is highly awkward to estimate with linear techniques. However, the ratio of -[V.sub.l]/[V.sub.Y] and the Marshallian demand function In microeconomics, a consumer's Marshallian demand function specifies what the consumer would buy in each price and wealth situation, assuming it perfectly solves the utility maximization problem.  for chelation therapy, [L.sup.m] yields a more convenient form. Applying Roy's Identity Roy's identity (named for French economist Rene Roy) is a major result in microeconomics having applications in consumer choice and the theory of the firm. The lemma relates the ordinary demand function to the derivatives of the indirect utility function. , setting K = [Alpha][Beta]/[[Alpha].sub.L][[Beta].sub.L], and rearranging terms, we have

[Mathematical Expression Omitted].

IV. Empirical Model

There are two important problems which must be addressed in order to implement expression (19) empirically. First, the intertemporal market for child health may be incomplete in varying degrees among families.(11) Risk aversion risk aversion

The tendency of investors to avoid risky investments. Thus, if two investments offer the same expected yield but have different risk characteristics, investors will choose the one with the lowest variability in returns.
 may also differ. Families may therefore differ in their opportunities and their desires to reallocate Verb 1. reallocate - allocate, distribute, or apportion anew; "Congressional seats are reapportioned on the basis of census data"
reapportion

allocate, apportion - distribute according to a plan or set apart for a special purpose; "I am allocating a loaf of
 resources from the parents' present to their child's future. Expression (19) presumes that all parents possess the same rate of time preference. We relax this presumption by allowing parents' inverse discount term, 1/[Delta], to vary multiplicatively mul·ti·pli·ca·tive  
adj.
1. Tending to multiply or capable of multiplying or increasing.

2. Having to do with multiplication.



mul
 according to a vector, Z, consisting of predetermined levels of parental educational attainments, household income and composition, gender of the subject child, and unobserved family effects, [Epsilon]. Time preference rates play a major role in determining household attributes such as parental educational attainments. However, the levels of these attributes that we observe here are determined prior to rather than coincidental with the demand for chelation therapy. We thus write

[Mathematical Expression Omitted],

where e is the base of the natural logarithms. Substituting (20) into (19), taking the natural logarithm of each side, and rearranging terms yields

ln[[L.sub.l](l/[L.sup.m])] = ln(K) + [summation of h] (1/[[Delta].sub.h]) ln([Z.sub.h]) + [Beta][ln(Y) - ln(l)]

+ [[Beta].sub.L][ln([r.sub.L]) - ln(Y)] + [Epsilon]. (21)

The second problem is that the quantity [L.sub.l] (l/[L.sup.m]) contains unobservable utility levels through the endogenous variable Endogenous variable

A value determined within the context of a model. Related: Exogenous variable.
 [L.sub.l], the marginal effect of the child's body lead burden upon the parents' compensated demand for chelation therapy. In order to give empirical content to (21), we will employ a method originally developed by Small and Rosen [43] from which we derive a first stage estimate of [L.sub.l]/[L.sup.m] from parents' conditional Marshallian demand for chelation therapy. To do this, we view parents' decision to seek chelation therapy as a discrete choice In economics, discrete choice problems involve choices between two or more discrete alternatives, such as entering or not entering the labor market, or choosing between modes of transport.  based upon information made available to parents (via lead screening) about the relation between their child's observed body lead burden and the likelihood of future cognitive or adaptive behavior Adaptive behavior is a type of behavior that is used to adapt to another type of behavior or situation. This is often characterized by a kind of behavior that allows an individual to substitute an unconstructive or disruptive behavior to something more constructive.  disorders [1].

In accordance with the utility maximization problem in (4), let [Mathematical Expression Omitted] define parents' maximum attainable utility if chelation therapy is chosen, and [Mathematical Expression Omitted] define parents' maximum attainable utility if chelation therapy is not chosen. For households characterized by [Gamma] and l, the choice of whether to chelate chelate

Any of a class of coordination or complex compounds consisting of a central atom of a metal (usually a transition element) attached to a large molecule (ligand).
 is made by comparing utility level [Mathematical Expression Omitted] with [Mathematical Expression Omitted], given income, Y, and wage-price vector, r = (w,p):

[Mathematical Expression Omitted].

Following Small and Rosen [43], let household j's conditional indirect utility function for chelation therapy be expressed as a sum of two components:

[Mathematical Expression Omitted],

where [v.sub.jL]([center dot]) is a "universal" utility function whose form is identical for all consumers, and [[Epsilon].sub.jL] measures the effects of unobservable family-specific influences which are independent of [v.sub.jL]. The vector [Gamma] contains observable attributes of the chelation therapy choice in addition to characteristics of the household. Household j will choose chelation therapy following screening if [Mathematical Expression Omitted]. The probability that household j will choose chelation therapy, conditional on prices, income and observable household characteristics is

[[Pi].sub.jL] = Pr{[[Epsilon].sub.j0] - [[Epsilon].sub.jL] [less than] [v.sub.jL] - [v.sub.j0]}. (24)

Assuming that [[Epsilon].sub.0] - [[Epsilon].sub.L] is a standard normal variate, consistent estimates of [[Pi].sub.L] in (24) can be obtained by means of a binary probit model In statistics, a probit model is a popular specification of a generalized linear model, using the probit link function. Probit models were introduced by Chester Ittner Bliss in 1935. . For cases in which the conditional indirect utility function in (23) is specified as linear in its explanatory variables, the choice probability analogue of the continuous quantity [L.sub.l]/[L.sup.m] in (21) is approximated by the expression

[L.sub.l]/[L.sup.m] = [Phi](u)[[[Theta].sub.l] - [[Theta].sub.rL] [Phi](u)]/[Phi](u), (25)

where [Phi] and [Phi] are respectively the cumulative distribution and probability density functions Probability density function

The function that describes the change of certain realizations for a continuous random variable.
 of the standard normal distribution, u = [v.sub.jL] - [v.sub.j0], and [[Theta].sub.l] and [[Theta].sub.rL] are the coefficients for child body lead burden and the full price of chelation therapy from the econometric estimation of v([r.sub.x], [r.sub.A], [r.sub.L], l, [Gamma], Y).(12)

In summary, the empirical model consists of two equations: (i) the chelation choice function in (24) describing parents' probability of choosing chelation therapy, and (ii) the annualized implicit price of risk expression in (21) specifying parents' substitution rate between full income and their child's body lead burden. The estimation strategy proceeds by estimating (24) via binary probit In probability theory and statistics, the probit function is the inverse cumulative distribution function (CDF), or quantile function associated with the standard normal distribution. , and applying the fitted values for [L.sub.l]/[L.sup.m] in the least squares estimation of equation (21).

V. Data and Empirical Implementation

Data were obtained from a sample of 256 children from separate households in two Boston, Massachusetts “Boston” redirects here. For other uses, see Boston (disambiguation).
Boston is the capital and most populous city of Massachusetts.[3] The largest city in New England, Boston is considered the unofficial economic and cultural center of the entire New
 area communities in 1978 and 1985. The 256 households, all of whom had an own child who attended the first and second grades between 1975 and 1978, were taken from the population of 3,329 first and second grade attendees. In both surveys, parents and clinicaI tests provided detailed information on the child's medical history and current health state, and the parents' time allocations, employment, and a variety of personal characteristics. The lead content of shed teeth was used to measure each child's body lead burden.

In the 1978 survey, parents of subject children with confirmed high and low levels of body lead burden were invited to participate in the further neuropsychologic evaluation of their child [32; 2]. Excluded, usually by telephone interview, were children from homes in which English was not the first language, or whose parents either did not wish or were not able to participate. Also excluded after a medical history was obtained, were children whose birth weight was below 2500 grams, who were not discharged at the same time as their mother after birth, or who had a history of noteworthy head injury. While the parents of remaining children filled out a comprehensive medical and social history, the child received a comprehensive battery of neuropsychologic tests. After each examination was completed, a child psychiatrist child psychiatrist Psychiatry A psychiatrist specialized in mental, emotional, or behavior disorders of children and adolescents; CPs are qualified to prescribe medications , Herbert Needleman Herbert Needleman, MD, known for research studies on the neurodevelopmental damages caused by lead poisoning, is a pediatrician, child psychiatrist, researcher and professor at the University of Pittsburgh Medical Center, an elected member of the Institute of Medicine, and the , M.D., informed the parents of their child's lead status and the consequences of this status. The parents were then counseled at no cost about a medically appropriate course of action.(13) In 1985, the original data set was supplemented by information about 1985 parental wage levels and chelation therapy, if any, which the child had undergone in the interim. Table I presents variable definitions, means, and standard deviations.(14)

[TABULAR DATA FOR TABLE I OMITTED]

Following Agee and Crocker [1], the functional form for the chelation choice function is linear in its explanatory variables. The implicit price of risk expression is log-linear in its explanatory variables.

Several variables present in the theoretical specification of (24) are excluded in its estimation. Since respondents came from the same locale and presumedly confront similar prices for similar market goods, prices comprising the composite good In economics, demand for a good is often the focus as to a change in its price. A composite good is an abstraction used in economics that represents all consumption goods besides the one in question. , X, and avoidance goods, A, are assumed to be identical across households. The time required to consume one unit of X or A is assumed to be identical across households as well. Thus, [r.sub.X] and [r.sub.A] are excluded because they vary only with the opportunity cost of parental time, a variable included in the full price of chelation therapy.

All current health benefit assessments of reducing child lead exposure include, as a component of total expenditures, time costs to parents associated with medical treatments or enhanced child supervision [44; 37; 27]. The majority of this cost is accounted for by the primary care-giver's opportunity cost of time. Gronau [13] identified the mother's reservation wage Reservation Wage is a concept in Labor economics which suggests that each worker has a specific wage rate whereby they are induced to perform paid market work. Wages offered below a worker's reservation wage would keep said worker from participating in the labor force.  as a major determinant of the time a mother makes available for child care activity. He found that full-time homemakers valued their time by 13 to 22 percent more than their offer wages. But a relatively high reservation wage need not imply that the quality of child care increases [31]. Working mothers may choose to substitute increased attentiveness in care for time in care, while nonworking mothers may do the opposite.

Most of the primary care-givers in our sample were full-time homemakers. Because accurate wage measures for full-time homemakers are unavailable, following Mincer [29], we presume that preferences regarding reservation wages of primary care-givers in our sample are explained by the educational attainments of parents, household composition, and the age of the mother. We also presume that these measures adequately reflect the variation in nonlabor income across households, a variable that was not measured in the survey.

The full, uninsured price of chelation therapy was calculated according to the recommendations of Piomelli [37]. In general, the required intensity of chelation therapy, defined as numbers of treatments, and child body lead burden move concurrently. Of those children receiving one treatment, 50 percent would require a second treatment, and 25 percent would require a third treatment. Each treatment involves five days in the hospital, several physician visits, laboratory work, and a neuropsychological neu·ro·psy·chol·o·gy  
n.
The branch of psychology that deals with the relationship between the nervous system, especially the brain, and cerebral or mental functions such as language, memory, and perception.
 evaluation for a total 1980 cost of $1945, including transportation.(15) In addition, each treatment requires a minimum of 8 hours of parental time expenditure for visitation and accompaniment while the child is hospitalized, subsequent physician's visits, and neuropsychological evaluations. Though each household in our sample was insured, we lack data on differences, if any, in copayment co·pay·ment
n.
A fixed fee that subscribers to a medical plan must pay for their use of specific medical services covered by the plan.


copayment,
n
 terms among sample households. We have therefore calculated FPCHEL, the full insured price, in terms of these time expenditures multiplied by the 1985 hourly wages of employed mothers in the sample.(16) Thus we presume that the money equivalent of these time expenditures is highly correlated with the payments for which sample households would be held responsible net of insurance payments for chelation, and that these expenditures are uncorrelated with the stochastic By guesswork; by chance; using or containing random values.

stochastic - probabilistic
 disturbance in the chelation choice expression.(17)

PICA (1) In word processing, a monospaced font that prints 10 characters per inch.

(2) In typography, about 1/6th of an inch (0.166") or 12 points.
 is a dummy variable This article is not about "dummy variables" as that term is usually understood in mathematics. See free variables and bound variables.

In regression analysis, a dummy variable
 in the chelation choice function that accounts for parental reports of the child's inappropriate mouthing behavior. Pica is important in a variety of accidental poisonings in young children, especially lead poisoning lead poisoning or plumbism (plŭm`bĭz'əm), intoxication of the system by organic compounds containing lead.  [45]. In our sample, pica was reported by 11 percent of parents of children that Needleman et al. [32] classified as low lead, 13.6 percent of moderate lead children, and 13.8 percent of high lead children. Although pica was found to be significantly related to body lead burden in the sample (r = .16, p [less than] .01), it was not found to be significantly related to the outcome measures of assessed intelligence in the subject children.

Table II. Probit Estimates of the Chelation Choice Function Dependent Variable: CHELATED che·late  
adj. Zoology
Having chelae or resembling a chela.

n. Chemistry
A chemical compound in the form of a heterocyclic ring, containing a metal ion attached by coordinate bonds to at least two nonmetal ions.
 
Explanatory Variable     Coefficient     Asymptotic t-Statistic


PICA                        0.5758               1.507
PBLEVEL                     0.0785               4.107
DADEDUC                     0.0799               1.026
MOMEDUC                    -0.3566              -3.754
DADPRSNT                   -1.3328              -2.579
MOMAGE                      0.0028               0.137
FPCHEL                     -0.0107             - 2.40
INCOME                      1.2657               2.311


n = 256


Log-Likelihood at zero = -59.851


Log-Likelihood at convergence = -41.869


[[Chi].sup.2](7) = 35.963


Table III. Least Squares Estimates of the Implicit Price Expression Dependent Variable: ln([L.sub.l]/[L.sup.m]) + ln(l)
Explanatory Variable       Coefficient     Asymptotic t-Statistic


CONSTANT                     -3.0858             -8.766
ln (INCOME)                   0.0796              6.369
ln (DADEDUC)                 -0.2055             -3.794
ln(MOMEDUC)                   1.4027             15.803
DADPRSNT                      0.2839              7.316
ln(MOMAGE)                   -0.0096             -0.140
ln(NUMCHILD)                 -0.039              -1.873
SEX                          -0.0093             -0.395
ln(INCOME) - ln(PBLEVEL)     -0.6587            -28.984
ln (FPCHEL) - ln (INCOME)     0.0007              0.090


n = 256


Adjusted [R.sup.2] = .90


[[Chi].sup.2] (9) = 601.92


Estimated coefficients for the chelation choice function and implicit price expression are reported in Tables II and III. A likelihood ratio statistic was used to test richer specifications of the chelation choice function involving interactions between child body lead burden and parental income and educational attainments. Test statistics failed to reject the null hypothesis null hypothesis,
n theoretical assumption that a given therapy will have results not statistically different from another treatment.

null hypothesis,
n
 of no interactions present at the 5 percent significance level. However, even though the chelation choice function in Table II is linear, the nonlinear form of (25) and the 256 distinct household markets for chelation therapy provide sufficient exogenous Exogenous

Describes facts outside the control of the firm. Converse of endogenous.
 marginal price variation to identify the system in Tables II and III [35].

Table II indicates that child body lead burden, full price of chelation therapy, presence of a father, and mother's education are statistically significant determinants of the direct benefits that households perceive from choosing chelation therapy. The coefficients for child lead burden and full price of therapy have the anticipated positive and negative signs. In addition, parents are less likely to choose chelation if the mother and father reside together and as the mother's education increases. This is consistent with the predictions of human-capital-based models that focus on the relation of efficiency in raising children to maternal schooling as formulated by Leibowitz [24]. Thus an increase in the mother's education or the presence of her spouse might be interpreted as raising her marginal productivity of time as primary care-giver, thereby reducing parental demand to complement exposure reduction with chelation therapy.

Table III reports estimates of the annualized implicit price of risk expression (21).(18) Coefficients on the log implicit price variables INCOME, DADEDUC, MOMEDUC, DADPRSNT, MOMAGE, NUMCHILD, and SEX yield fitted values for the discount term ln(1/[Delta]) equal to ln[(1 + [Rho])/[Rho]]. Parental income, education, and household composition act as significant determinants of intergenerational time preference. In particular, two parent households with higher income and more maternal education discount that child's adult prospects at lower rates.(19) No gender preference appears. There is some tendency for the discount rate parents apply to a child to increase with the number of the child's siblings.

The mean implicit discount rate for the entire sample is 4.7 percent with a 2.2 percent standard error. By comparison, Viscusi and Moore [50] calculate the long-term financial market interest rate for 1981 (Aaa bond rate) adjusted for 8.8 percent expected inflation (1980 GNP GNP

See: Gross National Product
 deflator Deflator

A statistical factor used to convert current dollar purchasing power into inflation-adjusted purchasing power. Enables the comparison of prices while accounting for inflation in two different time periods.
) as 3.2 percent.

Table IV reports mean discount rates with standard errors for specific subsamples. The table shows that there exist wide differences across sample households in the discount rates parents apply to their children's futures. Parents with incomes below the sample mean apply discount rates of about 6.8 percent while those above the mean exhibit 3.2 percent rates. The futures of children in households without a high school diploma A high school diploma is a diploma awarded for the completion of high school. In the United States and Canada, it is considered the minimum education required for government jobs and higher education. An equivalent is the GED.  are discounted at 6.9 percent while households with both parents having had at least some college discount at 2.6 percent. This 2.6 percent rate approximates the Viscusi and Moore [50] real market rate of 3.2 percent.

VI. Conclusions

Within the context of an explicit model of endogenous risk, we have presented the first empirical evidence that parents discount investments which affect the adult prospects of their children. These rates, which numerous authors show affect the intergenerational transmission of human capital, are strongly influenced by household circumstances. The discount rates which the better-off and well-educated apply approximate the real market rate for financial instruments; the discount rates which the worse-off and ill-educated apply are more than twice the real market rate. Regardless of their incomes and educations, the parents in our sample discounted investments in their children's adult prospects much more lightly than the 20 to 50 percent rates the literature [15; 14] says they are likely to apply to household durables. Altruism, or at least an unwillingness of parents to treat the self differently from the child, must enter. The rates which we estimate parents apply to the futures of their children are well within the 2.0 to 12.0 percent rates that Kashner [21], Viscusi and Moore [50], and Moore and Viscusi [30] estimate adults apply to their own health, and that Lang and Ruud [23] estimate they applied to their schooling.

Table IV. Implicit Discount Rates by Sample Classification(a)

1. By Household Income:

Below Mean (n = 107) 6.8% (1.9)

Above Mean (n = 149)

3.2% (0.5)

2. By Education:

Both Parents w/o H.S. Diploma (n = 49)

6.9% (2.7)

At Least One Parent w/ H.S. Diploma or More (n = 207)

4.2% (1.7)

At Least One Parent w/ Some College or More (n = 78)

3.7% (1.5)

Both Parents w/ Some College or More (n = 21)

2.6% (0.7)

3. By Number of Children:

One or Two Children (n = 97)

4.3% (1.9)

Four or More Children (n = 41)

5.0% (2.5)

4. By Child Body Lead Burden:

Low (n = 61)

4.3% (2.2)

Moderate (n = 136)

4.7% (2.4) High (n = 59)

4.9% (1.9)

Overall Mean = 4.7% (2.2%)

a. Standard errors in parentheses See parenthesis.

parentheses - See left parenthesis, right parenthesis.
.

1. Methodological individualism Methodological individualism is a philosophical method aimed at explaining and understanding broad society-wide developments as the aggregation of decisions by individuals. In the most extreme version, the "whole" is nothing but the "sum of its parts" (atomism).  will generally require that the family or household be viewed as a governance structure or institution rather than as a preference ordering.

2. Agee and Crocker [1] show that parents undervalue child health risk information, for example.

3. The maximum principle of optimal control theory implies that parents will act as if they have the extremely long time horizon which environmentalists advocate even though the parents optimize only over their own consumption and that of their immediate progeny.

4. Environmental and human health damages thought to be caused by persistent micropollutants (PMPs) have become a controversial national and international issue. PMPs degrade slowly and thus accumulate in organisms and ecosystems. Examples of PMPs are too numerous to list exhaustively; however, inorganic compounds Tentative listing related to this page, inorganic compounds by element (presently under construction), as well as .

This list is not necessarily complete or up to date – if you see an article that should be here but isn't (or one that shouldn't be here but is), please update
 such as benzene, polychlorinated biphenyls polychlorinated biphenyls, (pol´ēklôr´nā´tid bīfē´n , halons halons: see under chlorofluorocarbons. , chlorofluorocarbons chlorofluorocarbons (klōr'əflr`əkär'bənz, klôr'–) (CFCs), organic compounds that contain carbon, chlorine, and fluorine atoms. , lead, and mercury are often cited. Needleman et al. [32] were the first to demonstrate that low-level body lead burdens in children are associated with measurable IQ and attention span deficits which plausibly slow intellectual development and thus reduce returns to schooling.

5. Our one period formulation enables us to set aside questions of how the timing of the resolution of uncertainty affects asset choice, including the child health capital asset.

6. Treatment consists of a series of chemical injections which react to bind metals and accelerate their urinary excretion [39; 41].

7. Hotz and Miller [17] estimate that parents provide about 660 hours caring for a child in its first year. This time input declines at a 12 percent annual rate. They also could not reject the hypothesis that the goods input for child care exhibited a constant time profile in money terms. Johnson and Pencavel [19] find that the time costs of children are greater than the money costs.

8. Blackorby, Donaldson, and Moloney [8] refer to equation (7) as the present value of the sum of instantaneous compensating surpluses, an exact index of instantaneous welfare change at any time [Tau]. They show that there do not exist intertemporal preferences for which this sum of instantaneous surpluses is an exact measure of welfare change unless individuals are concerned only with consumption in a single period.

9. The medical manipulation of lead via chelation therapy rather than exposure reductions via goods purchases and increased parental time expenditures is used to estimate MWT[P.sub.l] because the latter activities can have joint products such as improved housing appearance and more parental leisure. Parental time and budget allocations to chelation therapy are very unlikely to be a direct source of parental utility nor to serve the dual purposes of increased parental leisure or income and reduced child body lead burden.

10. Houthakker [18, 246] remarks that "The interrelations between such aggregates probably follow largely from their competition for the consumer's dollar rather than from any more specific substitution or complementarity connection..."

11. Because our sample households possessed insurance, they were unlikely to be liquidity constrained. The sample is therefore unlikely to be susceptible to unobserved heterogeneity in credit markets for medical care.

12. Given that the utility function in (1) is both continuous and strictly increasing in the consumption good, X, and nondecreasing in the child-protection goods A and L, the following Slutsky-like equation [43, 117] links parents' continuous compensated demand function for chelation therapy to the discrete choice case:

[Mathematical Expression Omitted],

where [Mathematical Expression Omitted] is the conditional Marshallian demand function for chelation therapy, and [Mathematical Expression Omitted].

13. Information provided to parents about the consequences of their child's body lead burden is information about a point on the dose-response function corresponding to their child's body lead level and not the entire dose-response curve dose-response curve A graphic representation of the effects that varous doses of an agent–eg, ionizing radiation or a chemotherapeutic agent, have on a given parameter–eg, cell viability, mutation frequency, DNA damage, tumor growth or metastasis or .

14. The sample selection factors used by Needleman et al. [32] to assess the effects of low-level lead exposure on children's cognitive functioning bring to question the comparability of socioeconomic characteristics and behaviors among sample parents with corresponding distributions for other groups. Compared to U.S. adults over age 25 [46], sample parents have a higher mean number of years of schooling completed; 81 percent of sample parents have completed high school and 16 percent have graduated from college compared to 1980 U.S. percentages of respectively 66.3 and 16.3 (72.7 and 20.0 in Massachusetts). Sample households' median income of $17,000 (mean = $17,100) is slightly higher than the 1979 U.S. median household income The median household income is commonly used to provide data about geographic areas and divides households into two equal segments with the first half of households earning less than the median household income and the other half earning more.  of $16,841. In 1979, approximately 45 percent of U.S. households reported incomes of less than this median (42 percent in Massachusetts). Table IV shows that 42 percent of sample parents reported incomes of less than the sample mean.

Another relevant comparison exists regarding the proportion of sample parents who chose chelation therapy for their child. The U.S. Environmental Protection Agency Environmental Protection Agency (EPA), independent agency of the U.S. government, with headquarters in Washington, D.C. It was established in 1970 to reduce and control air and water pollution, noise pollution, and radiation and to ensure the safe handling and  estimated that between 1976 and 1980 approximately 4 percent of U.S. children aged 0.5 to 7 had lead levels above the cutoff point Cutoff point

The lowest rate of return acceptable on investments.
 said to warrant medical intervention [48, IV-4]. Children living in metropolitan areas of 1 million or more had a 45 percent higher incidence than those in the general population [47, 1]. This U.S. metropolitan incidence is close to the 6.2 percent of children chelated in our Boston area sample.

15. Chelation therapy is not taken beyond three treatments because of the potential for adverse health effects, including removal of necessary minerals, kidney damage kidney damage Kidney injury Nephrology A structural or functional compromise in renal function due to external–eg, athletic, occupational, or other trauma, resulting in bruising or hemorrhage, which can be profuse and life threatening Etiology Vascular , and pain [10]. Since only a small percentage of children classified by Needleman et al. [32] as low lead burden ever received one treatment, and an even smaller proportion of these children required further treatments, we assumed that children with low body lead burdens faced a minimum full, uninsured price of $1945. Children classified as moderate to high body lead burden were assumed to face an expected full, uninsured price of $3403.75 for 1.75 treatments.

16. In 1985, the employed mothers in our sample had an average hourly wage of $3.74 with a standard deviation of $3.03. The 14 hours of parental time expenditure required for the 1.75 treatments of chelated children with moderate and high body lead burdens cost $52.36. Parental time expenditures for children with low body lead burdens are assumed not to exceed 8 hours for a total cost of $29.92.

17. See Yatchew and Griliches [52] and Hausman, Newey, and Powell [16] for the properties of instrumental variables in nonlinear regression In statistics, nonlinear regression is the problem of inference for a model



based on multidimensional
.

18. White's [51] general heteroskedasticity test rejected the null hypothesis of homoskedasticity at the 1 percent level of significance when applied to the implicit price estimates. White's [51] heteroskedasticity-consistent covariance matrix In statistics and probability theory, the covariance matrix is a matrix of covariances between elements of a vector. It is the natural generalization to higher dimensions of the concept of the variance of a scalar-valued random variable.  was then used for hypothesis tests of the coefficients in Table III.

19. Evidence of strong negative associations between time preference rates in other contexts and measures of labor income and education have been documented elsewhere, e.g., Lawrance [22], and Viscusi and Moore [50]. Several explanations for these associations have been offered, including differential access to capital markets, preference differences, and differences in expectations about future incomes.

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Author:Crocker, Thomas D.
Publication:Southern Economic Journal
Date:Jul 1, 1996
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