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The Journal of Economic History

Can Pensions Save Lives? Evidence from the Introduction of Old-Age Assistance in the UK

We study the impact of old-age assistance on mortality using the introduction of public pensions in the UK in 1909 as a quasi-natural experiment. Exploiting the newly created pension eligibility age through a difference-in-difference as well as an event-time design, we show that elderly mortality in England and Wales declined after the pension was introduced. The estimated mortality decline is economically relevant, more pronounced in counties with a higher share of pensioners and is driven by fewer deaths from infectious as well as non-infectious diseases. An analysis of full-count individual-level census data points to a reduction in residential crowding and retirement, especially from occupations associated with high mortality rates, as likely channels.

Jäger, P. and P. Schacht-Picozzi (2026), Can Pensions Save Lives? Evidence from the Introduction of Old-Age Assistance in the UK. The Journal of Economic History (forthcoming)

DOI: 10.1017/S0022050726101478