Mortality and Healthcare: A Stochastic Control Analysis under Epstein--Zin Preferences

Abstract

This paper studies optimal consumption, investment, and healthcare spending under Epstein-Zin preferences. Given consumption and healthcare spending plans, Epstein-Zin utilities are defined over an agent's random lifetime, partially controllable by the agent as healthcare reduces mortality growth. To the best of our knowledge, this is the first time Epstein-Zin utilities are formulated on a controllable random horizon, via an infinite-horizon backward stochastic differential equation with superlinear growth. A new comparison result is established for the uniqueness of associated utility value processes. In a Black-Scholes market, the stochastic control problem is solved through the related Hamilton-Jacobi-Bellman (HJB) equation. The verification argument features a delicate containment of the growth of the controlled morality process, which is unique to our framework, relying on a combination of probabilistic arguments and analysis of the HJB equation. In contrast to prior work under time-separable utilities, Epstein-Zin preferences facilitate calibration. The model-generated mortality closely approximates actual mortality data in the US and UK; moreover, the efficacy of healthcare can be calibrated and compared between the two countries.