Invisible Wounds: How Mental Disability Benefits Shape Veteran Well-Being

We study impacts of VA disability compensation on the health and well-being of the large and rapidly growing population of veterans claiming mental disorders. We leverage quasi-random assignment of veterans to medical examiners with varying assessing tendencies. An additional $1,000 per year decreases food insecurity and homelessness by 4.1 and 1.3 percent over 5 years. Health care utilization increases, with greater engagement in preventive care. We estimate precise null average effects on health and mortality. Those on the margin of claim denial experience worse outcomes on average than other applicants, with suggestive evidence of large treatment effects for this subpopulation. (JEL I12, I31, I38, J14)

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Publication Details

Journal
American Economic Journal Economic Policy
Published
2026-01-29
DOI
https://doi.org/10.1257/pol.20230811
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Invisible Wounds: How Mental Disability Benefits Shape Veteran Well-Being

Jonathan Zhang, David Silver
American Economic Journal Economic Policy
Healthcare Policy and Management
article

Invisible Wounds: How Mental Disability Benefits Shape Veteran Well-Being

Jonathan Zhang, David Silver
article en

Abstract

We study impacts of VA disability compensation on the health and well-being of the large and rapidly growing population of veterans claiming mental disorders. We leverage quasi-random assignment of veterans to medical examiners with varying assessing tendencies. An additional $1,000 per year decreases food insecurity and homelessness by 4.1 and 1.3 percent over 5 years. Health care utilization increases, with greater engagement in preventive care. We estimate precise null average effects on health and mortality. Those on the margin of claim denial experience worse outcomes on average than other applicants, with suggestive evidence of large treatment effects for this subpopulation. (JEL I12, I31, I38, J14)

American Economic Journal Economic PolicyVol. 18(1)
University of California, Santa Barbara (US), New York State Office of Mental Health (US)
Zero hunger
Openalex Percentile: Top 78%
Healthcare Policy and Management
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