@TechReport{iza:izadps:dp15593, author={Clarke, Damian and Bustos, Nicolás Lillo and Schythe, Kathya Tapia}, title={Estimating Inter-Generational Returns to Medical Care: New Evidence from At­-Risk Newborns}, year={2022}, month={Sep}, institution={Institute of Labor Economics (IZA)}, address={Bonn}, type={IZA Discussion Paper}, number={15593}, url={https://www.iza.org/publications/dp15593}, abstract={Targeted treatments of newborns with delicate health stocks have been shown to have consid­erable returns in terms of survival and later life outcomes. We seek to determine to what degree such treatments are transmitted across generations. We follow three generations of linked micro­-data from Chile, and use a regression discontinuity design to study the impacts of targeted neonatal health policies based on birth weight assignment rules. While we observe well­-known first gen­eration impacts of intensive treatment targeted to very low birth weight newborns, we document the surprising fact that these policies have negative impacts on measures of well­-being at birth for second-­generation individuals born to mothers who were treated at birth. We show that the mech­anism which explains this is a strong impact of early life medical treatment on the likelihood that marginal treated individuals go on to give birth later in life, with receipt in the first generation con­siderably reverting negative gradients in early life health and eventual fertility. These new stylised facts and results suggest the long­term implications of health policies within family lineages may be quite different to their short term implications, placing more weight on necessary reinforcing interventions.}, keywords={health care pro­vision;early life interventions;inter­generational mobility;parental investments;fertility}, }