Scandinavian Working Papers in Economics

Working Paper Series,
IFAU - Institute for Evaluation of Labour Market and Education Policy

No 2026:11: When loss strikes twice: severe health shocks and financial well-being

Kaveh Majlesi (), Elin Molin () and Paula Roth ()
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Kaveh Majlesi: Monash University, Lund University, IZA and CEPR
Elin Molin: Lund University, UCFS, CED and KWC
Paula Roth: Stockholm School of Economics, UCFS and IFN

Abstract: We study how fatal and nonfatal health shocks affect households’ ability to meet their financial obligations. We find that fatal shocks substantially increase the likelihood of default and that housing wealth plays a key role as a self-insurance mechanism. Surviving spouses who experience the largest income losses are more likely to sell their homes, and those without housing wealth face a sharply higher risk of debt collection. In the most financially vulnerable families, these shocks even generate intergenerational spillovers. In contrast, nonfatal health shocks lead to only modest increases in default risk. Taken together, our findings suggest that strengthening survivors’ benefits for households with limited resources could improve welfare across generations.

Keywords: Financial Distress; Health shocks; Household Debt; Household Saving; Intergenerational Transmission

JEL-codes: D14; G22; G51; I12

Language: English

86 pages, January 1, 2026

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