Author(s)  
Jorge Luis Garcia
James J. Heckman
This paper forecasts the life-cycle treatment effects on health of a high-quality early childhood program. Our predictions combine microsimulation using non-experimental data with experimental data from a midlife long-term follow-up. The follow-up incorporated a full epidemiological exam. The program mainly benefits males and significantly reduces the prevalence of heart disease, stroke, cancer, and mortality across the life-cycle. For men, we estimate an average reduction of 3.8 disability-adjusted years (DALYs). The reduction in DALYs is relatively small for women. The gain in quality-adjusted life years (QALYs) is almost enough to offset all of the costs associated with program implementation for males and half of program costs for women.
Publication Type  
Working Paper
File Description  
First version, February 28, 2020
JEL Codes  
I10: Health, Education, and Welfare, General
J13: Fertility; Family Planning; Child Care; Children; Youth
I28: Education: Government Policy
C93: Field Experiments
Keywords  
early childhood education
life-cycle health
long-term forecasts
program evaluation
randomized trials