Did Hurricane Katrina Reduce Mortality?

TL;DR

This paper critically evaluates a study claiming Hurricane Katrina improved elderly survival rates, highlighting methodological flaws that undermine the original conclusions.

Contribution

It provides a detailed critique of prior research, emphasizing issues with demographic adjustments, selection bias, and unexamined mortality changes.

Findings

Identifies unaccounted demographic differences affecting mortality analysis

Highlights non-random selection of migration destinations post-Katrina

Argues that the original study's evidence does not support its conclusions

Abstract

In a recent article in the American Economic Review, Tatyana Deryugina and David Molitor (DM) analyzed the effect of Hurricane Katrina on the mortality of elderly and disabled residents of New Orleans. The authors concluded that Hurricane Katrina improved the eight-year survival rate of elderly and disabled residents of New Orleans by 3% and that most of this decline in mortality was due to declines in mortality among those who moved to places with lower mortality. In this article, I provide a critical assessment of the evidence provided by DM to support their conclusions. There are three main problems. First, DM generally fail to account for the fact that people of different ages, races or sex will have different probabilities of dying as time goes by, and when they do allow for this, results change markedly. Second, DM do not account for the fact that residents in New Orleans are likely to be selected non-randomly on the basis of health because of the relatively high mortality rate in New Orleans compared to the rest of the country. Third, there is considerable evidence that among those who moved from New Orleans, the destination chosen was non-random. Finally, DM never directly assessed changes in mortality of those who moved, or stayed, in New Orleans before and after Hurricane Katrina. These problems lead me to conclude that the evidence presented by DM does not support their inferences.