TY - JOUR AU - Gregory, Christian A AU - Ruhm, Christopher J TI - Where Does the Wage Penalty Bite? JF - National Bureau of Economic Research Working Paper Series VL - No. 14984 PY - 2009 Y2 - May 2009 DO - 10.3386/w14984 UR - http://www.nber.org/papers/w14984 L1 - http://www.nber.org/papers/w14984.pdf N1 - Author contact info: Christian A. Gregory ERS MS9999 Beacon Facility P.O. Box 419205 Kansas City, MO 64113 Tel: (816)926-1648 E-Mail: cgregory@ers.usda.gov Christopher J. Ruhm Frank Batten School of Leadership and Public Policy University of Virginia 235 McCormick Rd. P.O. Box 400893 Charlottesville, VA 22904-4893 E-Mail: ruhm@virginia.edu M1 - published as Christian A. Gregory, Christopher J. Ruhm. "Where Does the Wage Penalty Bite?," in Michael Grossman and Naci H. Mocan, editors, "Economic Aspects of Obesity" University of Chicago Press (2011) M3 - presented at "Economic Aspects of Obesity", November 10-11, 2008 AB - The literature examining the relationship between body mass index (BMI) and wages has fairly consistently found that BMI has a negative impact on earnings for women, and less (if any) consequences for men. In this paper, we relax the assumption -- largely unquestioned in this research -- that the conditional mean of wages is linear or piecewise linear in body mass index (BMI). Using data from the 1986 and 1999-2005 Panel Study of Income Dynamics, we estimate semi-parametric wage models that allow earnings to vary with BMI in a highly flexible manner. For women, the results show that earnings peak at levels far below the clinical threshold of "obesity" or even "overweight". For men, our main estimates suggest a reasonably flat BMI-wage profile that peaks early in the "overweight" category. However, the results of instrumental variables (IV) models or specifications focusing on long-lags of BMI are more similar to those for women. The findings for females (and the IV estimates for males) suggest that it is not obesity but rather some other factor -- such as physical attractiveness -- that produces the observed relationship between BMI and wages. We also provide non-parametric estimates of the association between BMI and health expenditures, using data from the Medical Expenditure Panel Survey. These cast further doubt on the hypothesis that the wage penalties associated with increasing BMI occur because the latter serve as an index for underlying medical costs. ER -