Surveys taken between 2010 and this year show that 40 percent of prime working-age men who are not in the labor force report having pain that prevents them from taking jobs for which they are qualified. More than a third of the men not in the labor force said they had difficulty walking or climbing stairs or had another disability. Forty-four percent said they took painkillers daily and two-thirds of that subset were on prescription medicines. By contrast, just 20 percent of employed men and 19 percent of unemployed men (those looking for work) in the same age group reported taking any painkillers.
Perhaps worse, many of those taking painkillers still said they experienced pain daily. Recently, the Centers for Disease Control and Prevention has reported that these drugs are far less effective and much more addictive than previously thought.
The connection between chronic joblessness and painkiller dependency is hard to quantify. Mr. Krueger and other experts cannot say which came first: the men’s health problems or their absence from the labor force. Some experts suspect that frequent use of painkillers is a result of being out of work, because people who have no job prospects are more likely to be depressed, become addicted to drugs and alcohol and have other mental health problems. Only about 2 percent of the men say they receive workers’ compensation benefits for job-related injuries. Some 25 percent are on Social Security disability; 31 percent of those receiving benefits have mental disorders and the rest have other ailments, according to an analysis by the Urban Institute.