Finally, if the data extract you have created includes post-war medical
data, you should be aware that the symptoms and descriptions of the
conditions the soldiers presented at examination make up the bulk of the
variables in the Surgeon's Certificates. There are no "diagnoses" per se,
and these must be inferred from a combination of the symptoms and the
surgeon's ratings (_rat and _rel) variables. If conditions were "rated" by
a surgeon or "related" to another rated condition, it is often assumed
that those conditions were present and disabling. If there's no rating
associated with the symptoms and descriptions presented by the soldier,
then it is probably the case that the surgeon did not find that the
condition rose to the level of a disability under the law.
We have provided some interpretation of the ratings variables (see ratings
indexes for each set of disease variables), but because many rated
conditions were grouped together into one rating for all ratable or
related conditions (e.g., "Heart rated with diarrhea, 3/4), it is probably
best as a beginning user to simply note the presence of a rating rather
than trying to put the ratings into some consistent fractional or dollar
value. The laws changed a lot over the lifetime of the soldiers, and the
maximum rates for certain conditions changed over that time, as did the
maximum pension awards, etc. Until you have a good grasp of pension law
and medical history, much can be gleaned from simply creating dummy
variables that represent if a condition was "rated" or not.
It is also important to remember that a condition may be "rated" but have
no information in the _rat variables. This is because the condition may
have been "related to" a primary rated condition, or because the condition
was "rated with" another condition. So, conditions appearing in the _rel
variables must be considered "rated" conditions.
Some articles describing pension law include the following
from our scholarly articles archive:
The Civil War Pension Law
Linares, Claudia | #2001-6/CPE Working Paper Series
Some articles describing civil war medical history include the following
from our scholarly articles archive:
Health and Labor Force Participation Over the Life Cycle: Evidence from the Past
Costa, Dora L., ed. | Chicago: University of Chicago Press for NBER
The Effect of Hernias on the Labor Participation of Union Army Civil War Veterans
Song, Chen and Nguyen, Louis | In Dora Costa, ed., Health and Labor Force Participation Over the Life Cycle: Evidence from the past, ed. D.L. Costa, 253-310. Chicago: University of Chicago Press for NBER
Understanding Mid-Life and Older Age Mortality Declines: Evidence from Union Army Veterans
Costa, Dora L. | Journal of Econometrics 112: 175-92
Some articles describing how other researchers have tackled the issues of
"ratings" and "related conditions" and "diagnoses" include the following
from our scholarly articles archive:
Changing Chronic Disease Rates and Long-Term Declines in Functional Limitation Among Older Men
Costa, Dora L. | Demography 39: 119-37
Work and the Disability Transition in 20th Century America
Wilson, Sven, Burton, Joseph and Howell, Benjamin
Table of rates for specific disabilities
Sanchez, Mario | CPE
Please feel free to search our publications database at
http://www.cpe.uchicago.edu/publication/publication.html
or view a complete list of our scholarly publications here.
Other suggested reading:
Battle Cry of Freedom: The Civil War Era (Oxford History of the United States)
McPherson, James M.
Compendium of the Civil War
Dyer, Frederick
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