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Firstly, health and work may be endogenously related because of direct causal effects of health on work and vice versa, and because of unobservables that may affect both observed health and work outcomes. Secondly, social surveys usually contain self\u2010assessed health measures and research indicates that these may be subject to endogenous, state\u2010dependent reporting bias. A solution to the \u2018Health and Retirement Nexus\u2019 therefore requires an integrated model for work decisions, health production and health reporting mechanisms. We formulate such a model and estimate it on a longitudinal dataset of older Dutch males. 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