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被取代的工人与雇主提供的医疗保险:工资/附加福利权衡的证据?

Displaced workers and employer-provided health insurance: evidence of a wage/fringe benefit tradeoff?

作者信息

Simon K I

机构信息

Department of Policy Analysis and Management, MVR Hall, Cornell University, Ithaca, NY 14853, USA.

出版信息

Int J Health Care Finance Econ. 2001 Sep-Dec;1(3-4):249-71. doi: 10.1023/a:1013715602013.

Abstract

Job changes that result from plant closings and mass layoffs provide an opportunity to see how workers respond to an employment shock that is arguably exogenous to individual productivity. Comparing compensation packages of displaced workers on their old and new jobs is a potentially promising method to infer a tradeoff between wages and non-wage benefits. Although displaced worker data overcomes many of the pitfalls to estimating wage/fringe tradeoffs by controlling for time-invariant unobserved productivity, time-varying unobservables could still bias estimates. In this analysis, I investigate the compensating wage differential for one particularly valuable benefit, employer-provided health insurance. I find that even after controlling for an extensive set of productivity factors, I obtain results indicating a wrong-signed tradeoff. Those who lose health insurance through the job change also lose wages relative to other displaced workers, while those who gain health insurance also gain in wages. Individuals expected to incur higher health care costs (older workers and workers who are likely to buy family coverage) do not experience steeper wage/health insurance tradeoffs as would be expected if employers were able to pass health care costs on to workers according to individual costs. Although this exercise fails to isolate a wage/fringe tradeoff, the strong correlation between changes in wages and changes in fringe benefits has important implications for public policy towards displaced workers. Further research is needed to understand the true magnitude and distribution of the costs of job displacement taking changes in fringe benefits into account.

摘要

工厂关闭和大规模裁员导致的工作变动提供了一个机会,能让我们观察工人如何应对一种就业冲击,这种冲击可以说是外生于个人生产力的。比较被解雇工人在旧工作和新工作上的薪酬方案,是推断工资与非工资福利之间权衡取舍的一种潜在可行方法。尽管被解雇工人的数据通过控制时间不变的未观察到的生产力克服了估计工资/附加福利权衡取舍的许多陷阱,但随时间变化的不可观察因素仍可能使估计产生偏差。在本分析中,我研究了一种特别有价值的福利——雇主提供的医疗保险的补偿性工资差异。我发现,即使在控制了一系列广泛的生产力因素之后,我得到的结果仍表明存在符号错误的权衡取舍。那些因工作变动失去医疗保险的人相对于其他被解雇工人也失去了工资,而那些获得医疗保险的人工资也有所增加。预期会产生更高医疗保健成本的个人(年长工人和可能购买家庭保险的工人)并没有经历如预期那样陡峭的工资/医疗保险权衡取舍,如果雇主能够根据个人成本将医疗保健成本转嫁给工人的话。尽管这项研究未能分离出工资/附加福利的权衡取舍,但工资变化与附加福利变化之间的强相关性对针对被解雇工人的公共政策具有重要意义。需要进一步研究以了解考虑到附加福利变化后工作变动成本的真实规模和分布情况。

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