Kolstad Jonathan T, Kowalski Amanda E
Haas School, University of California, Berkeley, United States; NBER, United States.
Department of Economics, Yale University, United States; NBER, United States.
J Health Econ. 2016 May;47:81-106. doi: 10.1016/j.jhealeco.2016.01.010. Epub 2016 Feb 24.
We model the labor market impact of the key provisions of the national and Massachusetts "mandate-based" health reforms: individual mandates, employer mandates, and subsidies. We characterize the compensating differential for employer-sponsored health insurance (ESHI) and the welfare impact of reform in terms of "sufficient statistics." We compare welfare under mandate-based reform to welfare in a counterfactual world where individuals do not value ESHI. Relying on the Massachusetts reform, we find that jobs with ESHI pay $2812 less annually, somewhat less than the cost of ESHI to employers. Accordingly, the deadweight loss of mandate-based health reform was approximately 8 percent of its potential size.
我们对国家和马萨诸塞州“基于强制规定”的医疗改革的关键条款对劳动力市场的影响进行了建模:个人强制参保、雇主强制参保和补贴。我们根据“充分统计量”来描述雇主提供的医疗保险(ESHI)的补偿性差异以及改革对福利的影响。我们将基于强制规定的改革下的福利与一个反事实世界中的福利进行比较,在这个反事实世界中,个人不重视ESHI。基于马萨诸塞州的改革,我们发现有ESHI的工作每年少支付2812美元,略低于雇主承担的ESHI成本。因此,基于强制规定的医疗改革的无谓损失约为其潜在规模的8%。