Thomas C. Buchmueller (
Robert G. Valletta is vice president of research communications in the Economic Research Department of the Federal Reserve Bank of San Francisco, in California.
Health Aff (Millwood). 2017 Feb 1;36(2):214-221. doi: 10.1377/hlthaff.2016.1200.
We examined the complex relationship among work, health, and health insurance, which has been affected by changing demographics and employment conditions in the United States. Stagnation or deterioration in employment conditions and wages for much of the workforce has been accompanied by the erosion of health outcomes and employer-sponsored insurance coverage. In this article we present data and discuss the research that has established these links, and we assess the potential impact of policy responses to the evolving landscape of work and health. The expansion of insurance availability under the Affordable Care Act may have helped reduce the burden on employers to provide health insurance. However, the act's encouragement of wellness programs has uncertain potential to help contain the rising costs of employer-sponsored health benefits.
我们研究了工作、健康和健康保险之间的复杂关系，这在美国不断变化的人口结构和就业状况的影响下受到了影响。对于大多数劳动力来说，就业条件和工资的停滞或恶化伴随着健康结果和雇主提供的保险覆盖范围的减少。在本文中，我们展示了数据并讨论了已确定这些联系的研究，我们评估了对工作和健康不断变化的格局做出政策反应的潜在影响。平价医疗法案下保险供应的扩大可能有助于减轻雇主提供健康保险的负担。然而，该法案鼓励健康计划对控制雇主提供的健康福利不断上涨的成本的潜在帮助尚不确定。
