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因医疗保险强制规定导致的失业。

Job loss due to health insurance mandates.

作者信息

Klerman J A, Goldman D P

机构信息

RAND, Santa Monica, CA 90407-2138.

出版信息

JAMA. 1994 Aug 17;272(7):552-6.

PMID:8046811
Abstract

The proposed Health Security Act provides universal health insurance by extending the current employer-based health insurance financing system. It requires employers to pay approximately 80% of the health insurance premium for each of their workers. Experience with other legislation requiring employers to provide benefits to their employees indicates that most of the cost of a mandated benefit is shifted to employees in the form of lower wages. However, for workers without health insurance and with earnings close to the minimum wage, minimum-wage legislation prohibits employers from lowering wages in response to a health insurance mandate. These employers can be expected to respond by cutting employment. Recent evidence from employer reactions to increases in the minimum wage suggests that approximately 100,000 jobs would be lost due to the Health Security Act's employer mandate.

摘要

提议的《健康保障法案》通过扩展当前基于雇主的医疗保险筹资体系来提供全民医疗保险。该法案要求雇主为其每位员工支付约80%的医疗保险费。其他要求雇主为员工提供福利的立法经验表明,法定福利的大部分成本会以降低工资的形式转嫁给员工。然而,对于没有医疗保险且收入接近最低工资的工人来说,最低工资立法禁止雇主因医疗保险规定而降低工资。预计这些雇主会通过裁员来应对。雇主对最低工资上涨反应的最新证据表明,由于《健康保障法案》的雇主规定,大约10万个工作岗位将会流失。

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