Side Effects and Complications: The Economic Consequences of Health-Care ReformThe Affordable Care Act will have a dangerous effect on the American economy. That may sound like a political stance, but it’s a conclusion directly borne out by economic forecasts. In Side Effects and Complications, preeminent labor economist Casey B. Mulligan brings to light the dire economic realities that have been lost in the ideological debate over the ACA, and he offers an eye-opening, accessible look at the price American citizens will pay because of it. Looking specifically at the labor market, Mulligan reveals how the costs of health care under the ACA actually create implicit taxes on individuals, and how increased costs to employers will be passed on to their employees. Mulligan shows how, as a result, millions of workers will find themselves in a situation in which full-time work, adjusted for the expense of health care, will actually pay less than part-time work or even not working at all. Analyzing the incentives—or lack thereof—for people to earn more by working more, Mulligan offers projections on how many hours people will work and how productively they will work, as well as how much they will spend in general. Using the powerful tools of economics, he then illustrates the detrimental consequences on overall employment in the near future. Drawing on extensive knowledge of the labor market and the economic theories at its foundation, Side Effects and Complications offers a crucial wake-up call about the risks the ACA poses for the economy. Plainly laying out the true costs of the ACA, Mulligan’s grounded and thorough predictions are something that workers and policy makers cannot afford to ignore. |
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Contents
| 1 | |
| 15 | |
| 40 | |
| 58 | |
5 Exchange Subsidies and Their Implicit Income Taxes | 93 |
6 Consequences for Employee Work Schedules | 116 |
More Hidden Taxes and More Health Coverage | 166 |
8 The ACAs Productivity Distortions | 190 |
10 Romneycare Times Eleven | 246 |
11 Conclusions | 257 |
Notation Directory | 271 |
Abbreviations | 273 |
Notes | 275 |
References | 307 |
Index | 323 |
9 Other Significant Causes of Economic Change 20072017 | 212 |
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Side Effects and Complications: The Economic Consequences of Health-Care Reform Casey B. Mulligan No preview available - 2015 |
Common terms and phrases
100 percent ACA tax ACA’s impact adjusted aggregate hours amount assume average benefits bronze plan cafeteria plan calculator calendar chapter column CommCare compensation Congressional Budget Office dollars earnings tax economic eligible employer penalty employer plans employment rates exchange plans exchange subsidies expenses federal figure full-time employees full-time employment tax heads and spouses health cost health insurance hourly hours per adult hours per week implicit FTET implicit income tax implicit taxes incentives income tax rate increase individual mandate labor market law’s less low-skill marginal cost marginal income tax marginal tax rate Massachusetts measured Medicaid Medicare million misreporting Mulligan non-ACA non-ESI noted offer coverage out-of-pocket costs part-time participants payroll tax percentage points ployer poverty line predictions productivity quasi-fixed costs reduce Romneycare salary equivalent sector shown shows silver plan subsidy forgone threshold tion uninsured wages weekly hours weekly work hours zero



