endogenous business cycles and systematic stabilization policy we study the effects of fiscal policy rules on the determinacy of rational expectations equilibrium in a perfectly competitive monetary model with constant returns government spending implies a distortion of the monetary steady state due to the implied taxation we show that policy rules that let the gnp share of government spending depend sufficiently negatively on increases in gnp stabilize the economy with respect to endogenous fluctuations for arbitrarily little distortion of the steady state at which stabilization occurs the rules do not involve lump sum taxation negative income taxation or exact knowledge of the economy s laissez faire steady state

labor market effects of hawaii s mandatory employer provided health insurance the author analyzes how mandatory employer provision of health insurance in hawaii which became law in 1974 affected workers wages employment and insurance coverage between 1970 and 1990 the

evolution of the economics of agricultural policy agricultural economists helped develop farm programs to respond to the dire economic situation of the 1920s and 1930s some early authors appreciated that such policies created problems in markets for commodities and inputs over time our understanding of agricultural issues and policies has deepened through the application of improved models and tools of analysis to more extensive data we have developed better answers to old questions and have responded to changing policy instruments market contexts and policy concerns this article traces the evolution of our deepening economic understanding of the causes and consequences of agricultural policy

a characterization of erratic dynamics in the overlapping generations model abstract in this paper we characterize and give examples o wide classes of utility functions which generate erratic dynamics in the standard deterministic overlapping generations model erratic dynamics refers to feasible trajectories which are bounded but which do not converge to stationary points or periodic orbits we show that such trajectories are pareto efficient we introduce credit into the model and show how a constant credit expansion rate can result in erratic trajectories in prices and the real value of credit finally we briefly discuss certain technical aspects of the mathematics used and the statistical nature of the dynamics that can arise from deterministic dynamical systems

mandate based health reform and the labor market evidence from the massachusetts reform 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

do doctors practice defensive medicine defensive medicine is a potentially serious social problem if fear of liability drives health care providers to administer treatments that do not have worthwhile medical benefits then the current liability system may generate inefficiencies much larger than the costs of compensating malpractice claimants to obtain direct empirical evidence on this question we analyze the effects of malpractice liability reforms using data on all elderly medicare beneficiaries treated for serious heart disease in 1984 1987 and 1990 we find that malpractice reforms that directly reduce provider liability pressure lead to reductions of 5 to 9 percent in medical expenditures without substantial effects on mortality or medical complications we conclude that liability reforms can reduce defensive medical practices

nondiscrimination rules and the distribution of fringe benefits this article considers the impact of nondiscrimination nd rules in the federal tax code nondiscrimination rules limit within firm inequality in the provision on nonwage benefits but they place no corresponding limit on within firm inequality in wages firms can skirt nd rules by moving workers with unusual benefits into part time and seasonal positions because workers in such positions are excluded from some nd compliance calculations we examine these issues empirically and find relationships consistent with the hypothesis that nd rules provide a binding constrain on within firms benefits inequality

the consequences of the growth of health insurance premiums in the united states two thirds of the nonelderly population is covered by employerprovided health insurance ehi according to a kaiser family foundation national survey 2003 the cost of ehi has increased by over 59 percent since 2000 with no accompanying increase in the scale or scope of benefits these increases in health insurance premiums may have significant effects on labor markets including changes in the number of jobs hours worked per employee wages and compensation packages indeed it is possible that a significant portion of the increase in the uninsured population may be a consequence of employers shedding this benefit as health insurance premiums rise understanding how labor market characteristics affect adjustments to increased health insurance costs is of vital policy importance some proposals to cover the uninsured rely on employer mandates requiring employers to cover eligible workers other proposals provide tax credits for the purchase of non employer health insurance the effects of these proposals on employment wages and health insurance coverage will be driven by the elasticities of labor supply and demand institutional constraints on wages and compensation packages and how much workers value the increase in health insurance costs since employers provide such coverage voluntarily if workers fully value these benefits and are able to sort between firms based on their preferences then in the absence of other institutional constraints they will bear the cost of the increase via reduced wages with no accompanying change in employment employment costs or employee utility there are many reasons to believe however that firms are limited in their ability to offset increases in the price of health insurance premiums through lower compensation so that increases in the cost of providing health insurance may affect both employment and the structure of work identifying the magnitude of these effects empirically is difficult both because of data availability and because of multiple avenues for causality in this paper we uncover the causal effect of increases in the cost of benefits on labor market outcomes by exploiting an exogenous source of variation in the cost of providing health insurance the recent medical malpractice crisis in which malpractice costs for physicians grew dramatically in some states but not in others the growth in malpractice payments affects malpractice insurance premiums and health insurance premiums but it should not affect other aspects of employment see baicker and chandra 2005b using this source of variation we examine the effect of increases in health insurance premiums on employment patterns earnings and health insurance coverage we find that the cost of increases in health insurance premiums is borne in large part by workers through increased unemployment and also through decreased hours for those workers moved from full time jobs with benefits to parttime jobs without these results have strong implications for the distributional impact of health care reforms both authors economics department dartmouth college 6106 rockefeller hall hanover nh 03755 dartmouth medical school and national bureau of economic research e mails kbaicker dartmouth edu achandra dartmouth edu we thank alan garber seth seabury jonathan skinner and douglas staiger for helpful conversations that have influenced this research program and derek neal aaron yelowitz and conference participants at the berger conference for very insightful comments we are grateful for funding from nia p01 ag19783 02 the opinions in this paper are those of the authors and should not be attributed to the nia or nber 1 based on tabulations of population under age 65 from the march current population survey for 1988 2003 2 there is a wide literature estimating the wage fringe trade off a 1 increase in the value of fringes may be offset by a 1 reduction in wages or a 1 1 tax rate reduction for tax favored benefits for example jonathan gruber 1994 demonstrates that the passage of the pregnancy discrimination act in 1978 resulted in employers shifting the entire cost of the mandate onto employees

alcohol availability prenatal conditions and long term economic outcomes this study examines how a policy that sharply increased alcohol availability during 8 5 months affected the labor productivity of those exposed to it in utero compared to the surrounding cohorts the prenatally exposed children have substantially worse labor market and educational outcomes and lower cognitive and noncognitive ability effects on earnings are found throughout the distribution but are largest below the median males are more affected than females consistent with growing evidence that boys are less resilient to early environmental insults the long term effects seem primarily driven by changes in prenatal health rather than changes in the childhood environment

the labor market effects of rising health insurance premiums we estimate the effect of rising health insurance premiums on wages employment and the distribution of part time and full time work using variation in medical malpractice payments driven by the recent medical malpractice crisis we estimate that a 10 increase in health insurance premiums reduces the aggregate probability of being employed by 1 2 percentage points reduces hours worked by 2 4 and increases the likelihood that a worker is employed only part time by 1 9 percentage points for workers covered by employer provided health insurance this increase in premiums results in an offsetting decrease in wages of 2 3

the incidence of medicare abstract the medicare program transfers nearly 300 billion annually from taxpayers to beneficiaries this paper considers the incidence of such transfers in the context of a life cycle model with uncertainty about future health care expenditures we find the distributional consequences of the medicare program are roughly neutral in dollar terms households living in high income neighborhoods pay more in taxes but they also receive more in benefits these dollar flows however ignore the insurance value of the medicare system given the incomplete insurance coverage of lower income elderly households prior to the medicare program the money metric benefits to lower income groups exceed the dollar flows suggesting that medicare redistributes more than a simple accounting exercise would suggest

fast food consumption and the ban on advertising targeting children the quebec experience abstract amid growing concerns about childhood obesity and the associated health risks several countries are considering banning fast food advertising targeting children in this article the authors study the effect of such a ban in the canadian province of quebec using household expenditure survey data from 1984 to 1992 authors examine whether expenditure on fast food is lower in those groups affected by the ban than in those that are not the authors use a triple difference indifference methodology by appropriately defining treatment and control groups and find that the ban s effectiveness is not a result of the decrease in fast food expenditures per week but rather of the decrease in purchase propensity by 13 per week overall the authors estimate that the ban reduced fast food consumption by us 88 million per year the study suggests that advertising bans can be effective provided media markets do not overlap

the employment effects of low wage subsidies abstract low wage subsidies are often proposed as a solution to the unemployment problem among the low skilled but the empirical evidence on their effects is still scarce this paper examines the employment effects of a finnish payroll tax subsidy scheme which is targeted at the employers of older full time low wage workers the system s clear eligibility criteria open up an opportunity for a reliable estimation of the causal impacts of the subsidy scheme our results indicate that the subsidy system had no effect on the employment rate or wages of the eligible groups but it increased slightly working hours among those already at work

the elusive wage benefit trade off the case of employer provided health insurance this study shows that standard regressions estimated to measure a trade off between wages and health insurance are misspecified by insufficiently accounting for establishment and firm size an interactive size corrected specification is more likely to reveal a trade off furthermore because insurance decisions are typically made by firms and wages set by establishments the insurance constraint on establishments in multi establishment firms weakens the trade off we use model generated data to show that both factors contribute to the failure in previous research to identify a trade off and data from a cross section of northern californian establishments to test for a trade off in multi establishment and single establishment firms

worker sorting compensating differentials and health insurance evidence from displaced workers this article introduces an empirical strategy to the compensating differentials literature that i allows both individual observed and unobserved characteristics to be rewarded differently in firms based on health insurance provision and ii selection to jobs that provide benefits to operate on both sides of the labor market estimates of this model are used to directly test empirical assumptions that are made with popular econometric strategies in the health economics literature our estimates reject the assumptions underlying numerous cross sectional and longitudinal estimators we find that the provision of health insurance has influenced wage inequality finally our results suggest there have been substantial changes in how displaced workers sort to firms that offer health insurance benefits over the past two decades we discuss the implications of our findings for the compensating differentials literature

endogenous commodity policies and the social benefits from public research expenditures standard analyses of social benefits of public agricultural research expenditures in the presence of commodity policies take the commodity policy as fixed in reality governments adjust commodity policy levels when the research has important income distributional effects we use two examples of commodity policies to analyze the consequences of endogenizing commodity policies under three alternative decision making models of government relaxing the assumption of fixed commodity policies has important impacts on conclusions regarding the social benefits of research in the presence of commodity policies

the industrial organization of health care markets the u s health care sector is large and growing health care spending in 2011 amounted to 2 7 trillion and 18 percent of gdp approximately half of health care output is allocated via markets in this paper we analyze the industrial organization literature on health care markets focusing on the impact of competition on price quality and treatment decisions for health care providers and health insurers we conclude with a discussion of research opportunities for industrial organization economists including opportunities created by the u s patient protection and affordable care act

dynamic inefficiencies in an employment based health insurance system theory and evidence we investigate the effects of the institutional settings of the us health care system on individuals life cycle medical expenditures health is a form of general human capital labor turnover and labor market frictions prevent an employer employee pair from capturing the entire surplus from investment in an employee s health thus the pair underinvests in health during working years thereby increasing medical expenditures during retirement we provide empirical evidence consistent with the comparative statics predictions of our model using the medical expenditure panel survey meps and the health and retirement study hrs our estimates suggest significant inefficiencies in health investment in the united states

mergers when prices are negotiated evidence from the hospital industry in recent years many hospitals have merged in part to gain bargaining leverage with managed care organizations mcos we investigate the price impact of hospital mergers by formulating and estimating an equilibrium bargaining model between hospital systems and managed care health insurers over prices for inpatient services we estimate the parameters of the model using claims and discharge data from northern virginia in 2006 inova health system proposed to acquire prince william hospital we nd that this merger would have raised prices signicantly and that the remedy of separate bargaining imposed by the ftc in a separate hospital case would have resulted in a larger price increase

on endogenous competitive business cycles the belief that the long run equilibrium of a competitive monetary economy that does not experience any exogeneous shocks whether originating from the external environment or from policy should be modelled as a state that is stationary or perhaps growing at a constant rate seems to be deeply rooted in the mind of some economists

the political economy of public research investment and commodity policies in agriculture an empirical study the paper tests a political economy theory of simultaneous government decision making on income redistribution through commodity policies and on public research investment in agriculture we use data from 37 countries on agricultural protection and public agricultural research expenditures pari the empirical results are consistent with the political economy hypotheses the analysis suggest that structural changes in the economy have important effects on the political incentives for governments not only to subsidize or tax farmers but also to invest in public agricultural research furthermore the analysis supports the hypotheses that the impact of such structural changes on government decision making on pari is non linear and conditional on other factors regarding the impact of political institutions the results suggest that more democracy neither leads to more distortionary transfers agricultural protection nor to lower investment in public goods pari

the incidence of mandated maternity benefits i consider the labor market effects of mandates which raise the costs of employing a demographically identifiable group the efficiency of these policies will be largely dependent on the extent to which their costs are shifted to group specific wages i study several state and federal mandates which stipulated that childbirth be covered comprehensively in health insurance plans raising the relative cost of insuring women of childbearing age i find substantial shifting of the costs of these mandates to the wages of the targeted group correspondingly i find little effect on total labor input for that group jel 118 j32 h51 in an era of tight fiscal budget constraints mandating employer provision of workplace benefits to employees is an attractive means for a government to finance its policy agenda consequently in recent years there has been a growth of interest in mandated benefits as a tool of social policy for example the centerpiece of president bill clinton s health care proposal is mandated employer provision of health insurance and more than 20 states have man

assessing the effect of payroll taxes on formal employment the case of the 2012 tax reform in colombia in 2013 colombia implemented a tax reform that reduced payroll taxes by a total of 13 5 percentage points of wages this paper evaluates the effects of this component of the 2012 colombian tax reform on firms formal employment and average wages we construct a panel of firms based on their employees administrative records to account for the endogeneity of the treatment we use an instrumental variables technique that exploits the exogenous variation from the decisions of firms that are similar to each other in several dimensions but belong to different economic sectors based on our preferred specification we estimate a positive and significant increase in formal employment as a result of the implementation of the reform of approximately 213 000 jobs in existing pre reform firms in the long run these effects will increase to more than 600 000 jobs the effect of the reform on the average wages paid by firms was also found to be positive for some sizes of firms but the overall effect in the short run is rather small

the incidence of payroll taxation evidence from chile i provide new evidence on the incidence of payroll taxation by examining the experience of chile before and after the privatization of its social security system this policy change led to a sharp exogenous reduction in the payroll tax burden on chilean firms on average payroll tax rates fell by 25 over 6 years using data from a census of manufacturing firms i estimate that the incidence of payroll taxation is fully on wages with no effect on employment this finding is robust to a variety of empirical approaches to the problem of measurement error in firm level measures of taxes worker

judging agricultural policies a survey this survey provides a structured picture of 40 years of literature which uses welfare economic tools to judge agricultural policy challenges and developments of normative agricultural policy analysis are discussed in an easily accessible graphical framework it is shown how the literature has gone from examining a very small discrete set of simple policies to a much broader often continuous set of policies that combine policy instruments simultaneously the importance of the pareto criterion used to explore the limits of how government can affect welfare is revealed moreover given the importance of the objective of income redistribution in agricultural policy agricultural economists have often departed from the purely efficiency oriented tradition in economics it is shown that they have tried to incorporate equity considerations by either adding these criteria as constraints to the social welfare function or directly incorporating these criteria in the functional form of the social welfare function

raising taxes through equalization a simple theory suggests that a common form of federal horizontal equalization grants should cause subnational governments to levy higher tax rates distorting local tax bases and so increasing federal transfers to test this i examine canadian provincial tax policies in the 1972 2002 period consistent with the theory provinces respond to expansions of equalization transfers by increasing their own tax rates i estimate that on average tax rates in grant receiving provinces were substantially and significantly higher as a consequence of the transfer formula jel classification h21 une theorie simple suggere qu une forme usuelle d octrois federaux de perequation horizontale devrait entrainer les gouvernements sub nationaux a imposer de plus hauts taux d imposition modifiant ainsi les bases de fiscalite locale et ce faisant accroissant les transferts federaux pour mettre au test cette hypothese on examine les politiques fiscales des provinces canadiennes pour la periode entre 1972 et 2002 d une maniere qui semble supporter l hypothese les provinces ont repondu a un accroissement des transferts de perequation en accroissant leur propre taux d imposition on estime que les taux moyens d imposition dans les provinces qui recoivent des transferts sont plus eleves de maniere substantielle et significative en raison de la formule de transferts

heterogeneity and the effect of mental health parity mandates on the labor market health insurance benefit mandates are believed to have adverse effects on the labor market but efforts to document such effects for mental health parity mandates have had limited success i show that one reason for this failure is that the association between parity mandates and labor market outcomes vary with mental distress accounting for this heterogeneity i find adverse labor market effects for non distressed individuals but favorable effects for moderately distressed individuals and individuals with a moderately distressed family member on net i conclude that the mandates are welfare increasing for moderately distressed workers and their families but may be welfare decreasing for non distressed individuals

health insurer market power and employer size an empirical evaluation of insurer concentration and wages through compensating differentials abstractthis article explores the differentiated effects of health insurer market concentration on net compensation of employees across distinct firm sizes consistent with the existing literature evaluating insurer market concentration and the theory of compensating differentials we find evidence of higher premiums and reduced net compensation for employees in markets with more concentrated insurers furthermore we find evidence that the magnitude of these effects is distinctly smaller for large employers this implies that mergers of large health insurance companies may have a significant impact on small businesses but that the effect is mitigated for larger employers

externalities internalization and fluctuations in this paper the authors introduce consumption externalities as developed by k arrow in overlapping generations economies they show how the internalization of externalities through exchanges at markets for externalities may give rise to new phenomena such as altered stability properties and fluctuations even though it restores optimality copyright 1997 by economics department of the university of pennsylvania and the osaka university institute of social and economic research association

technology growth and expenditure growth in health care in the united states health care technology has contributed to rising survival rates yet health care spending relative to gdp has also grown more rapidly than in any other country we develop a model of patient demand and supplier behavior to explain these parallel trends in technology growth and cost growth we show that health care productivity depends on the heterogeneity of treatment effects across patients the shape of the health production function and the cost structure of procedures such as mris with high fixed costs and low marginal costs the model implies a typology of medical technology productivity i highly cost effective home run innovations with little chance of overuse such as anti retroviral therapy for hiv ii treatments highly effective for some but not for all e g stents and iii gray area treatments with uncertain clinical value such as icu days among chronically ill patients not surprisingly countries adopting category i and effective category ii treatments gain the greatest health improvements while countries adopting ineffective category ii and category iii treatments experience the most rapid cost growth ultimately economic and political resistance in the u s to ever rising tax rates will slow cost growth with uncertain effects on technology growth

the dark side of sunshine regulatory oversight and status quo bias abstract as the mortgage foreclosure crisis accelerated in the u s in the late 2000s state level policymakers implemented measures designed to protect consumers and stem the tide of foreclosures one form of policy was simply to require lenders to report on foreclosure prevention activities such policies represented a shift from the status quo for mortgage loan servicing firms operating under incomplete information doing nothing with non paying loans while waiting for more information to be revealed to either foreclosing on the borrower or offering the borrower a modification of loan terms using a difference in difference in differences empirical strategy we exploit one policy implemented in maryland for a subset of mortgage servicers and find evidence that firms perform more loan modifications as well as file more foreclosures increasing foreclosure filings was contrary to the intent of the policy suggesting that policymakers should be aware of how firms exhibit systematic biases much like individuals

the welfare economics of a biofuel tax credit and the interaction effects with price contingent farm subsidies a framework is developed to analyze the effects of a biofuel consumer tax exemption and the interaction effects with a price contingent farm subsidy ethanol prices rise above the gasoline price by the amount of the tax credit corn farmers gain directly while gasoline consumers only gain from any reduction in world oil prices due to the extra ethanol production domestic oil producers lose historically the intercept of the ethanol supply curve is above the gasoline price hence part of the tax credit is redundant and represents rectangular deadweight costs that dwarf triangular deadweight cost measures of traditional farm subsidies copyright 2007 oxford university press

do payroll tax breaks stimulate formality evidence from colombia s reform alternative work arrangements have grown rapidly around the world in latin america these alternative work arrangements have long been part of the labor market and have continued to grow the informal sector grew rapidly in latin america over the past few decades comprising up to half of the working population in many countries some attribute the growth in alternative work arrangements and informality to regulations and taxes while others argue that it is precisely the lack of enforcement of regulations that allows unprotected employment arrangements to flourish we examine whether reducing taxes associated with employment stimulates formal sector employment we exploit the fact that the tax reform introduced in colombia in 2012 affected only certain types of workers and not others in particular workers earning less than ten times the minimum wage and self employed workers with more than two employees experienced a reduction of payroll taxes of 13 5 percent between 2013 and 2014 we use the colombian household surveys social security records and the monthly manufacturing sample to conduct difference in differences analyses of the reform we find evidence of increased formal employment for the affected groups after the reform using all three data sets we find that the probability of formal employment and the likelihood of transitioning into registered employment increased for the affected groups after the reform we also find that the level and share of permanent employment relative to temporary employment grew after the reform for those earnings less than ten times the minimum wage the results are greatest for those in smaller firms and for those earnings close to the minimum wage

symmetric smooth consumption externalities abstract based on arrow s model of a pure exchange economy with smooth consumption externalities this paper studies how the internalization of external effects through a network of markets between agents introduces symmetry breakings in the set of equilibria it shows indeed how identical agents can be treated asymmetrically by complete markets this work emphasizes that equilibrium allocations may be very sensitive to the way coase type rights are distributed journal of economic literatureclassification numbers d50 d62 h23 k11

eu agri environmental programs and the restaurant table effect the share of agricultural area enrolled in eu agri environmental programs varies significantly between eu member states these national differences are explained based on a model that reflects both that these programs internalize externalities and the political economy we identify six factors that affect the extent to which agri environmental programs are implemented environmental benefits opportunity costs of participation budgetary pressure the share of program expenditures financed by the eu the political weight attributed to farmers at the national and the political influence of each country at the eu level in addition we demonstrate that if the policy decision making process is noncooperative at the eu level countries that contribute less to the eu budget will ceteris paribus implement more programs using data of four years and feasible generalized least square methods we are able to confirm our theoretical results including a noncooperative behavior of eu member states

who pays for obesity evidence from health insurance benefit mandates is there an obesity externality in the late 1990s and early 2000s many state governments began requiring health insurance plans to cover treatments for diabetes using difference in difference analysis of restricted geocode data from the 1979 national longitudinal survey of youth to compare wages across states with and without diabetes mandates i find that obese people pay for all of their own increased health costs in the form of lower wages rather than passing them on to employers insurers and co workers

health insurance provision and labor contracts for small firms healthcare reform in the usa requires all americans to buy health insurance and businesses above a certain size to offer healthcare coverage to their employees by 2014 understanding why some entrepreneurs do not provide employer based health insurance is important and might help to solve future health insurance problems using two unique features which have not yet been discussed in the literature namely efficiency wage theory and a compensation package of monetary wage and health insurance coverage we provide here a theoretical foundation to why small firms are less likely to offer health insurance and are more likely to have employees with only a weak preference for acquiring health insurance to reach the goal of health insurance coverage for all one feasible solution is to allow small firms or individuals to pool together and pay a lower insurance premium