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National Health Insurance: Some Costs and Effects of Mandated Employee Coverage
This paper assesses some economic consequences of financing national health insurance by mandating that employers provide insurance for their employees and dependents. Effects in 1975 are simulated using data from a 1970 health care survey. The findings are as follows: (1) Employer premiums would rise between 5 and 21 billion for plans under congressional consideration. (2) Without offsetting subsidies, these premium increases will cause a transitory increase in unemployment of 0.4-1.4 percentage points. (3) As employer premium payments are shifted to employees, taxable income will fall, leading to additional tax expenditures of 1.3-5.9 billion. (4) Tax expenditure on existing subsidies to health insurance is $6.4 billion.
Subtle impact of price controls on domestic oil production
The effects of price controls on oil production are examined for the period 1974 to 1976 and found to have had a negative elasticity in respect to world prices. The analysis considers the many regulatory changes that took place during the period and differentiates between the effects on independent and integrated producers and between production on old and new properties. New-property production reflects new exploration and expansion. The report concludes that, while controls may have caused initial increases in production, they were probably responsible for the subsequent decline. A supply curve has developed over the recent past that will result in a larger proportion of U.S. capital being transferred to the Organization of Petroleum Exporting Countries when future world prices increase.
National Health Insurance: Some Costs and Effects of Mandated Employee Coverage
This paper assesses some economic consequences of financing national health insurance by mandating that employers provide insurance for their employees and dependents. Effects in 1975 are simulated using data from a 1970 health care survey. The findings are as follows: (1) Employer premiums would rise between 5 and 21 billion for plans under congressional consideration. (2) Without offsetting subsidies, these premium increases will cause a transitory increase in unemployment of 0.4-1.4 percentage points. (3) As employer premium payments are shifted to employees, taxable income will fall, leading to additional tax expenditures of 1.3-5.9 billion. (4) Tax expenditure on existing subsidies to health insurance is $6.4 billion.
Coinsurance, The Price of Time, and the Demand for Medical Services
T I HE effect of coinsurance on the demand for medical services has been debated for many years. Some assert that it helps control total expenditures by giving consumers a stake in how much medical care is purchased. Others assert that coinsurance is irrelevant to choice, since the physician makes the decisions about using medical services for his patients. Persons attempting to predict expenditures under various national health insurance plans are naturally interested in how coinsurance affects demand for services. The evidence we present in this paper decisively rejects the assertion that coinsurance is irrelevant to choice; coinsurance clearly does affect the demand for services. Moreover, as we shall show, the impact of coinsurance varies across medical services in a systematic fashion depending upon the time price of the service. In a longer,more detailedversion of this paper (Phelps and Newhouse 1973) we have derived expressions relating the responsiveness of demand for medical care services to coinsurance, market prices for medical care, and time costs. In the remainder of this section we sketch the assumptions underlying those derivations. We assume that consumers maximize a utility function in other goods (x) and health status (H) subject to a budget constraint. Medical care (h) is a homogeneous commodity that can be purchased in the market at a price of p per unit, and x can be purchased at a price of one per unit. There is a production function for H which uses h and time inputs (t). Denote the opportunity cost for time as w per unit of time, and let T be the amount of productive time available to the person. T To-th, where To is total time available and is fixed. The consumer's level of health is considered random. This induces him to purchase insurance. The insurance contract specifies a coinsurance rate -the consumer pays C per cent and the insurer pays (100-C) per cent of all incurred expenses during the period. We are not concerned here with the selection of C (Phelps 1973), but how the consumer reacts to a random loss, given his insurance policy. Assume that C has been previously chosen, or is imposed; in either event, C is fixed, and the premium (or tax) is prepaid. The total price is then the sum of the money price per unit C p and the time-price w t per unit