A Defense of the Current US Tax Treatment of Employer-Provided Medical Insurance
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Date
2010
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Publisher
Vanderbilt University
Abstract
We develop a general equilibrium search model with endogenous health accumulation and a unique feature of the US tax code, that exempts employer-provided medical benefits from taxation, to jointly account for US long term unemployment rate and medical expenditure to aggregate consumption ratio. Through various counterfactual experiments, we find (1) eliminating the employment-based tax subsidy lowers medical expenditure but, via a general equilibrium labor market effect, increases unemployment and lowers output, and contrary to conventional wisdom, lowers welfare; (2) having government raise taxes to finance the provision of medical care substantially increases unemployment rate, while reducing income and welfare.
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Keywords
Employer-provided medical insurance, Taxation, Unemployment rate, Medical expenditure, Government provision of medical care, JEL Classification Number: E22, JEL Classification Number: E13, JEL Classification Number: H21, JEL Classification Number: I12