JOB LOSS DUE TO HEALTH-INSURANCE MANDATES
JOB LOSS DUE TO HEALTH-INSURANCE MANDATES
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DOI：
10.1001/jama.272.7.552
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发表时间：
1994-08-17
影响因子：
120.7
通讯作者：
GOLDMAN, DP
中科院分区：
文献类型：
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作者：
KLERMAN, JA;GOLDMAN, DP
拟议的《健康保障法》通过扩展当前以雇主为基础的健康保险融资体系来提供全民健康保险。它要求雇主为每个工人支付大约80%的健康保险费。其他要求雇主向雇员提供福利的立法的经验表明，强制福利的大部分成本以较低工资的形式转嫁给了雇员。然而，对于没有健康保险且收入接近最低工资的工人，最低工资立法禁止雇主根据健康保险要求降低工资。预计这些雇主会通过裁员来应对。雇主对提高最低工资的反应的最新证据表明，由于《健康安全法》的雇主强制规定，大约 100,000 个工作岗位将会消失。
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 100000 jobs would be lost due to the Health Security Act's employer mandate.