Table 9.

HIU and optimal tax progressivity in health risk model.

US-HIUPHIUPHIUPHI
|$\overset{\text{Full}}{\overbrace{\rho ^{\textit {UPHI}}=0.0}}$||$\overset{\text{Partial}}{\overbrace{\rho ^{\textit {UPHI}}=0.30}}$||$\overset{\text{Null}}{\overbrace{\rho ^{\textit {UPHI}}=1.0}}$|
(1)(2)(3)(4)(5)(6)(7)(8)
BenchmarkHIUBenchmarkHIUBenchmarkHIUBenchmarkHIU
Output (GDP)93.3693.4585.8685.2595.1291.66107.24108.24
Capital (K)90.7790.7674.7273.3090.5485.82115.16117.45
Non-medical consumption (C)93.2593.4287.9788.2895.7492.56104.97105.85
Suits index (income tax)0.2180.2200.0040.0040.0700.1090.4150.464
Optimal tax progressivity (τ*)0.1130.1130.0030.0040.0390.0710.1550.178
Scaling parameter (λ)1.2771.2770.7100.7130.9001.0151.6461.821
Tax break threshold|${\$}$|8,810|${\$}$|8,810|${\$}$|1|${\$}$|0|${\$}$|201|${\$}$|1,402|${\$}$|25,226|${\$}$|28,830
Welfare (CEV in %):+0.102+0.137−7.411−6.588−1.837−1.581−5.051−6.272
US-HIUPHIUPHIUPHI
|$\overset{\text{Full}}{\overbrace{\rho ^{\textit {UPHI}}=0.0}}$||$\overset{\text{Partial}}{\overbrace{\rho ^{\textit {UPHI}}=0.30}}$||$\overset{\text{Null}}{\overbrace{\rho ^{\textit {UPHI}}=1.0}}$|
(1)(2)(3)(4)(5)(6)(7)(8)
BenchmarkHIUBenchmarkHIUBenchmarkHIUBenchmarkHIU
Output (GDP)93.3693.4585.8685.2595.1291.66107.24108.24
Capital (K)90.7790.7674.7273.3090.5485.82115.16117.45
Non-medical consumption (C)93.2593.4287.9788.2895.7492.56104.97105.85
Suits index (income tax)0.2180.2200.0040.0040.0700.1090.4150.464
Optimal tax progressivity (τ*)0.1130.1130.0030.0040.0390.0710.1550.178
Scaling parameter (λ)1.2771.2770.7100.7130.9001.0151.6461.821
Tax break threshold|${\$}$|8,810|${\$}$|8,810|${\$}$|1|${\$}$|0|${\$}$|201|${\$}$|1,402|${\$}$|25,226|${\$}$|28,830
Welfare (CEV in %):+0.102+0.137−7.411−6.588−1.837−1.581−5.051−6.272

Notes: Similarly to De Nardi, French, and Jones (2010), health acts as a preference shifter in the HIU (health-in-utiliity) model. Columns (1) and (2) show steady-state results for a welfare maximizing progressive tax system with the US health insurance system in place. Column (1) is the benchmark model and column (2) shows the HIU version of the model. Columns (3) and (4) compare the optimal tax progressivity results for the benchmark model and the HIU model with a UPHI system that fully insures all health expenditure shocks, that is, the coinsurance rate is zero. Columns (5) and (6) compare the optimal progressivity outcome for a model with Medicare-for-all in place, that is, a UPHI with a coinsurance rate of 30%. Finally, columns (6) and (7) compare the optimal progressivity outcome for a model without health insurance, that is, a UPHI with a coinsurance rate of 100%. All private insurance arrangements are turned-off in the UPHI models. GDP, capital, non-medical consumption, and welfare are normalized using either the benchmark model with health risk or the recalibrated benchmark of the HIU model. Each column presents steady-state results. CEV values are reported as percentage changes in terms of lifetime consumption of a newborn individual with respect to consumption levels in the benchmark.

Table 9.

HIU and optimal tax progressivity in health risk model.

US-HIUPHIUPHIUPHI
|$\overset{\text{Full}}{\overbrace{\rho ^{\textit {UPHI}}=0.0}}$||$\overset{\text{Partial}}{\overbrace{\rho ^{\textit {UPHI}}=0.30}}$||$\overset{\text{Null}}{\overbrace{\rho ^{\textit {UPHI}}=1.0}}$|
(1)(2)(3)(4)(5)(6)(7)(8)
BenchmarkHIUBenchmarkHIUBenchmarkHIUBenchmarkHIU
Output (GDP)93.3693.4585.8685.2595.1291.66107.24108.24
Capital (K)90.7790.7674.7273.3090.5485.82115.16117.45
Non-medical consumption (C)93.2593.4287.9788.2895.7492.56104.97105.85
Suits index (income tax)0.2180.2200.0040.0040.0700.1090.4150.464
Optimal tax progressivity (τ*)0.1130.1130.0030.0040.0390.0710.1550.178
Scaling parameter (λ)1.2771.2770.7100.7130.9001.0151.6461.821
Tax break threshold|${\$}$|8,810|${\$}$|8,810|${\$}$|1|${\$}$|0|${\$}$|201|${\$}$|1,402|${\$}$|25,226|${\$}$|28,830
Welfare (CEV in %):+0.102+0.137−7.411−6.588−1.837−1.581−5.051−6.272
US-HIUPHIUPHIUPHI
|$\overset{\text{Full}}{\overbrace{\rho ^{\textit {UPHI}}=0.0}}$||$\overset{\text{Partial}}{\overbrace{\rho ^{\textit {UPHI}}=0.30}}$||$\overset{\text{Null}}{\overbrace{\rho ^{\textit {UPHI}}=1.0}}$|
(1)(2)(3)(4)(5)(6)(7)(8)
BenchmarkHIUBenchmarkHIUBenchmarkHIUBenchmarkHIU
Output (GDP)93.3693.4585.8685.2595.1291.66107.24108.24
Capital (K)90.7790.7674.7273.3090.5485.82115.16117.45
Non-medical consumption (C)93.2593.4287.9788.2895.7492.56104.97105.85
Suits index (income tax)0.2180.2200.0040.0040.0700.1090.4150.464
Optimal tax progressivity (τ*)0.1130.1130.0030.0040.0390.0710.1550.178
Scaling parameter (λ)1.2771.2770.7100.7130.9001.0151.6461.821
Tax break threshold|${\$}$|8,810|${\$}$|8,810|${\$}$|1|${\$}$|0|${\$}$|201|${\$}$|1,402|${\$}$|25,226|${\$}$|28,830
Welfare (CEV in %):+0.102+0.137−7.411−6.588−1.837−1.581−5.051−6.272

Notes: Similarly to De Nardi, French, and Jones (2010), health acts as a preference shifter in the HIU (health-in-utiliity) model. Columns (1) and (2) show steady-state results for a welfare maximizing progressive tax system with the US health insurance system in place. Column (1) is the benchmark model and column (2) shows the HIU version of the model. Columns (3) and (4) compare the optimal tax progressivity results for the benchmark model and the HIU model with a UPHI system that fully insures all health expenditure shocks, that is, the coinsurance rate is zero. Columns (5) and (6) compare the optimal progressivity outcome for a model with Medicare-for-all in place, that is, a UPHI with a coinsurance rate of 30%. Finally, columns (6) and (7) compare the optimal progressivity outcome for a model without health insurance, that is, a UPHI with a coinsurance rate of 100%. All private insurance arrangements are turned-off in the UPHI models. GDP, capital, non-medical consumption, and welfare are normalized using either the benchmark model with health risk or the recalibrated benchmark of the HIU model. Each column presents steady-state results. CEV values are reported as percentage changes in terms of lifetime consumption of a newborn individual with respect to consumption levels in the benchmark.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close