Side Effects And Complications: The Economic Consequences Of Health-care Reform by Casey B. MulliganSide Effects And Complications: The Economic Consequences Of Health-care Reform by Casey B. Mulligan

Side Effects And Complications: The Economic Consequences Of Health-care Reform

byCasey B. Mulligan

Hardcover | October 20, 2015

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The Affordable Care Act will have a dangerous effect on the American economy. That may sound like a political stance, but it’s a conclusion directly borne out by economic forecasts.  In Side Effects and Complications, preeminent labor economist Casey B. Mulligan brings to light the dire economic realities that have been lost in the ideological debate over the ACA, and he offers an eye-opening, accessible look at the price American citizens will pay because of it.

Looking specifically at the labor market, Mulligan reveals how the costs of health care under the ACA actually create implicit taxes on individuals, and how increased costs to employers will be passed on to their employees. Mulligan shows how, as a result, millions of workers will find themselves in a situation in which full-time work, adjusted for the expense of health care, will actually pay less than part-time work or even not working at all. Analyzing the incentives—or lack thereof—for people to earn more by working more, Mulligan offers projections on how many hours people will work and how productively they will work, as well as how much they will spend in general. Using the powerful tools of economics, he then illustrates the detrimental consequences on overall employment in the near future.

Drawing on extensive knowledge of the labor market and the economic theories at its foundation, Side Effects and Complications offers a crucial wake-up call about the risks the ACA poses for the economy. Plainly laying out the true costs of the ACA, Mulligan’s grounded and thorough predictions are something that workers and policy makers cannot afford to ignore.
Casey B. Mulligan is professor of economics at the University of Chicago. He is the author of The Redistribution Recession: How Labor Market Distortions Contracted the Economy and Parental Priorities and Economic Inequality. More information about Mulligan and his work can be found on
Title:Side Effects And Complications: The Economic Consequences Of Health-care ReformFormat:HardcoverDimensions:352 pages, 9 × 6 × 1.1 inPublished:October 20, 2015Publisher:University of Chicago PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:022628560X

ISBN - 13:9780226285603

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Table of Contents


1 The Paradox of Affordability
2 Too Good to Be True: The Health Reform’s Hidden Taxes
3 Some Unpleasant Penalty Arithmetic
4 Some Unpleasant Subsidy Arithmetic
5 Exchange Subsidies and Their Implicit Income Taxes
6 Consequences for Employee Work Schedules
7 Adam Smith’s Equalizing Differences: More Hidden Taxes and More Health Coverage
8 The ACA’s Productivity Distortions
9 Other Significant Causes of Economic Change, 2007–2017
10 Romneycare Times Eleven
11 Conclusions

Notation Directory

Editorial Reviews

“Mulligan is certainly right to emphasize the importance of asking about the potential adverse side-effects of any significant social reform—and at the very least, he offers cautionary notes about the need to monitor the actual consequences of the Affordable Care Act.”