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Can we leave Disability Insurance to the market?
1) Independent risks = yes
2) P <1 = yes
3) P known or estimable = yes
4) no adverse selection = NO
5) no moral hazard = NO
Why do we need state intervention in Disability Insurance
1) moral hazard & adverse selection
2) Redistribution
Adverse selection and Disability insurance
asymmetric information = insurance very expensive for individual with bad health (underinsurance when good health)
Dealing with adverse selection in disability insurance
mandatory insurance
Moral hazard and Disability Insurance - Three sides
1) insured worker
2) employer
3) medical doctors
Moral Hazard DI - insured worker
may invest too little in their health, take too many risks, or try to exaggerate their impairments
Moral hazard DI - employer
may invest too little in prevention and reintegration, or try to use DI as substitute pathway into unemployment
Moral Hazard DI - medical doctors
may take into account personal condition of workers (third-party payment problem)
Disability Insurance in Practice
1) public provision
2) strong regulation
3) possibility to buy complementary insurance from a private insurer
Trade-off when designing Disability insurance
disincentives effects on labor supply
VS
providing adequate insurance against income loss
DI - disincentives effects on labor supply
price of insurance, how much does it cost to increase coverage, also in terms of labor supply
DI - providing adequate insurance against income loss
Value of insurance
depends on risk aversion and distributive preferences
Disability insurance provides coverage against
loss of earnings due to
1) professional risks
2) social risks
DI - professional risks
disability caused by work
DI - Coverage against professional risk
1) mandatory insurance
2) risks are defined rather precisely
3) provision of insurance can be private
DI - Coverage against social risks
benefit level typically related to work history
Different ways to organise DI programmes
1) Flat-rate benefits
2) Unemployment-type benefits
3) Pension-type benefits
DI - Flat-rate benefits
benefit level similar for everyone
= tax-financed
DI - Unemployment-type benefits
benefits depend on recent work history (as in unemployment insurance), replace a portion of previous earnings
DI - Pension type earnings
benefits dependent on entire work history
Residual earnings capacity (formula)
disability degree = ( Earning before MINUS earnings after ) / earning before
Insurance eligibility
often determined by threshold for earnings capacity
threshold for earnings capacity
1) either minimum percentage loss of pre-disability earnings
2) or maximum absolute level of residual earnings
Working when getting disability benefit
benefits get less, the more you work
partial benefit or reduced entitlement
Disability insurance and work incentives
1) Fixed benefit
2) Income replacement
3) wage subsidy
DI - Fixed benefit
benefits do not depend on hours/earning of the recipient (up to a threshold)
DI - rational behind Fixed benefit
fulfill basic needs + compensate for additional cost of working with disability
Effect of Fixed benefit on labor supply
Income effect = less working hours
DI Fixed benefit & budget constraint
shifts budget constraint upwards
= Income effect purely
DI - Income replacement
benefits cover percentage of lost earnings
DI - Rationale behind Income replacement
1) maximal benefits if person unable to work
2) no benefits needed if earnings do not drop
DI - Effect of Income replacement on labor supply
Substitution AND Income effect
DI - Effect of Income replacement on working hours
decreases working hours
DI - Effect of Income replacement on budget constraint
turns budget constraint upwards
same starting point but less steep now
DI - Income effect of income replacement
intersection of upwards shifting old budget constraint and higher indifference curve
DI - Substitution effect of income replacement
from intersection of old budget constraint slope and new indifference curve TO tangent point of higher indifference curve and new budget constraint
DI - Wage subsidy
Get higher benefits if work more than a given threshold
DI - Rationale behind wage subsidy
Alleviate some of the undesirable effects of the flat benefit, stimulate labor supply
DI - Wage subsidy effect on working hours
depends where the threshold is
DI - Wage subsidy effect on budget constraint
has a jump at the threshold
DI - Wage subsidy effect when threshold is above optimum (e.g. less hours than optimum)
will work less hours at higher indifference curve
DI - Wage Subsidy effect when threshold is below optimum (more hours than optimum)
more hours worked at higher indifference curve
Trade-offs for optimal coverage of DI
1) reduction in labor supply due to moral hazard or due to alleviating liquidity constraints
2) costs of disincentives vs value of insurance
Moral hazard as reason for less employment when DI is generous
people enjoy leisure that is paid for by the insurance
= without DI they would work
Liquidity constraints as reason for less employment when DI is generous
DI allows people to take time for health they wouldn’t otherwise
How to determine if its moral hazard or liquidity constraints
compare incentive effects for individuals with more or less liquidity constraints
DI - Same incentives effects across individuals (with more or less liquidity constraint)
moral hazard as reason for less employment
DI - stronger effect for liquidity constraint group
liquidity constraint plays a role in less employment
Optimal coverage of DI
optimal drop in consumption = incentive effect of DI / risk aversion
Incentive effect of DI - Type of question
what is the influence of the DI system on unemployment duration
= empirical question
Categories of DI reforms
1) Enhancing employer incentives
2) Stricter screening
3) Increasing work incentives
DI - Enhancing employer incentives
1) continued wage payments
2) DI experience rating
Pros - Enhancing employer incentives
1) reduces DI inflow
2) decreases DI outflow
Cons- Enhancing employer incentives
1) too much risks imposed on firms
2) adverse effects on hiring
Enhancing employer incentives - adverse effects on hiring
1) Overall effect in employment ambiguous
2) Related: more temporary hirings for disabled workers
DI - Stricter Screening pros
immediate impact on DI inflow
= less ill apply less
= higher rates of returns for workers
= spill over unto unemployment insurance
DI - Stricter Screening cons
negative effects for different groups (women)
DI - Increasing work incentives - pro
stimulating people to work can have beneficial effects
DI - Increasing work incentives con
risk of long term adverse consequences
1) deter people who actually need it
2) need to work more than is good for their health
Option to re-integrate disabled workers in the labor market
1) ALMP
2) Quota
ALMP for Disabled workers
subsidised employment
Aim of ALMP for disabled workers
1) bridge productivity gap
2) internalize positive externalities of hiring disabled workers
3) satisfy equity concerns
Quota for workers with disabilities
firms have higher share of disabled employees but partly through labelling disabled workers and reallocation among firms
Textbook economics def. Income effects
change in demand for a good given a change in income
Textbook economics def. Substitution effect
change in demand for a good given a change in the relative price of that good
Income effect in the context of DI
reduction in labor supply due to benefit recipient
= extra income can be used to alleviate strains of work
Income effect in the context of DI - Budget line
upwards shift
Substitution effect in the context of DI
reduction in labor supply due to lower marginal gains of working
= claw-back effect
Substitution effect in the context of DI - Budget line
change in the slope of the budget line
Budget line changes for income exemption
up to threshold budget line slopes does not change, then slope becomes flatter
Why may an income exemption not increase working hours?
1) strong preference for leisure (high strain from work)
2) many individuals already have income from work
3) no small jobs available
4) fear of medical re-assessment may persist
Optimal working hours when there is a work subsidy when working more than certain amount of hours
= jump in benefits at threshold
= two budget constraints
= calculate utility for each
= compare
Are benefits at the optimal level? (formula)
risk aversion * drop in consumption = elasticity of time receiving benefits wrt to benefits
Reason for compulsory disability insurance for self-employed
1) internalising social cost
2) consumption smoothing (avoid shocks to consumption)
3) mandatory insurance to avoid adverse selection
Advantages of compulsory disability insurance for self-employed
1) avoid gaps (adverse selection)
2) fewer costs for tax payers
Disadvantages of compulsory disability insurance for self-employed
1) financial burden for freelancers
2) limited coverage
3) long waiting lists?
compulsory disability insurance for self-employed - Who might be for and who against?
Pro = labor unions, sick freelancers, taxpayers
Con= healthy freelancers
Def. Marginal tax rate
the percentage of tax you pay on your next euro of income earned
Def. Average tax rate
total tax paid divided by your total taxable income
How to define marginal tax rate? (formula)
Income tax + taper rate
Def. taper rate
decrease in benefits after an increase in income
Kind of traps
1) poverty trap
2) unemployment trap
Poverty trap
no financial incentive to work longer hours
Unemployment trap
no/little financial incentive to seek work
Def. taper rates
the rate at which an income-tested benefit (aimed at reducing poverty) is withdrawn as earnings rise
Taper rate & poverty trap
low-income families cannot raise their net income significantly
Effects of high marginal tax rates
1) substitution effect
2) income effect
Substitution effect
labour-supply disincentive
Key takeaway from Taper rates
the more benefits are introduced, the greater the variation in taper rates, greater complexities when different benefits interact
Individuals least likely to increase their working hours?
those who are right at the cut off of not receiving/receiving less
Why does the marginal tax rate decrease at the top?
Because at a certain point you are not eligible for any benefits = no benefits to decrease
Credit and Marginal tax rate
incentive device
= reduce the MTR and targeted at low income households to increase their labor supply
(work) Credit and tax load
reduces someone’s taxable income = reduces taxes to be paid
Pressure on Marginal tax rate
1) upwards when benefits are decreasing as income rises
2) downwards when benefits are increasing (lighten the tax burden) when income is low
Key trade off for marginal tax rate
targeting vs incentives (leakage and gaps)
Marginal Tax rate and targeting
to reduce leakages
= benefits decrease in order to ensure that rich people to not get any benefits
Taper effect
marginal tax rates increasing in income = reduces incentives to work
Paradox of Marginal Tax Rate
benefits reduce your taxable income = marginal tax rate is higher
= incentive to work is lower = moral hazard
Moral hazard effect of marginal tax rate
stronger incentive to remain on welfare benefits
Marginal Tax rate - bunching
mass of people at a specific point caused by behaviour effects