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Consider Figure 18.7, which depicts the labor market disincentive effects of Medicaid. In the figure: . L is the number of hours worked per
Consider Figure 18.7, which depicts the labor market disincentive effects of Medicaid. In the figure: . L is the number of hours worked per year. . I is the income threshold for Medicaid eligibility. If a worker earns less than I, he is eligible for C free units of health care, which cost p per unit on the open market. The solid line indicates the total compensation (wage plus Medicaid benefits) that a worker earns as a function of L, hours worked. The slope of the solid line reflects the hourly wage. a The interval from L, to L is called the Medicaid notch or, less colorfully, the Med- icaid work disincentive region. Explain why an individual does not elect to work between L and L hours. Assets 1+pC 1 L Figure 18.7. The Medicaid notch. b In this model, the value of Medicaid to the worker is set to the price of health care times the quantity of health care transferred (pC). Is pC more than, less than, or equal to the value of Medicaid for most workers? [Hint: Would you prefer to have C units of health care given to you, or would you prefer $pC worth of cash?] c If the true value of Medicaid were used in the figure instead of the equivalent monetary value, would this shrink or expand the work disincentive region between L and L? d In this model, workers earn the same total assets whether they work L or L hours. Is the worker better off at L or L hours of work? e f If disutility from work were included in the model, would this shrink, expand, or keep the same the size of the region where workers have no incentive to work? In your own version of Figure 18.7, draw three sets of plausible utility curves that take assets as a positive input and hours worked as a negative input. Draw one set so that the worker elects to work less than L hours, one set so that the worker elects to work exactly L hours, and one set so that the worker elects to work more than L hours. g h Explain why the utility curves cannot be drawn so as to induce the worker to work between L and L hours. Yelowitz (1995) studies a Medicaid reform measure that reduced the Medicaid work disincentive. One of the reforms he studied raised the Medicaid eligibility threshold income level by 33%. Draw a new version of the figure with a new labor- income curve that reflects this change. Explain how this change might induce someone currently working L, hours per year to work more, and be sure to draw indifference curves to support your answer.
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