Byron York: Obamacare will reduce incomes of most Americans
By Byron York | FEBRUARY 3, 2014
AT 6:23 PM
There's no doubt the Affordable
Care Act will redistribute wealth in America. People at the top of the
income ladder will pay more; people at the bottom will benefit. But how,
exactly, will that work?
A new study finds that Obamacare's
redistribution will be stunningly lopsided. Scholars at the liberal Brookings
Institution have discovered that Obamacare will increase the income of Americans
in the lowest 20 percent of the income scale, and especially in the lowest ten
percent. But all other income groups -- even people who make very modest
incomes in the $25,000 to $30,000 range, as well as all income brackets above
that -- will experience a decline in income because of Obamacare.
In other words, Obamacare is going
to cost some of the very people it was designed to help.
Brookings scholars Henry Aaron and Gary Burtless sought to
determine the law's impact on income in 2016, when almost all of Obamacare will
be in effect. To do so, they adopted a broad definition of income -- not just a
person's wages, but also pension income, employer health coverage, government
cash transfers, food stamps, other benefits, and now, subsidies from Obamacare.
They found quite an impact.
"The ACA may do more to change the income distribution than any other
recently enacted law," Aaron and Burtless wrote. Obamacare provides
billions in subsidies to those who qualify, expands Medicaid benefits, cuts
Medicare, fines those who don't purchase government-approved coverage and
levies new taxes -- all of which will change how much income millions of
Americans bring in each year.
Aaron and Burtless' first finding
is no surprise: Obamacare will mean more for the lowest-income Americans. It
will increase income by 9.2 percent for the lowest bracket — households making
below about $21,000 a year — for those in their working years, age 25 to 64.
Then the surprise. Obamacare will
reduce, by an estimated 0.9 percent, the incomes of working-age Americans in
the next-lowest income bracket, households making between about $21,000 and
$40,000 a year. And in the next income group, households making between about
$40,000 and $65,000 a year — Obamacare will reduce their income, too, also by
0.9 percent.
A 1 percent reduction in income is
relatively small. But it is still a reduction -- and not at all what President
Obama and Democrats in Congress promised. When the president pledged that
Obamacare would make the health care system "better for everybody,"
it's doubtful Americans interpreted that as meaning it would reduce their
income.
"The administration is
playing with fire," said former Congressional Budget Office director
Douglas Holtz-Eakin. "They sold this as 'only rich people pay, and
everyone benefits,' and now we're finding out it's not true."
Less surprisingly, Aaron and
Burtless found that Obamacare will also reduce the incomes of Americans in
higher brackets. For working-age households bringing in between about $65,000
and about $104,000 a year, Obamacare will reduce income by another 0.9 percent.
And for those in the highest bracket, households above $104,000, the decrease
will be 0.5 percent.
Why? There could be a number of
factors, but the authors suggest that because the Affordable Care Act will make
health care more expensive, a significant number of people who receive health
coverage through their job will be affected. "Incomes fall ... primarily
because the expansion in employer-sponsored insurance is predicted to cause a
modest drop in money wages as employers devote a larger share of their compensation
payments to health benefits," the researchers wrote.
Aaron and Burtless also found that
Americans age 65 and older will see their incomes drop, and by bigger margins.
Those at the bottom of the household income scale — same boundaries as above —
will see a drop of 1.3 percent, and those in the next lowest group will see a
decrease of 1.7 percent. The next income category will see a 1.1 percent drop,
and the top two categories will see drops of 0.7 and 0.2 percent. Since most
Americans in that age group are on Medicare, it seems likely the income
decreases are caused mostly by Obamacare's cuts in the rate of growth of
Medicare spending.
In an interview, Burtless stressed
that most people above the lowest bracket will not see their income affected by
Obamacare. But in a Jan. 27 Brookings panel discussion, Aaron noted that
Obamacare's costs have to be borne somewhere.
"Some very large benefits
will accrue to the millions of people who will become newly eligible for
Medicaid and refundable tax credits [under Obamacare]," Aaron said.
"But the president and Congress went to great lengths to prevent the ACA
from adding to the federal budget deficit. Someone has to pay for those
benefits."
That someone, it turns out, is a
very large group of Americans who aren't rich, and who didn't expect to be
falling behind because of Obamacare.
Henry J. Aaron
Henry
J. Aaron is a director at the Center
on Budget and Policy Priorities, and was a senior fellow at the Brookings Institution (think tank).
Note: Open
Society Foundations was a funder for the Center on Budget and Policy Priorities, and the Committee for Economic Development.
George
Soros is the founder & chairman for the Open Society Foundations, and was the chairman for the Foundation to Promote Open Society.
Foundation
to Promote Open Society was a funder for the Center on Budget and Policy Priorities, the Brookings Institution (think tank), and the Committee for Economic Development.
Donna
S. Morea was a trustee at the Committee
for Economic Development, and the EVP for the CGI Group Inc.
CGI Group Inc.
was the Obamacare contractor that
developed Healthcare.gov web site.
Obamacare
is Barack Obama’s signature policy
initiative.
Barbara G. Fast
was a VP for the CGI Group Inc., and
a VP at the Boeing Company.
W. James
McNerney Jr. is the chairman & president & CEO for the Boeing Company,
and a member of the Commercial Club of
Chicago.
Newton
N. Minow is a member of the Commercial
Club of Chicago, and a senior counsel at Sidley Austin LLP.
R.
Eden Martin is the president of the Commercial
Club of Chicago, and counsel at Sidley
Austin LLP.
Michelle
Obama was a lawyer at Sidley Austin
LLP.
Barack
Obama was an intern at Sidley Austin
LLP.
Obamacare
is Barack Obama’s signature policy
initiative.
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