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Small Business Economics

, Volume 43, Issue 4, pp 917–930 | Cite as

Does health reform affect self-employment? Evidence from Massachusetts

  • Bradley T. HeimEmail author
  • Ithai Z. Lurie
Article

Abstract

This paper evaluates whether the implementation of the 2006 Massachusetts health reform law affected the decision of taxpayers to be self-employed, using both difference-in-differences and synthetic control methods on a panel of tax returns that spans 1999–2010. Though tenuous, our results suggest that the reform led to a decline in the rate of taxpayers earning a majority of income from self-employment. In addition, it appears to have had a positive impact on earning some self-employment income among joint filers and earning the majority of income from self-employment among older taxpayers, but these were offset by negative impacts on single filers and taxpayers age 35–49.

Keywords

Self-employment Health reform Health insurance 

JEL Classifications

L26 I18 I13 

References

  1. Abadie, A., Diamond, A., & Hainmueller, J. (2010). Synthetic control methods for comparative case studies: Estimating the effect of California’s tobacco control program. Journal of the American Statistical Association, 105(490), 493–505.CrossRefGoogle Scholar
  2. Baliamoune-Lutz, M., & Garello, P. (2014). Tax structure and entrepreneurship. Small Business Economics, 42(1), 165–190.CrossRefGoogle Scholar
  3. Blue Cross and Blue Shield Association. (2007). State legislative health care and insurance issues, 2007 survey of plans.Google Scholar
  4. Bruce, D. (2000). Effects of the U. S. tax system on transitions into self-employment. Labour Economics, 7, 547–575.CrossRefGoogle Scholar
  5. Bruce, D. (2001). Taxes and entrepreneurial endurance: Evidence from the self-employed. National Tax Journal, 55, 5–24.Google Scholar
  6. Burbidge, J. B., Magee, L., & Robb, A. L. (1988). Alternative transformations to handle extreme values of the dependent variable. Journal of the American Statistical Association, 83, 123–127.CrossRefGoogle Scholar
  7. Cogan, J. F., Hubbard, R. G., & Kessler, D. (2010). The effect of Massachusetts’ health reform on employer-sponsored insurance premiums. Forum for Health Economic and Policy. 13(2):Article 5. http://www.bepress.com/fhep/13/2/5.
  8. DeCicca, P. (2010). Health insurance availability and entrepreneurship. Working paper.Google Scholar
  9. Fairlie, R., & Meyer, B. D. (1999). Trends in self-employment among white and black men: 1910–1990. NBER working paper 7182.Google Scholar
  10. Fairlie, R. W., Kapur, K., & Gates, S. (2011). Is employer-based health insurance a barrier to entrepreneurship? Journal of Health Economics, 30(1), 146–162.CrossRefGoogle Scholar
  11. Ferede, E. (2013). Tax progressivity and self-employment: Evidence from Canadian Provinces. Small Business Economics, 40(1), 141–153.CrossRefGoogle Scholar
  12. General Accountability Office. (1996). Private Health Insurance, Millions relaying on individual market face cost and coverage trade-offs. GAO/HEHS-97-8.Google Scholar
  13. Gentry, W., & Hubbard, R. G. (2000). Tax policy and entrepreneurial entry. American Economic Review, 90(2), 283–287.CrossRefGoogle Scholar
  14. Graves, J. A., & Gruber, J. (2012). How did health care reform in Massachusetts impact insurance premiums? American Economic Review: Papers and Proceedings, 102(2):508–513.Google Scholar
  15. Gumus, G., & Regan, T. L. (2009). Self-employment and the role of health insurance. Working paper.Google Scholar
  16. Heim, B. T. (2010). The responsiveness of self-employment income to tax rate changes. Labour Economics, 17(6), 940–950.CrossRefGoogle Scholar
  17. Heim, B. T., & Lurie, I. Z. (2010). The effect of health insurance subsidies on self-employment. Journal of Public Economics, 94, 995–1007.Google Scholar
  18. Heim, B. T., & Lurie, I. Z. (2013). The impact of insurance subsidies on self-employment: Do state non-group health insurance regulations matter? Contemporary Economic Policy, 31(1), 94–109.Google Scholar
  19. Heim, B. T., & Lurie, I. Z. (forthcoming). Did reform of the non-group health insurance market affect the decision to be self-employed? Evidence from state reforms in the 1990’s. Health Economics.Google Scholar
  20. Holtz-Eakin, D., Penrod, J. R., & Rosen, H. S. (1996). Health insurance and the supply of entrepreneurs. Journal of Public Economics, 62(1–2), 209–235.CrossRefGoogle Scholar
  21. Lischko, A. M., & Manzolillo, K. (2010). An interim report card on Massachusetts health care reform, part 2: Equitable and sustainable financing. A pioneer institute white paper.Google Scholar
  22. Lo Sasso, A. T., & Lurie, I. Z. (2009). Community rating and the market for private non-group health insurance. Journal of Public Economics, 93(1–2), 264–279.CrossRefGoogle Scholar
  23. Madrian, B. C., & Lefgren, L. J. (1998). The effect of health insurance on transitions to self-employment. Unpublished mimeo. University of Chicago Population Research Center.Google Scholar
  24. Moore, K. (2003). The effects of the 1986 and 1993 tax reforms on self-employment. Federal reserve working paper.Google Scholar
  25. Niu, X. (2011). Health insurance and self-employment: Evidence from Massachusetts. Working paper.Google Scholar
  26. Stenkula, M. (2012). Taxation and entrepreneurship in a welfare state. Small Business Economics, 39(1), 77–97.CrossRefGoogle Scholar
  27. Wellington, A. J. (2001). Health insurance coverage and entrepreneurship. Contemporary Economic Policy, 19(4), 465–478.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York (outside the USA) 2014

Authors and Affiliations

  1. 1.School of Public and Environmental AffairsIndiana UniversityBloomingtonUSA
  2. 2.Office of Tax AnalysisU.S. Department of TreasuryWashingtonUSA

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