Welfare state and social Europe

Laurent Gobillon, Carine Milcent, 21 July 2017

It is widely believed that the goal of keeping health expenditures under control while increasing the quality of the healthcare system can best be achieved by giving a greater role to market forces. This column evaluates the effect of a pro-competition reform implemented in France over 2004-2008 on hospital quality. It finds that the impact on quality depends on the managerial autonomy of hospitals. And due to the French healthcare market structure, the overall effect of the reform has been limited.

Thomas Le Barbanchon, Roland Rathelot, Alexandra Roulet, 27 June 2017

The generosity of unemployment insurance can influence the time and energy job seekers dedicate to searching for a job, as well as the jobs they are willing to accept. Yet we know little about how unemployment insurance affects the reservation wages of the unemployed. Using new French data, this column shows that increasing unemployment generosity does not affect the reservation wages or the ‘pickiness’ of job seekers.

Alberto Alesina, Stefanie Stantcheva, Edoardo Teso, 21 June 2017

Americans are generally thought to view the economic system as fair and see wealth as a reward for ability and effort, while Europeans tend to believe that the economic system is unfair, and that wealth is the result of circumstances. This column tests this using new evidence on beliefs about intergenerational mobility in four European countries and the US, and confirms that Europeans do indeed tend to be overly pessimistic about moving up the social ladder compared to reality, while Americans are overly optimistic. These perceptions have important implications for how redistribution and equal opportunity policies will be received.

Nezih Guner, Remzi Kaygusuz, Gustavo Ventura, 10 June 2017

Childcare subsidy provision in the US remains substantially lower than in many other developed economies. This column compares the potential effects of expanding three existing subsidy programmes in the US. It also argues, however, that amassing majority support for the expansion of any of the programmes would be difficult given the relatively few number of households the transfers benefit. 

Johanna Wallenius, Max Groneck, 01 June 2017

At the individual level, social security is a strong source of redistribution from rich to the poor in the US, due to the concavity of the pension formula. But this column argues that spousal and survivor benefits, which are important sources of retirement income for women, introduce regressive redistributive elements to social security and also provide incentives for even highly educated women to stay at home if they are married to a high earner. A means-tested minimum benefit would simultaneously increase overall labour supply and reduce inequality, compared to the current system.

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