Health Benefits Lower U.S. Labor Supply

Updated: 2026.04.07 2H ago 1 sources
A new NBER paper finds that about half of the historical gap in hours worked between Americans and non‑Americans has closed; the main driver in the United States is the post‑2000 expansion of government health benefits available to the non‑employed, which reduced hours per person. In contrast, many other wealthy countries already offered employment‑independent coverage, so their rising hours reflect wages and changing work preferences instead. — If detaching health coverage from employment reduces hours worked, policymakers need to weigh the labor‑market tradeoffs when designing universal or employer‑independent health programs.

Sources

Why do Americans No Longer Work So Much More Than Non-Americans?
Tyler Cowen 2026.04.07 100% relevant
NBER working paper by Serdar Birinci, Loukas Karabarbounis & Kurt See, identified via Tyler Cowen’s post; empirical finding that U.S. hours per person declined after 2000 mainly due to rise of government health benefits for the non‑employed.
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