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ECONOMIC REPORT OF THE PRESIDENT

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0.8<br />

0.6<br />

0.4<br />

0.2<br />

0.0<br />

-0.2<br />

-0.4<br />

-0.6<br />

-0.8<br />

-1.0<br />

Figure 4-16<br />

Change in Share of After-Tax Income by Income Percentile: Changes in<br />

Tax Policy Since 2009 and ACA Coverage Provisions, 2017<br />

Change in Share of After-Tax Income (Percentage Points)<br />

0-20 20-40 40-60 60-80 80-90 90-95 95-99 99-99.9 99.9-<br />

100<br />

Income Percentile<br />

Source: U.S. Treasury, Office of Tax Analysis.<br />

2016). Providing better coverage options outside the workplace may also<br />

facilitate entrepreneurship (Fairlie, Kapur, and Gates 2011; DeCicca 2010);<br />

enable workers to invest in additional years of education (Dillender 2014);<br />

or give workers additional flexibility in structuring their work lives, such as<br />

by retiring when it makes sense for them or reducing their work hours in<br />

order to have more time to care for a family member (for example, Heim<br />

and Lin 2016).<br />

Fully understanding how the ACA’s coverage expansions have<br />

affected the labor market will require additional research, but it is already<br />

quite clear that predictions of large reductions in total employment and large<br />

increases in part-time employment have not come to pass. Implementation<br />

of the ACA has occurred alongside the steady recovery of the labor market<br />

from the Great Recession, as illustrated in Figure 4-17. The private sector<br />

started adding jobs in March 2010, the month the ACA became law,<br />

and businesses have added a cumulative 15.6 million jobs since that time.<br />

Private-sector employment has actually increased somewhat more quickly<br />

since the ACA’s main coverage provisions took effect at the beginning of<br />

2014 (around 209,000 jobs per month) than over the rest of the employment<br />

expansion (around 181,000 jobs per month).<br />

This time series evidence, particularly the fact that private-sector job<br />

growth has actually been slightly faster after the ACA’s main coverage provisions<br />

took effect than before they took effect, is sufficient to demonstrate<br />

236 | Chapter 4

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