ECONOMIC REPORT OF THE PRESIDENT

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Claxton, Gary, Larry Levitt, and Michelle Long. 2016. “Payments for cost sharing increasing rapidly over time.” Insight Brief. April 12. Peterson- Kaiser Health System Tracker. (http://www.healthsystemtracker.org/ insight/payments-for-cost-sharing-increasing-rapidly-over-time/). Clemens, Jeffrey, and Joshua D. Gottlieb. Forthcoming. “In the Shadow of a Giant: Medicare’s Influence on Private Physician Payments.” Working Paper. (http://www.joshuagottlieb.ca/ShadowOfAGiant. pdf). Clemens, M. Kent, Joseph M. Lizonitz, and Suguna M. Murugesan. 2009. “Projected Medicare Part B Expenditures Under Two Illustrative Scenarios with Alternative Physician Payment Updates.” Department of Health and Human Services, Centers for Medicare and Medicaid Services. Cohen, Robin A. 2012. “Trends in Health Care Coverage and Insurance for 1968-2011.” Centers for Disease Control and Prevention, National Center for Health Statistics. (http://www.cdc.gov/nchs/ health_policy/trends_hc_1968_2011.htm). Cohen, Robin A., et al. 2009. “Health Insurance Coverage Trends, 1959- 2007: Estimates from the National Health Interview Survey.” National Health Statistics Report 17. Centers for Disease Control and Prevention, National Center for Health Statistics. Cohodes, Sarah, et al. 2015. “The Effect of Child Health Insurance Access on Schooling: Evidence from Public Insurance Expansions.” Journal of Human Resources 51(3): 727-59. The Commonwealth Fund. 2008. “Why Not the Best? Results from the National Scorecard on U.S. Health System Performance, 2008.” New York: The Commonwealth Fund Commission on a High Performance Health System. Congressional Budget Office (CBO). 2009. “CBO’s March 2009 Baseline: Medicare.” ______. 2010a. “The Budget and Economic Outlook: An Update.” August. ______. 2010b. “CBO Estimate of Changes in Net Federal Outlays from Alternative Proposals for Changing Physician Payment Rates in Medicare.” ______. 2010c. “H.R. 4872, Reconciliation Act of 2010 (Final Health Care Legislation).” March. References | 499
______. 2012a. “Direct Spending and Revenue Effects of H.R. 6079, the Repeal of Obamacare Act.” July. ______. 2012b. “Raising the Excise Tax on Cigarettes: Effects on Health and the Federal Budget.” June. ______. 2014. “Updated Estimates of the Effects of the Insurance Coverage Provisions of the Affordable Care Act.” April. ______. 2015a. “Budgetary and Economic Effects of Repealing the Affordable Care Act.” June. ______. 2015b. “Preliminary Estimate of Eliminating the Requirement that Individuals Purchase Health Insurance and Associated Penalties.” September. ______. 2016a. “An Update to the Budget and Economic Outlook: 2016 to 2026.” August. ______. 2016b. “The 2016 Long-Term Budget Outlook.” July. Cooper, Zack, et al. 2015. “The Price Ain’t Right? Hospital Prices and Health Spending on the Privately Insured.” NBER Working Paper 21815. Cambridge, MA: National Bureau of Economic Research. Coughlin, Teresa A., et al. 2014. “An Estimated $84.9 Billion in Uncompensated Care Was Provided in 2013; ACA Payment Cuts Could Challenge Providers.” Health Affairs 33(5): 807-14. Council of Economic Advisers (CEA). 2014. “Methodological Appendix: Methods Used to Construct a Consistent Historical Time Series of Health Insurance Coverage.” (https://www.whitehouse.gov/sites/ default/files/docs/longtermhealthinsuranceseriesmethodologyfinal. pdf). ______. 2015. “Missed Opportunities: The Consequences of State Decisions Not to Expand Medicaid.” Report. Courtemanche, Charles, et al. 2016. “Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non- Expansion States.” NBER Working Paper 22182. Cambridge, MA: National Bureau of Economic Research. Cutler, David M. 2004. Your Money or Your Life: Strong Medicine for America’s Health Care System. New York: Oxford University Press. 500 | References
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ECONOMIC REPORT OF THE PRESIDENT To
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C O N T E N T S ECONOMIC REPORT OF
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economic report of the president To
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eforms in history. Banks have sharp
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the annual report of the council of
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C O N T E N T S CHAPTER 1: EIGHT YE
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. THE ECONOMIC RATIONALE FOR FEDERA
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2.4. Government Purchases as Share
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4.iii. Premium for the Benchmark Pl
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6.18. Systemic Risk (SRISK) 2005-20
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C H A P T E R 1 EIGHT YEARS OF RECO
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Figure 1-1 Actual and Consensus For
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Figure 1-3 Real Hourly Wage Growth
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Figure 1-4 Real GDP per Capita: Eur
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Figure 1-6 Household Net Worth in t
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Figure 1-8 Global Trade Flows in th
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Subsequent revisions to fourth-quar
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Percent 6 Figure 1-9 Fiscal Expansi
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substantial costs to the Federal Go
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worked to promote innovation and in
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expansion, a period of low producti
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The 2017 Economic Report of the Pre
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Chapter 4: Reforming the Health Car
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to the ACA and other factors. The A
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than 98 percent of Americans should
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Figure 1-13 Borrowers in Income Dri
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success of the financial rescue and
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einforced U.S. leadership in the ru
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Partnership (OGP), a global partner
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Figure 1-16 Labor Productivity Grow
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Labor Force Participation Household
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number of steps to ensure that econ
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C H A P T E R 2 THE YEAR IN REVIEW
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Percent 11 Figure 2-1 Unemployment
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allowing for additional investments
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Percentage Point 0.6 0.4 Figure 2-3
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public, largely highway constructio
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The size of the Federal Reserve’s
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Figure 2-5 Private-Sector Payroll E
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fell 80 percent from September 2014
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Figure 2-8 Rates of Part-Time Work,
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Figure 2-v Prime-Age Male Labor For
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Output Real GDP grew 1.6 percent ov
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Figure 2-11 Compensation and Consum
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Table 2-i Optimal Weighting for Hou
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esults suggest that, to a first app
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Figure 2-viii Real GDP, Average and
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Figure 2-13 Consumer Sentiment and
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Figure 2-xi Household Debt Service,
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Ratio to Annual DPI 1.10 1.05 Figur
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Figure 2-17 National House Price In
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Index 220 Figure 2-19 Housing Affor
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Figure 2-21 Composition of Growth i
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Figure 2-23 Capital Services per Un
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Box 2-7: Explanations for the Recen
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Figure 2-xv Business Fixed Investme
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Figure 2-26 Foreign Real GDP and U.
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somewhat generalizable (Box 2-8), b
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prices weakened and the global econ
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inadequate demand has contributed t
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Figure 2-31 Nominal Wage Inflation
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Figure 2-33 Real Hourly Wage Growth
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Index 6 Figure 2-36 Financial Condi
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Percent 4.0 Figure 2-38 Nominal Lon
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Dollars per Barrel 80 Figure 2-40 B
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Figure 2-41 IMF World Real GDP Grow
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against the Mexican peso, the Chine
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United Kingdom It has been a turbul
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for example, Japan has grown almost
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Figure 2-45 Credit to Nonfinancial
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Meanwhile, core inflation (excludin
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kept rates low across a wide range
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Investments in surface transportati
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Table 2-2 Supply-Side Components of
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Conclusion The economy continued to
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not increased from 1973 to 2013, in
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developments; individual behavior;
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action affecting income inequality
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have occurred. In doing so, these p
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Percent 24 21 18 15 12 9 6 African
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without the policy response.5 These
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Box 3-2: Income Inequality and the
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unable to obtain insurance at any p
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Figure 3-7B Percent 50 Uninsured Ra
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and have not expanded Medicaid foun
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Box 3-3: Safety Net Policies as Ins
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Millions of People 18 Figure 3-8 Im
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Figure 3-9 Effective Tax Rates for
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Box 3-4: Additional Actions to Make
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$294 million in newly appropriated
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15 10 5 0 -5 -10 -15 Figure 3-12 Pe
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Administration with those of previo
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as a share of potential GDP by Pres
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Figure 3-17 Changes in the Distribu
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30 25 20 15 10 5 0 Single Source: C
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ate on capital gains and dividends
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C H A P T E R 4 REFORMING THE HEALT
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eneficiaries have received cumulati
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form of lower premium costs and ind
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Percent 25 20 Creation of Medicare
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Figure 4-3 Health Insurance Coverag
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90 80 70 60 50 40 30 20 10 0 25 55
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Percent Uninsured 25 CHIP Created 2
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Legislative actions subsequent to C
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Percent Uninsured 40 35 Figure 4-7
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ecause of the ACA’s provision all
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Box 4-2: Dynamics in the Individual
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projected during the debate over th
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whelming majority of Marketplace en
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Figure 4-v Change in Benchmark Prem
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20 Figure 4-10 Share of Workers in
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percent during the decade preceding
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Panel A: Share with a Personal Doct
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Box 4-3: Interpreting Results from
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Fortunately, the OHIE is not the on
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Figure 4-14 Uncompensated Care as a
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Figure 4-15 Uninsured Rate by Popul
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Figure 4-17 Monthly Gain in Private
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Change in Working-Age Employment to
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this cross-sectional relationship b
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ecent discussions of macroeconomic
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Figure 4-23 Life Expectancy at Birt
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Figure 4-24 Mortality Rate vs. Medi
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more to cover Medicare patients tha
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example, through CMMI, the Administ
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orient payment around the entirety
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Percent of Payments 60 Figure 4-26
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covered under ACO contracts at the
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Additional Steps to Reform the Heal
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legislation that overrides the reco
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Figure 4-28 Health Care Price Infla
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Figure 4-30 Trends in Real Prices f
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average growth rate of real per enr
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Figure 4-34 Growth in Real Costs fo
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made a large, readily quantifiable
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in states experiencing weaker and s
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distribution, holding fixed both sp
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individuals among individuals 65 an
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Figure 4-40 Average Real Deductible
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Figure 4-41 Real Per-Enrollee Presc
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educe the growth rate of Medicare s
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improvements will strengthen ACOs
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-5 0 -2 Figure 4-42 Cumulative Perc
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Woolhandler 2015). These analysts a
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productivity on the job. These bene
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Figure 4-46 Premiums and Cost Shari
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(KFF 2016). Another fifth of tradit
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2030 2028 2026 2024 2022 2020 2018
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C H A P T E R 5 INVESTING IN HIGHER
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Gainful Employment regulations. To
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Thousands of 2015 Dollars 900 800 7
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externalities, credit constraints,
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Figure 5-4 Earnings by Age and Educ
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Figure 5-5 Variation in Earnings by
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Box 5-1: Anti-Poverty Efforts and E
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careers. Some of the effects of the
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eligibility cutoff likewise finds s
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Box 5-2: Federal Investments in K-1
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Evaluations of early local Promise
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America’s College Promise Playboo
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Dollars 45,000 40,000 35,000 30,000
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pre-payment penalty. Second, by tyi
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equirements, pushed efforts associa
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Figure 5-16 Size of Outstanding Loa
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Figure 5-17 Average Monthly Payment
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Figure 5-18 Distribution of Key Out
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Figure 5-20 Earnings by Family Inco
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to student needs and improve test s
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Box 5-5: Making Sure Students Enter
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prior, the early FAFSA reform helps
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Figure 5-ii Number of Institutions
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Figure 5-23 Gainful Employment Earn
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Additionally, Pell Grants can be be
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C H A P T E R 6 STRENGTHENING THE F
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with no easy way to get the funds f
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public has limited information, run
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value added of the sector has gradu
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managers. Thus, after fees, savers
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Too Many Resources in Finance? Beyo
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of the firm after the purchase affe
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Percent 100 Figure 6-2 Mortgage Ori
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Figure 6-4 Case-Shiller Home Price
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Figure 6-7 Global OTC Derivative Ma
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consumer and investor protections.
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Figure 6-iv Top 5 Banks as Share of
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cult to replace with services from
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Are U.S. Banks Too Big? The questio
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The three federal banking agencies
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Risk Taking The Dodd-Frank Act took
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Box 6-3: The Performance of Communi
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Figure 6-ix Return on Assets of Ban
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egulators can take a more holistic
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Figure 6-13 Repo and Reverse Repo,
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Figure 6-15 Private Funds Reporting
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Days 60 Figure 6-16 Weighted-Averag
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Figure 6-18 Systemic Risk (SRISK),
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In the absence of another financial
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lower funding costs in 2007-09, “
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through the Dodd-Frank Act and othe
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Prior to the financial crisis, one
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asis.24 One of the advantages of ce
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findings from the NRSRO examination
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Prior to the crisis, enforcement of
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Box 6-5: Addressing the Problem of
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Table 6-i Sources of Investment Adv
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financial system and the systems of
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Box 6-6: The JOBS Act While it was
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Figure 6-23 S&P 500, 2003-2016 Inde
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Figure 6-27 Mortgage Delinquency an
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It created the FSOC to consider ris
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energy efficient and lower greenhou
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of domestic actions to reduce green
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people and vegetation (U.S. Global
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investment are much higher than the
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Delaying Action on Climate Change I
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uses and land management activities
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Carbon Pollution Standards for Powe
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a projected range of $16 billion to
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these resulted in insignificant cha
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Figure 7-4 Corporate Average Fuel E
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diesel fuel and jet fuel. The Vehic
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Box 7-3: Building Resilience to Cur
Page 453 and 454: sources in the oil and gas sector,
Page 455 and 456: emissions and total greenhouse gas
Page 457 and 458: Figure 7-7 Energy Intensity of Real
Page 459 and 460: Figure 7-10 U.S. Petroleum Consumpt
Page 461 and 462: Figure 7-12 Energy Intensity Transp
Page 463 and 464: Figure 7-14c Energy Intensity Comme
Page 465 and 466: Figure 7-16 U.S. Energy Consumption
Page 467 and 468: 2008 to 7 percent in 2015. Figure 7
Page 469 and 470: Index, 2008 =0 0.1 0.0 -0.1 Figure
Page 471 and 472: Figure 7-23 Decomposition of Emissi
Page 473 and 474: three determinants of emissions? If
Page 475 and 476: Percent 100 80 Figure 7-26 Sectoral
Page 477 and 478: characteristics, and management tre
Page 479 and 480: oil and gas sector) were subsequent
Page 481 and 482: while creating new jobs and raising
Page 483 and 484: such as using similar methodologies
Page 485 and 486: Box 7-4: Supporting Increased Penet
Page 487 and 488: sector, the fee would incentivize p
Page 489 and 490: to be used to decompose emissions i
Page 491 and 492: Reinvestment Act.” NBER Working P
Page 493 and 494: D’Amico, Stefania, et al. 2012.
Page 495 and 496: ______. 2016. “Chapter 3: Develop
Page 497 and 498: Chetty, Raj, et al. 2014. “Where
Page 499 and 500: NBER Working Paper 22170. Cambridge
Page 501 and 502: American Hospital Association and H
Page 503: Cantor, Joel C., et al. 2012. “Ea
Page 507 and 508: Dranove, David, Craig Garthwaite, a
Page 509 and 510: Wars: Global Solutions for Developi
Page 511 and 512: Huang, Jidong, and Frank J. Chaloup
Page 513 and 514: McWilliams, J. Michael. 2016. “Ch
Page 515 and 516: Pinkovskiy, Maxim. 2014. “The Imp
Page 517 and 518: ______. 2016. “Certification of M
Page 519 and 520: Arcidiacono, Peter, V. Joseph Hotz,
Page 521 and 522: Bulman, George, and Caroline Hoxby.
Page 523 and 524: ______. 2015a. “Economic Costs of
Page 525 and 526: Dobbie, Will, and Roland G. Fryer J
Page 527 and 528: Committee on Health, Education, Lab
Page 529 and 530: Jepsen, Christopher, Kenneth Troske
Page 531 and 532: Marcotte, Dave E., et al. 2005. “
Page 533 and 534: Reynolds, Arthur J., et al. 2011.
Page 535 and 536: Chapter 6 Acharya, Viral. V., Deniz
Page 537 and 538: Fama, Eugene F., and Kenneth R. Fre
Page 539 and 540: Wheelock, David C., and Paul W. Wil
Page 541 and 542: ______. 2016a. “The Economics of
Page 543 and 544: ______. 2016c. Short Term Energy Ou
Page 545 and 546: Interagency Working Group on the So
Page 547 and 548: Office of Management and Budget (OM
Page 550: A P P E N D I X A REPORT TO THE PRE
Page 553 and 554: Council Members and Their Dates of
Page 556 and 557:
Report to the President on the Acti
Page 558 and 559:
consulting with a wide variety of o
Page 560 and 561:
In October, the Council released a
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Research Economists David Boddy . .
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A P P E N D I X B STATISTICAL TABLE
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GOVERNMENT FINANCE, INTEREST RATES,
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Year or quarter Table B-1. Percent
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Table B-2. Gross domestic product,
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Table B-3. Quantity and price index
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Table B-5. Real exports and imports
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Year Total Table B-7. Real farm inc
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Table B-9. Median money income (in
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Labor Market Indicators Table B-11.
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Year or month Table B-12. Civilian
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Table B-14. Employees on nonagricul
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Year or month Table B-15. Hours and
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Government Finance, Interest Rates,
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Table B-19. Federal receipts and ou
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Table B-21. Federal and State and l
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Table B-23. U.S. Treasury securitie
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Year and month Bills (at auction) 1
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Year and month Table B-26. Money st
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