NEW YORK (TheStreet) -- In a new report, the Congressional Budget Office once again lowballed the impact of the Affordable Care Act on labor force participation and the economy, in my view. I think that GDP, growth and employment for most workers will be harmed.
The CBO estimates that employment will be cut by 1.5% to 2%, thanks to workers choosing to cut hours or not work at all to obtain Obamacare subsidies for private insurance or maintain eligibility for Medicaid.
According to the report, lower employment only translates into a 1% reduction in workers' compensation, owing to the concentration of those in low-wage categories. However, I think the report fails to adequately calibrate the impact of higher Medicare taxes and the surcharge on interest, dividends and capital gains on the participation of older workers -- especially high-productivity and entrepreneurial workers and business owners over 50 -- who were not inclined to cut hours or retire altogether before now.
In addition, I think the CBO fails to consider the consequences of distorted career paths on labor productivity, negative effects on R&D spending and lower investment overall in the U.S. Those activities will be lost to China, Japan and Germany and other competitors in Asia and Europe owing to their lower health care costs.
Major industrialized competitors in Europe and Asia spend 9% to 12% of GDP on their universal health care, and often attain higher health care outcomes, while the United States spends 18%. And Medicare and Medicaid's own actuaries expect the latter figure to rise under Obamacare, thanks to the inadequacies of cost controls.
Costs -- direct taxes and business outlays for health insurance or penalties for failing to provide health care, as mandated by the Affordable Care Act -- weigh heavily on cost competitiveness and decisions to locate manufacturing and service activities in the U.S., in my view. Especially at risk are jobs critical to R&D effort and innovation.
The Obama Administration argues that subsidies for health care and Medicaid give Americans more personal choices, and decisions not to work might improve the performance of the economy. If I take this to its logical conclusion, the Administration should provide direct cash payments to workers to abstain from seeking employment.
The impact on the economy beginning this year and escalating through the decade is likely in the range of $240 to $320 billion. I think this will damage the viability of the Social Security trust fund and shake state and local government finances. More cities, like Detroit, will likely face bankruptcies. States like Illinois may face a lower credit rating and be forced to reduce funding for education, public safety and the like.
By failing to address the handicap imposed on American businesses by higher health care costs, the Affordable Care Act, like other efforts to equalize income, will in my opinion slow growth to a pace more akin to lethargic European economies than emerging competitors in Asia.
At the time of publication, the author held no positions in any of the stocks mentioned.
This article represents the opinion of a contributor and not necessarily that of TheStreet or its editorial staff.