IDEAS home Printed from https://ideas.repec.org/p/crm/wpaper/26167.html

Labor Unions and Social Insurance

Author

Listed:
  • Naoki Aizawa
  • Hanming Fang
  • Katsuhiro Komatsu

Abstract

We study the labor market impacts of unions by accounting for their effects on employers' insurance provision and examine how social insurance policies, in turn, affect unionization and labor market outcomes. We document that unions increase employer-sponsored insurance provision and that expansions in social insurance reduce unionization in the United States. We then develop and estimate an equilibrium labor search model where unionization, wages, and non-wage benefits are endogenously determined. We demonstrate that unionization, as well as the threat of unionization, increases employer-sponsored insurance provision in both unionized and nonunionized firms. We find that social insurance policies can affect labor market inequality through (de)unionization, and inequality may increase or decrease depending on how social insurance is targeted. Social insurance expansions, along with technological changes, contribute to the long-term decline of unions in the U.S. in the last fifty years. Although historical deunionization driven by these forces increased overall welfare, we find that subsidizing unions in the current economy can improve welfare.

Suggested Citation

  • Naoki Aizawa & Hanming Fang & Katsuhiro Komatsu, 2026. "Labor Unions and Social Insurance," RFBerlin Discussion Paper Series 26167, ROCKWOOL Foundation Berlin (RFBerlin).
  • Handle: RePEc:crm:wpaper:26167
    as

    Download full text from publisher

    File URL: https://www.rfberlin.com/wp-content/uploads/2026/06/26167.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Craig Garthwaite & Tal Gross & Matthew J. Notowidigdo, 2014. "Public Health Insurance, Labor Supply, and Employment Lock," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 129(2), pages 653-696.
    2. Henry S Farber & Daniel Herbst & Ilyana Kuziemko & Suresh Naidu, 2021. "Unions and Inequality over the Twentieth Century: New Evidence from Survey Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 136(3), pages 1325-1385.
    3. Aaron Sojourner & Jooyoung Yang, 2022. "Effects of Union Certification on Workplace-Safety Enforcement: Regression-Discontinuity Evidence," ILR Review, Cornell University, ILR School, vol. 75(2), pages 373-401, March.
    4. Naoki Aizawa, 2019. "Labor market sorting and health insurance system design," Quantitative Economics, Econometric Society, vol. 10(4), pages 1401-1451, November.
    5. Naoki Aizawa & Hanming Fang, 2020. "Equilibrium Labor Market Search and Health Insurance Reform," Journal of Political Economy, University of Chicago Press, vol. 128(11), pages 4258-4336.
    6. Per Krusell & Lee E. Ohanian & JosÈ-Victor RÌos-Rull & Giovanni L. Violante, 2000. "Capital-Skill Complementarity and Inequality: A Macroeconomic Analysis," Econometrica, Econometric Society, vol. 68(5), pages 1029-1054, September.
    7. Nicole M. Fortin & Thomas Lemieux & Neil Lloyd, 2023. "Right-to-Work Laws, Unionization, and Wage Setting," Research in Labor Economics, in: 50th Celebratory Volume, volume 50, pages 285-325, Emerald Group Publishing Limited.
    8. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    9. Amy Finkelstein & Nathaniel Hendren & Mark Shepard, 2019. "Subsidizing Health Insurance for Low-Income Adults: Evidence from Massachusetts," American Economic Review, American Economic Association, vol. 109(4), pages 1530-1567, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Amy Finkelstein & Casey McQuillan & Owen Zidar & Eric Zwick, 2023. "The Health Wedge and Labor Market Inequality," Working Papers 2023-01, Princeton University. Economics Department..
    2. Avenancio-León, Carlos F. & Piccolo, Alessio & Pinto, Roberto, 2025. "Resilience in collective bargaining," Journal of Financial Economics, Elsevier, vol. 173(C).
    3. Naoki Aizawa & Chao Fu, 2020. "Interaction of the Labor Market and the Health Insurance System: Employer-Sponsored, Individual, and Public Insurance," NBER Working Papers 26713, National Bureau of Economic Research, Inc.
    4. Davide Viviano & Jelena Bradic, 2019. "Synthetic learner: model-free inference on treatments over time," Papers 1904.01490, arXiv.org, revised Aug 2022.
    5. Lipowski, Cäcilia & Salomons, Anna & Zierahn-Weilage, Ulrich, 2024. "Expertise at work: New technologies, new skills, and worker impacts," ZEW Discussion Papers 24-044, ZEW - Leibniz Centre for European Economic Research.
    6. Liao, Yanjun (Penny) & Mulder, Philip, 2021. "What’s at Stake? Understanding the Role of Home Equity in Flood Insurance Demand," RFF Working Paper Series 21-25, Resources for the Future.
    7. Gabriella Conti & Rita Ginja, Renata Narita, 2018. "The Value of Health Insurance: A Household Job Search Approach," Working Papers, Department of Economics 2018_18, University of São Paulo (FEA-USP).
    8. Naoki Aizawa & You Suk Kim, 2020. "Public and Private Provision of Information in Market-Based Public Programs: Evidence from Advertising in Health Insurance Marketplaces," NBER Working Papers 27695, National Bureau of Economic Research, Inc.
    9. Otsu, Yuki & Yuen, C.Y. Kelvin, 2022. "Health, crime, and the labor market: Theory and policy analysis," Journal of Economic Dynamics and Control, Elsevier, vol. 144(C).
    10. Raquel Fonseca & Etienne Lalé & François Langot & Thepthida Sopraseuth, 2025. "The College Premium Rollercoaster and the Rebound of Lifetime Wage Growth: A Structural Analysis," Cahiers de recherche / Working Papers 2503, Chaire de recherche sur les enjeux économiques intergénérationnels / Research Chair in Intergenerational Economics.
    11. Didem Tuzemen & Makoto Nakajima, 2014. "Health Care Reform or Labor Market Reform? A Quantitative Analysis of the Affordable Care Act," 2014 Meeting Papers 1325, Society for Economic Dynamics.
    12. Arold, Benjamin W. & Ash, Elliott & MacLeod, Bentley & Naidu, Suresh, 2025. "Worker Rights in Collective Bargaining," CEPR Discussion Papers 20081, Centre for Economic Policy Research.
    13. Maclean, Johanna Catherine & Tello-Trillo, Sebastian & Webber, Douglas, 2023. "Losing insurance and psychiatric hospitalizations," Journal of Economic Behavior & Organization, Elsevier, vol. 205(C), pages 508-527.
    14. Nikpay, Sayeh, 2022. "The medicaid windfall: Medicaid expansions and the target efficiency of hospital safety-net subsidies," Journal of Public Economics, Elsevier, vol. 208(C).
    15. Chao Fu & Naoki Aizawa, 2017. "Local Market Equilibrium and the Design of Public Health Insurance System," 2017 Meeting Papers 1448, Society for Economic Dynamics.
    16. Rong Hai, 2013. "The Determinants of Rising Inequality in Health Insurance and Wages, Second Version," PIER Working Paper Archive 13-071, Penn Institute for Economic Research, Department of Economics, University of Pennsylvania, revised 21 Dec 2013.
    17. Liu, Huilong & Wang, Yifei & Xie, Jing & Yin, Jun, 2026. "Judicial independence and firms’ labor share: Evidence from a quasi-natural experiment in China," Journal of Asian Economics, Elsevier, vol. 102(C).
    18. Elisabeth Wurm, 2026. "Health insurance and labor supply: Evidence from same‐sex couples," Contemporary Economic Policy, Western Economic Association International, vol. 44(2), pages 253-274, April.
    19. Laura Connolly & Matt Hampton & Otto Lenhart, 2024. "Labor mobility and the Affordable Care Act: Heterogeneous impacts of the preexisting conditions provision," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 43(1), pages 157-191, January.
    20. Clemens, Jeffrey & Strain, Michael R., 2025. "Why do labor unions advocate for minimum wage increases?," Labour Economics, Elsevier, vol. 94(C).

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;

    JEL classification:

    • J42 - Labor and Demographic Economics - - Particular Labor Markets - - - Monopsony; Segmented Labor Markets
    • J51 - Labor and Demographic Economics - - Labor-Management Relations, Trade Unions, and Collective Bargaining - - - Trade Unions: Objectives, Structure, and Effects
    • J52 - Labor and Demographic Economics - - Labor-Management Relations, Trade Unions, and Collective Bargaining - - - Dispute Resolution: Strikes, Arbitration, and Mediation
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:crm:wpaper:26167. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Moritz Lubczyk or Matthew Nibloe (email available below). General contact details of provider: https://edirc.repec.org/data/cmucluk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.