Gopi Shah Goda
@gsgoda.bsky.social
4.6K followers 800 following 21 posts

Senior Fellow and Director, Retirement Security Project @Brookings. Previously: Research Associate @NBER, Senior Fellow @SIEPR, Biden-Harris Council of Economic Advisers. Passionate about connecting research to policy. https://www.gopishahgoda.org .. more

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gsgoda.bsky.social
Hi #EconSky! 🚨New working paper alert!🚨

One way the U.S. gov’t subsidizes medical spending is by allowing certain expenses to be deducted on tax returns. But who is eligible, who claims it and why, and what are the implications?

www.nber.org/papers/w33213

Keep reading to learn more...! 1/
Subsidizing Medical Spending through the Tax Code: Take-Up, Targeting and the Cost of Claiming
Founded in 1920, the NBER is a private, non-profit, non-partisan organization dedicated to conducting economic research and to disseminating research findings among academics, public policy makers, an...
www.nber.org
aaronsojourner.org
The new Trump administration is now making an unprecedented effort to PREVENT science from informing policy.

For many years, these committees of outside, independent scientists advised federal statistical agencies on best methods.

Administration says we don't want that.
bsky.app/profile/eric...
ericagroshen.bsky.social
R.I.P. #DUAC & #BLSTAC. The Labor Sec. just terminated BLS’s 2 remaining advisory committees. Members got notice today (3/19/25). See attached text.
#FESAC, which served #BLS, BEA & Census jointly, was axed on 3/4/25.
@stevepierson123.bsky.social @aaronsojourner.org

Reposted by Gopi Shah Goda

aaronsojourner.org
📉📈 Stanford Institute for Economic & Policy Research senior fellow, former CEA senior economist, my 4X coauthor, & all around econ superstar Gopi Shah Goda is here! Welcome, @gsgoda.bsky.social!

Reposted by Gopi Shah Goda

kevinrinz.bsky.social
Out this morning in Briefing Book, Jeff Zhang and Dan Awrey run down the systemic issues in bank regulation and supervision that were laid bare by the SVB failure www.briefingbook.info/p/anatomy-of...
Anatomy of a banking crisis
Silicon Valley Bank's failure highlighted weaknesses throughout the regulatory system
www.briefingbook.info

Reposted by Gopi Shah Goda

Reposted by Gopi Shah Goda

nealemahoney.bsky.social
Congrats to @kevinrinz.bsky.social, @gsgoda.bsky.social, Wes Yin, and Jeff Zhang on the one-year anniversary of Briefing Book.

Briefing Book is a tremendous public service and well deserving of its rapid subscriber growth.

(You should sign up if you haven't.)

open.substack.com/pub/briefing...
Briefing Book is one year old!
Celebrating a year of posting
open.substack.com

Reposted by Gopi Shah Goda

chvanhoutven.bsky.social
The brilliant @gsgoda.bsky.social and I wrote a piece evaluating the Harris-Walz proposal to expand Medicare home care coverage.
www.brookings.edu/articles/exp...

#EconSky #HealthPolicy

Tell us what you think!
Expanding in-home care coverage is a needed evolution of Medicare
www.brookings.edu

Reposted by Gopi Shah Goda

Reposted by Gopi Shah Goda

Reposted by Gopi Shah Goda

ericagroshen.bsky.social
R.I.P. #DUAC & #BLSTAC. The Labor Sec. just terminated BLS’s 2 remaining advisory committees. Members got notice today (3/19/25). See attached text.
#FESAC, which served #BLS, BEA & Census jointly, was axed on 3/4/25.
@stevepierson123.bsky.social @aaronsojourner.org

Reposted by Gopi Shah Goda

hamiltonproject.org
Hi Bluesky! We’re The Hamilton Project.

We produce research and proposals on some of our nation’s most pressing economic policy challenges, from economic security and growth to climate and health care.

#EconSky @brookings.edu
The Hamilton Project
The Hamilton Project produces evidence-based policy proposals and analyses to promote broad-based economic growth.
www.hamiltonproject.org

Reposted by Gopi Shah Goda

Reposted by Gopi Shah Goda

laurawherryr.bsky.social
Happy ERP day! The 2025 Economic Report of the President is out now! Chapters cover a wide range of topics incl. remote work and K-12 ed - be sure to check it out. I'm presenting the health policy chapter at Brookings next Wed, links below #econsky #healthpolicy
www.whitehouse.gov/cea/written-...
The 2025 Economic Report of the President | CEA | The White House
Today, the Council of Economic Advisers under the leadership of Chair Jared Bernstein released the 2025 Economic Report of the President, the 79th report since the establishment of CEA in 1946. The 20...
www.whitehouse.gov

Reposted by Gopi Shah Goda

gsgoda.bsky.social
Thanks to TIAA Institute for funding this work! This paper is dedicated to my dad, who was the inspiration for this research agenda.

gsgoda.bsky.social
If you like this paper and want to learn about how the tax savings for IMDs are distributed, how it compares to the MID, and how it changed with the TCJA, check out my related paper with Ithai Lurie, Priyanka Parikh, and Chelsea Swete here!

www.nber.org/papers/w33157

11/ END
The Distributional Implications of Itemized Medical Deductions
Founded in 1920, the NBER is a private, non-profit, non-partisan organization dedicated to conducting economic research and to disseminating research findings among academics, public policy makers, an...
www.nber.org

gsgoda.bsky.social

In conclusion, subsidizing medical expenses through the tax code imposes significant economic burdens, reducing the net subsidy available to taxpayers. 10/

gsgoda.bsky.social
The implied costs for alternative subsidy structures simulated using the model estimates are slightly lower but still substantial relative to the overall tax savings, as tracking out-of-pocket medical spending likely accounts for a large part of the hassle.

9/

gsgoda.bsky.social
Finally, I estimate a simple model that makes use of differences in the value of the subsidy across states. The model generates an implied cost of claiming the subsidy ~80% as large as the tax savings, on average. For some groups, the implied cost exceeds the tax savings. 8/

gsgoda.bsky.social
I explore potential mechanisms behind incomplete take-up and find evidence that lack of awareness plays a role – as households are eligible more years, they are more and more likely to take advantage of the deduction. 7/

gsgoda.bsky.social
What’s more – those who are eligible but don’t claim the subsidy actually have *higher* levels of medical spending than those who are eligible and do claim. They also have lower income, lower levels of education and worse measures of health. 6/

gsgoda.bsky.social
Using detailed data on income and out-of-pocket medical spending from the HRS, I estimate what people could deduct and compare them to what they actually do. I find about half of deductions are claimed, and incomplete take-up costs older households more than $5B annually in lost tax savings. 5/

gsgoda.bsky.social
Does anyone actually spend that much on medical spending? Turns out over $75B in IMDs were deducted in 2021, about 2/3 by taxpayers over 65. The forgone revenue from this deduction is almost $10B annually – 29% of the forgone revenue from the mortgage interest deduction! 4/

gsgoda.bsky.social
What you can deduct is quite expansive! (Caveat: I'm not an accountant and do not offer tax advice ☺️) 3/

gsgoda.bsky.social
First, what is this subsidy? If you spend more than 7.5% of AGI on out-of-pocket medical spending, the excess can be included in your itemized deductions. Your itemized medical deduction (IMD) reduces your tax liability by reducing your taxable income:

2/

Reposted by Gopi Shah Goda

Reposted by Gopi Shah Goda

gsgoda.bsky.social
Do we need an econ joke as the price of entry?