The Macroeconomic Implications of the CARES Act

In response to the economic crisis caused by the COVID-19 pandemic, Congress has just passed a $2 trillion spending package, the Coronavirus Aid, Relief, and Economic Security Act (CARES). Although it was put together very quickly, the macroeconomic impacts of this fiscally enormous piece of legislation will be felt for years. The following commentary highlights some of its important macroeconomic implications.

Stimulus or lifeline?

Not surprisingly, CARES has been widely compared to stimulus measures enacted at the onset of the Great Recession — the Economic Stimulus Act of February 2008, the Troubled Asset Relief Program (TARP) of October 2008, and the American Recovery and Reinvestment Act of February 2009. Although the total cost of those three laws was comparable to that of CARES, the new law is differently targeted and will affect the economy differently.

One important difference is that the 2007-09 recession was largely the result of a massive shock to aggregate demand triggered by the contraction of lending and the collapse of housing prices. In this case, the initial shocks have come from the supply side, first in the form of interrupted supply chains, then as sick and frightened workers became unable to report to their jobs, and finally, the policy-induced shock of shelter-in-place orders. (See here for a detailed discussion of the difference between supply shocks and demand shocks.)

As a result, restoration of aggregate demand will not be enough to restart the economy. At least in the short run, the checks being sent out to individuals under CARES will be more important as social policy than as macroeconomic stimulus. In fact, if we go by the results of similar payments in 2008, it is likely that a substantial part of this round will go into precautionary savings, as a hedge against worsening of the crisis, or into debt repayment, which, in economic terms, is another form of saving. For many people, these payments will make the difference between moderate and extreme hardship, but they will do relatively little to induce an immediate rebound of GDP.

A further difference is that the 2008 crisis was triggered primarily by a meltdown of the financial sector. On the whole, banks have come into this crisis with much better capitalization than they had in 2007. Consequently, there is nothing in the CARES Act that is comparable to TARP, which was aimed at recapitalizing banks and other financial institutions. If trouble does again develop in the banking system (which we cannot rule out if the present crisis goes on long enough), then resolving it will require new legislation.

Quantitative Easing Alone will Not Cure COVID-19

The Federal Reserve is the nation’s first line of defense against recession. Unlike the Congress, which controls taxes and government spending, the Fed can make changes in interest rates on a moment’s notice — even late on a Sunday afternoon, as it did on March 15.

The Fed’s policy instrument of first resort is its control over short-term interest rates. The specific rate it normally targets is called the federal funds rate — the rate that banks charge to one another for overnight loans of funds held in their reserve accounts at the Fed. The price of borrowing reserves, in turn, strongly influences the rates at which banks are willing to make loans to businesses and consumers.

Despite the Fed’s close oversight, the effective federal funds rate is actually a market rate that varies from day to day according to changes in supply and demand. However, the Fed does not let the rate wander just anywhere. Instead, it sets policy targets in the form of upper and lower limits for the rate, usually a quarter of a percentage point apart. If a surge in demand for reserves threatens to push the effective rate through the upper end of the target range, the Fed supplies new reserves to the banking system by buying short-term securities. If demand weakens and the rate falls, the Fed withdraws reserves to limit the supply and keep the rate from falling through the floor.

The Coronavirus and the Economy: A Tutorial

The novel coronavirus that causes the disease COVID-19 will harm the U.S. economy. That we know, even though, as of this writing, the effects have barely begun to show up in statistics on employment, inflation, and real output. But just how bad will the impacts be, and what, if anything, can be done about them?

Although the economic effects of the virus will be complex, and we are sure to see some surprises, we can learn a lot from a simple model of the macroeconomy used in Econ 101 courses everywhere. This new slideshow presents a brief tutorial.

The model used in the tutorial is based on the concepts of aggregate demand and aggregate supply.

• Aggregate demand means the amount of real output – the inflation-adjusted quantity of goods and services – that consumers and firms want to purchase at any given time. Other things being equal, the quantity demanded is greater when the price level is lower.
• Aggregate supply means the quantity of real output that firms are willing to supply in response to the prevailing aggregate demand. Other things being equal, when demand increases, firms tend to react partly by increasing prices and partly by increasing the quantity of output.

When the economy is operating smoothly, as it was, for the most part, early in 2020, the rate of inflation is low and real output is close to potential GDP, which is the quantity of goods and services that can be produced in the long run without causing the economy to overheat.

A Safety Net for the Job Apocalypse

Even if it's not this bad, we need to prepare

Automation and artificial intelligence are increasingly disrupting the labor market. Some see a coming “job apocalypse.” Others simply see a continuation of existing trends toward growing inequality as more and more people fall out of the middle class into less stable, lower-income employment. In either case, we are not prepared.

One of the many things that need attention is our social safety net, especially those parts of it that deliver health care and income support to those in need. This post suggests two major safety net reforms that would mitigate the impact of coming shocks to the labor market.

A scenario

A specific scenario will help focus the discussion — one based on a job category that is likely to grow in the coming years even as many routine and repetitive jobs disappear. That category comprises home health aides, personal care aides, and other occupations that can be loosely referred to as “eldercare.” These jobs are resistant to automation because they are neither repetitive nor routine. Moreover, they are jobs where people value the human touch.

Can Health Insurance Be Both Universal and Voluntary?

A tracking poll from the Kaiser Family Foundation finds that 56 percent of Americans favor a fully government-run Medicare for All insurance plan, but that an even larger 68 percent favor a mixed public-private approach with a public option. The most common reason given by those who support a public option but oppose Medicare for All is a desire for choice. They do not oppose the idea of public health insurance, but they do not want to be forced onto it.

Given those public attitudes, it is not surprising that many Democratic presidential aspirants have shied away from Medicare for All in favor of plans based on a public option. Pete Buttigieg emphasizes the element of choice in the very name of his plan, which he calls Medicare for All Who Want It. Other candidates backing one or another form of public option include Joe Biden, Amy Klobuchar, and Michael Bloomberg.

There is a dilemma at the heart of the public option approach, however. Is it possible to offer choice in health care coverage and still achieve universal coverage, another cherished goal of reformers? Or does the attempt to achieve universality inevitably require making enrollment compulsory?

In my view, it should be possible to preserve meaningful choice in health care while ensuring universal access to coverage. But doing so will require attention to some details of program design that the candidates’ plans have not fully addressed.

The issue

Although the universal-vs.-voluntary dilemma is inherent in all public option plans, the version advanced by the Buttigieg campaign has drawn the most attention to the issue. At least part of the reason is that the Buttigieg plan comes closest to addressing the dilemma directly. Writers for The Washington Post, The New Republic, the Wall Street Journal, and Slate have all argued that his public option is designed in such a way that it would inevitably become compulsory.

The central question in all of this is how to ensure that the risk pool covered by the public option includes an adequate number of healthy subscribers along with those who are ill. If people can easily buy into coverage only after they become sick and drop out at will when they recover, the average cost of claims made by those left in the pool rises and premiums become unaffordable. The result is the notorious “death spiral,” known to economists as adverse selection.