Nber Working Paper Series the Welfare Effects of Medical Malpractice Liability

نویسندگان

  • Darius N. Lakdawalla
  • Seth A. Seabury
  • Jay Bhattacharya
  • John Cawley
  • Amitabh Chandra
  • Mike Conlin
  • Susan Gates
  • Jonah Gelbach
  • Dana Goldman
  • Steven Haider
  • Eric Helland
  • Emmett Keeler
  • Anup Malani
  • Michelle Mello
  • Mark Showalter
چکیده

Policymakers and the public are concerned about the role of medical malpractice liability in the rising cost of medical care. We use variation in the generosity of local juries to identify the causal impact of malpractice liability on medical costs, mortality, and social welfare. The effect of malpractice on medical costs is large relative to its share of medical expenditures, but relatively modest in absolute terms—growth in malpractice payments over the last decade and a half contributed at most 5.0% to the total real growth in medical expenditures, which topped 33% over this period. On the other side of the ledger, malpractice liability leads to modest reductions in patient mortality; the value of these more than likely exceeds the cost impacts of malpractice liability. Therefore, policies that reduce expected malpractice costs are unlikely to have a major impact on health care spending for the average patient, and are also unlikely to be cost-effective over conventionally accepted ranges for the value of a statistical life. Darius N. Lakdawalla Schaeffer Center for Health Policy and Economics University of Southern California Los Angeles, CA 90089-0626 and NBER [email protected] Seth A. Seabury RAND 1776 Main Street Santa Monica, CA 90407 [email protected]

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تاریخ انتشار 2011