Most systems of health care financing in EU member states currently include elements of income redistribution. The paper analyzes the effects of shifting this kind of redistribution to the tax system and argues that this reform could create two types of efficiency gains. On the expenditure side, it would facilitate the adoption of more incentive-compatible insurance contracts, for example throu...

We study whether and how peer referrals increase screening, testing, identification of patients with tuberculosis, an infectious disease responsible for over one million deaths annually. In experiment 3,176 at 122 tuberculosis treatment centers in India, we find that small financial incentives raise the probability existing refer prospective screening resulting cost-effective new cases. Incenti...

Efforts to raise US health-care productivity have proceeded slowly, potentially due the fragmentation of payment across insurers. Each insurer’s efforts improve care could influence how doctors practice for other insurers, leading unvalued externalities. We study a randomized letter intervention by Medicare curtail overuse antipsychotics. The letters did not mention private insurance but reduce...

We model optimal e-cigarette regulation and estimate key parameters. Using tax changes scanner data, we relatively elastic demand. A demographic shift-share identification strategy suggests limited substitution between e-cigarettes cigarettes. field a new survey of public health experts who report that vaping is more harmful than previously believed. In our model’s average Monte Carlo simulatio...

We consider lifetime health insurance contracts in which ageing provisions are used to smooth the premium profile. The capital stock accumulated for each individual can be decomposed into two parts: a premium insurance and an annuitised life insurance, only the latter being transferable between insurers without triggering premium changes through risk segmentation. In a simulation based on Germa...

In many health care systems primary care physicians act as ‘gatekeepers’ to secondary care. We investigates the impact of the UK fundholding scheme under which general practices could elect to hold a budget to meet the costs of elective surgery for their patients. We use a differences in differences methodology on a large four year panel of English general practices before and after the aboliti...

We investigate the relationship between participation in physical activity and self reported happiness in the United States. IV estimates based on data from the Behavioral Risk Factor Surveillance System between 2005 and 2009 and County Business Patterns indicate that individuals living in a county with greater access to sports facilities are more likely to participate in physical activity and ...

Underground coal mining is a dangerous industry where the regulatory state may impose tradeoffs between productivity and safety. We recover the marginal tradeoffs using disasters near a mine as shocks that increase future accident costs. We find that in the second year after a disaster, productivity decreases 11% and accident rates decrease 18-80% for mines in the same state, with some evidence...

The highly controversial e-cigarette industry has generated considerable policy debate and mixed regulatory responses worldwide. Surprisingly, an issue that has been largely ignored is the categorisation of e-cigarettes as substitutes or (dynamic) complements for conventional smoking. We conduct an online survey of US participants finding that 37% of e-cigarette users view them primarily as com...

Combining administrative data from the US Army, Department of Veterans Affairs, and Social Security Administration, we analyze the effect of the VA’s Disability Compensation (DC) program on veterans’ labor force participation and earnings. We study the 2001 Agent Orange decision, a unique policy change that expanded DC eligibility for Vietnam veterans who served in theater but did not expand el...