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Working Paper
The impact of managed care on the gender earnings gap among physicians
Important differences in labor market characteristics suggest that men and women physicians may be viewed as imperfect substitutes in the labor market. Concerns about efficiency and cost-cutting, which have led to the adoption of managed care practices, may have (unintentionally) favored female physicians. Using data from the Young Physicians Survey, the author compares changes in the gender earnings gap for physicians in states with high versus low managed care growth during the 1980s. She finds that the gender gap in hourly earnings among physicians in states with high managed care growth ...
Journal Article
The regional impact of health care reform - with a focus on New England
The United States has begun the huge task of reforming its health care system and many individuals have already begun to consider the likely impact of health care reform on their state's economy. Given the momentum of change in the private sector and at the state level, the U.S. health care system will never be the same again, with or without federal legislation. Because New England is the U.S. region most dependent on employment in health care services, concerns about the impact of health care reform are particularly acute in this area. ; Accordingly, this article presents a preliminary ...
Journal Article
Diagnosis: shortage
Journal Article
The other pharm crisis
The pharmacy industry faces a multitude of challenges, and rural areas confront the possibility of losing pharmacy services.
Working Paper
Intra-household allocation and the mental health of children: structural estimation analysis
This paper estimates the structural parameters of a dynamic model where parents with one child periodically decide whether or not their child uses various mental health services. In this model, mental health services improve a child's mental health (which parents care about), however, mental health services may be costly to the parents both in terms of utility and household consumption. Using a panel data set collected as part of the Fort Bragg Mental Health Demonstration, we estimate the model with a maximum likelihood procedure that accounts for unobservable differences in mental health ...
Working Paper
Social networks and vaccination decisions
We combine information on social networks with medical records and survey data in order to examine how friends affect one's decision to get vaccinated against the flu. The random assignment of undergraduates to residential halls at a large private university allows us to estimate how peer effects influence health beliefs and vaccination choices. Our results indicate that social exposure to medical information raises people's perceptions of the benefits of immunization. The average student's belief about the vaccine's health value increases by $5.00 when an additional 10 percent of her friends ...
Journal Article
The economic return to health expenditures
Journal Article
Biotech bonanza: prospects for Texas
Journal Article
Long-term health care: is social insurance desirable?
A look at why the private insurance market has failed to cover long-term care risks adequately, and an evaluation of several proposals for funding such care through social insurance.