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Defensive Medicine: Evidence from Military Immunity

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sword-2019-10-23T12:25:30.original.xml (130 B)
Original SWORD entry document
Author(s)
Frakes, Michael
•
Gruber, Jonathan
Date Issued
2019
Journal
AEJ: Economic Policy
Publisher
American Economic Association
Version
Final published version
Abstract
© 2019 American Economic Association. We estimate the extent of defensive medicine by physicians, embracing the no- liability counterfactual made possible by the structure of liability rules in the Military Health System. Active- duty patients seeking treatment from military facilities cannot sue for harms resulting from negligent care, while protections are provided to dependents treated at military facilities and to all patients-active duty or not-that receive care from civilian facilities. Drawing on this variation and exploiting exogenous shocks to care location choices stemming from base- hospital closures, we find suggestive evidence that liability immunity reduces inpatient spending by 5 percent with no measurable negative effect on patient outcomes.
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Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use.
Persistent DSpace Link
https://hdl.handle.net/1721.1/136408
DOI of Published Version
10.1257/pol.20180167
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