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Defensive Medicine: Evidence from Military Immunity
Name
pol.20180167.pdf
Description
Published version
Size
639.02 KB
Format
Adobe PDF
Checksum (MD5)
be4ef9462ec763c8c5c8706cbf0047c8
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.
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DOI of Published Version
10.1257/pol.20180167