Most organ transplants are from dead donors. National transplant organizations exhibit considerable differences in terms of their donor population rates. Spain’s organization is by far the most efficient in this respect. We argue that much of the productivity advantage of Spain’s transplant...

Improving accountability in public services has been a central objective of many public sector reforms in recent years. Chief among these have been efforts to generate observable performance measures as a basis for monitoring performance. This paper examines a natural experiment in regimes...

In The Great Lead Water Pipe Disaster, Werner Troesken looks at a long-running environmental and public health catastrophe: 150 years of lead pipes in local water systems and the associated sickness, premature death, political inaction, and social denial. The harmful effects of lead water pipes...

Something about being poor makes people fat. Though there are many possible explanations for the income-body weight gradient, we investigate a promising butlittle-studied hypothesis: that economic insecurity acts as an independent cause of weight gain. We use data on working age men from the...

We analyze whether a consumer driven health care plan like the newly established Health Savings Accounts (HSAs) can reduce health care expenditures in the United States and increase the fraction of the population with health insurance. Unlike previous literature, our analysis relies on a dynamic...

This paper analyzes tobacco demand within a discrete choice framework. Using binomial and multinomial logit models with random effects, and an unbalanced panel data set of Norwegian households over a twenty year period, we first consider the decisions a) whether to smoke or not, and b) given the...

Most Americans are now in some form of managed care plan that restricts access to services in order to reduce costs. It is difficult to determine whether these restrictions affect health because individuals and firms self-select into managed care. We investigate the effect of managed care using...

Of the ten million uninsured children in 1996, nearly half were eligible for public health insurance (Medicaid) but not enrolled. In response, policy efforts to reduce the uninsured have shifted from expanding Medicaid eligibility to increasing take-up among those eligible. However, little is...

Colombia adopted a health care system with regulated competition in the interaction of several markets: insurance, medical services, hospitalization and drugs. In this regulatory scheme, a collegiate body and two central dependencies of the executive branch intervene. Overall, the regulation...

Sickness benefit income reduces an employee's opportunity costs of absence from work. In the Federal Republic of Germany the institutional arrangement was changed several times in the 1951–1998 period. The paper investigates the effects on absence behavior. According to the empirical...