Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs

Alan Garber and Jonathan Skinner (2008) famously conjectured that the US health care system was "uniquely inefficient" relative to other countries. We test this idea using cross-country data on prescription drug sales newly linked with an arguably objective measure of relative therapeutic...

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Bibliographic Details
Main Authors: Kyle, Margaret, Williams, Heidi L
Other Authors: Massachusetts Institute of Technology. Department of Economics
Format: Article
Published: American Economic Association 2018
Online Access:http://hdl.handle.net/1721.1/114277
https://orcid.org/0000-0003-4364-1505
Description
Summary:Alan Garber and Jonathan Skinner (2008) famously conjectured that the US health care system was "uniquely inefficient" relative to other countries. We test this idea using cross-country data on prescription drug sales newly linked with an arguably objective measure of relative therapeutic benefits, or drug quality. Specifically, we investigate how higher and lower quality drugs diffuse in the US relative to Australia, Canada, Switzerland, and the UK. Our tabulations suggest that lower quality drugs diffuse more in the US relative to high quality drugs compared to each of our four comparison countries--consistent with Garber and Skinner's conjecture.