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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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
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author Kyle, Margaret
Williams, Heidi L
author2 Massachusetts Institute of Technology. Department of Economics
author_facet Massachusetts Institute of Technology. Department of Economics
Kyle, Margaret
Williams, Heidi L
author_sort Kyle, Margaret
collection MIT
description 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.
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spelling mit-1721.1/1142772022-09-30T21:15:17Z Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs Kyle, Margaret Williams, Heidi L Massachusetts Institute of Technology. Department of Economics Williams, Heidi L 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. National Institute on Aging National Institutes of Health (U.S.). Office of the Director (grant U01-AG046708) 2018-03-23T19:51:27Z 2018-03-23T19:51:27Z 2017-05 2018-03-01T18:56:38Z Article http://purl.org/eprint/type/JournalArticle 0002-8282 1944-7981 http://hdl.handle.net/1721.1/114277 Kyle, Margaret, and Heidi Williams. “Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs.” American Economic Review 107, no. 5 (May 2017): 486–490. © 2017 American Economic Association https://orcid.org/0000-0003-4364-1505 http://dx.doi.org/10.1257/AER.P20171086 American Economic Review 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. application/pdf American Economic Association American Economic Association
spellingShingle Kyle, Margaret
Williams, Heidi L
Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs
title Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs
title_full Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs
title_fullStr Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs
title_full_unstemmed Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs
title_short Is American Health Care Uniquely Inefficient? Evidence from Prescription Drugs
title_sort is american health care uniquely inefficient evidence from prescription drugs
url http://hdl.handle.net/1721.1/114277
https://orcid.org/0000-0003-4364-1505
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