Defensive Medicine: Evidence from Military Immunity

© 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 fo...

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Bibliographic Details
Main Authors: Frakes, Michael, Gruber, Jonathan
Other Authors: Massachusetts Institute of Technology. Department of Economics
Format: Article
Language:English
Published: American Economic Association 2022
Online Access:https://hdl.handle.net/1721.1/136408.2
Description
Summary:© 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.