The Surprising Relevance of Medical Malpractice Law
In: University of Chicago Law Review, Forthcoming
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In: University of Chicago Law Review, Forthcoming
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In: American economic review, Band 103, Heft 1, S. 257-276
ISSN: 1944-7981
I explore the association between regional variations in physician behavior and the geographical scope of malpractice standards of care. I estimate a 30–50 percent reduction in the gap between state and national utilization rates of various treatments and diagnostic procedures following the adoption of a rule requiring physicians to follow national, as opposed to local, standards. These findings suggest that standardization in malpractice law may lead to greater standardization in practices and, more generally, that physicians may indeed adhere to specific liability standards. In connection with the estimated convergence in practices, I observe no associated changes in patient health. (JEL I11, I18, J44, K13)
In: Journal of Empirical Legal Studies, Band 9, Heft 3, S. 457-481
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In: Journal of Empirical Legal Studies, Forthcoming
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In: Delaware Journal of Corporate Law, Band 32, Heft 1, S. 113-158
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In: Duke Law School Public Law & Legal Theory Series No. 2020-56
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Working paper
We estimate the extent of defensive medicine by physicians during labor and delivery, drawing on a novel and significant source of variation in liability pressure. In particular, we embrace the no-liability counterfactual made possible by the structure of liability rules in the Military Heath 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—who receive care from civilian facilities. Drawing on this variation and addressing endogeneity in the choice of treatment location by estimating mother fixed effects specifications and by exploiting exogenous shocks to care location choices stemming from base-hospital closures, we find suggestive evidence that liability immunity increases cesarean utilization and treatment intensity during childbirth, with no measurable negative effect on patient outcomes.
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In: Journal of Empirical Legal Studies, Band 17, Heft 1, S. 4-37
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In: NBER Working Paper No. w24846
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Working paper
In: NBER Working Paper No. w11483
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In: NBER Working Paper No. w32066
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In: NBER Working Paper No. w27579
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Working paper
In: Vanderbilt Law Review, Band 72, Heft 2019
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In: Selection and Decision In The Judicial Process Around The World: Empirical Inquiries (Yun-chien Chang ed., Cambridge University Press 2018 Forthcoming)
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In: NBER Working Paper No. w24159
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