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Averting adverse selection: The Government of India's scheme to distribute affordable medicines

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  • Srivatsa Srinivas, S.
  • Marathe, Rahul R.

Abstract

An analysis of Pradhan Mantri Bhartiya Janaushadhi Parijoyana, a Government of India scheme which aims to provide quality generic medicines at affordable prices, is performed using a stylized model. There is distrust on the quality of generic medicines provided by the government and the government is taking enough measures to counter this perception. However, this distrust ensures that adverse selection is avoided wherein the poor patients become the scheme's beneficiaries and the wealthy patients don't intend to get generic medicines from this scheme. Hence, it is rational for the government to expend limited effort in creating awareness on the high quality of generic medicines so as to screen the wealthy patients from the poor patients. However, the government should exert maximum effort possible in ensuring the availability of generic medicines so that the search cost is minimized. It is surprisingly found that the government's effort required to screen the wealthy patients from the poor patients decreases with the availability of generic medicines.

Suggested Citation

  • Srivatsa Srinivas, S. & Marathe, Rahul R., 2021. "Averting adverse selection: The Government of India's scheme to distribute affordable medicines," Socio-Economic Planning Sciences, Elsevier, vol. 78(C).
    • Handle: RePEc:eee:soceps:v:78:y:2021:i:c:s0038012121000276
    DOI: 10.1016/j.seps.2021.101035
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    1. Timothy M. Smeeding, 2005. "Public Policy, Economic Inequality, and Poverty: The United States in Comparative Perspective," Social Science Quarterly, Southwestern Social Science Association, vol. 86(s1), pages 955-983, December.
    2. Melrose, Dianna, 1983. "Double deprivation: Public and private drug distribution from the perspective of the third world poor," World Development, Elsevier, vol. 11(3), pages 181-186, March.
    3. Ahmed, Syed Masud & Petzold, Max & Kabir, Zarina Nahar & Tomson, Göran, 2006. "Targeted intervention for the ultra poor in rural Bangladesh: Does it make any difference in their health-seeking behaviour?," Social Science & Medicine, Elsevier, vol. 63(11), pages 2899-2911, December.
    4. Gauri Billa & Karan Thakkar & Sarita Jaiswar & Dinesh Dhodi, 2014. "A Cross-Sectional Study to Evaluate the Awareness and Attitudes of Physicians Towards Reducing the Cost of Prescription Drugs, Mumbai," Applied Health Economics and Health Policy, Springer, vol. 12(2), pages 125-137, April.
    5. Ya-Chen Tina Shih & Shu Han & Scott B. Cantor, 2005. "Impact of Generic Drug Entry on Cost-Effectiveness Analysis," Medical Decision Making, , vol. 25(1), pages 71-80, January.
    6. Weiler, William C., 1985. "Estimation of the effects of adverse selection and moral hazard on income-contingent loan plans for professional and graduate students," Socio-Economic Planning Sciences, Elsevier, vol. 19(5), pages 313-320.
    7. Roger D. Feldman & Bryan E. Dowd, 1982. "Simulation of a Health Insurance Market with Adverse Selection," Operations Research, INFORMS, vol. 30(6), pages 1027-1042, December.
    8. Kaur, Manmeet & Jaswal, Nidhi & Saddi, Anil Kumar, 2017. "Evaluation of a women group led health communication program in Haryana, India," Evaluation and Program Planning, Elsevier, vol. 65(C), pages 12-19.
    9. Meleddu, Marta & Pulina, Manuela & Scuderi, Raffaele, 2020. "Public and private healthcare services: What drives the choice?," Socio-Economic Planning Sciences, Elsevier, vol. 70(C).
    10. Charity Gomo, 2019. "Government transfers, income inequality and poverty in South Africa," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 46(12), pages 1349-1368, November.
    11. Chernew, Michael E. & Frick, Kevin D., 1999. "The impact of managed care on the existence of equilibrium in health insurance markets," Journal of Health Economics, Elsevier, vol. 18(5), pages 571-590, October.
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    More about this item

    Keywords

    Health policy; Adverse selection; India;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • M38 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Marketing and Advertising - - - Government Policy and Regulation

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