IDEAS home Printed from https://ideas.repec.org/a/kap/pubcho/v195y2023i1d10.1007_s11127-021-00900-2.html
   My bibliography  Save this article

Public choice and public health

Author

Listed:
  • Peter T. Leeson

    (George Mason University)

  • Henry A. Thompson

    (George Mason University)

Abstract

Public choice scholars have attended only modestly to issues in public health. We expect that to change rapidly given the Covid-19 pandemic. The time therefore is ripe for taking stock of public-choice relevant scholarship that addresses issues in public health. That is what we do. Our stock-taking highlights three themes: (1) Public health regulations often are driven by private interests, not public ones. (2) The allocation of public health resources often reflects private interests, not public ones. (3) Public health policies may have perverse effects, undermining instead of promoting health-consumer welfare.

Suggested Citation

  • Peter T. Leeson & Henry A. Thompson, 2023. "Public choice and public health," Public Choice, Springer, vol. 195(1), pages 5-41, April.
  • Handle: RePEc:kap:pubcho:v:195:y:2023:i:1:d:10.1007_s11127-021-00900-2
    DOI: 10.1007/s11127-021-00900-2
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11127-021-00900-2
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.

    File URL: https://libkey.io/10.1007/s11127-021-00900-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Schneider, Lynne & Klein, Benjamin & Murphy, Kevin M, 1981. "Governmental Regulation of Cigarette Health Information," Journal of Law and Economics, University of Chicago Press, vol. 24(3), pages 575-612, December.
    2. A. Frank Adams & Robert B. Ekelund & John D. Jackson, 2003. "Occupational Licensing of a Credence Good: The Regulation of Midwifery," Southern Economic Journal, John Wiley & Sons, vol. 69(3), pages 659-675, January.
    3. William F. Shughart II & Josh T. Smith, 2020. "The broken bridge of public finance: majority rule, earmarked taxes and social engineering," Public Choice, Springer, vol. 183(3), pages 315-338, June.
    4. Boyes, William J & Marlow, Michael L, 1996. "The Public Demand for Smoking Bans," Public Choice, Springer, vol. 88(1-2), pages 57-67, July.
    5. Temin, Peter, 1979. "The Origin of Compulsory Drug Prescriptions," Journal of Law and Economics, University of Chicago Press, vol. 22(1), pages 91-105, April.
    6. Benham, Lee, 1972. "The Effect of Advertising on the Price of Eyeglasses," Journal of Law and Economics, University of Chicago Press, vol. 15(2), pages 337-352, October.
    7. J. Mark Ramseyer, 2009. "The Effect of Cost Suppression under Universal Health Insurance on the Allocation of Talent and the Development of Expertise: Cosmetic Surgery in Japan," Journal of Law and Economics, University of Chicago Press, vol. 52(3), pages 497-522, August.
    8. Carol Propper & John Van Reenen, 2010. "Can Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets on Hospital Performance," Journal of Political Economy, University of Chicago Press, vol. 118(2), pages 222-273, April.
    9. Taylor P. Stevenson & William F. Shughart II, 2006. "Smoke and Mirrors," Public Finance Review, , vol. 34(6), pages 712-730, November.
    10. Shogren, Jason F, 1990. "The Optimal Subsidization of Baptists by Bootleggers," Public Choice, Springer, vol. 67(2), pages 181-189, November.
    11. Clark, Derek J, 1997. "Pressure and the Division of a Public Budget," Public Choice, Springer, vol. 93(1-2), pages 179-195, October.
    12. Jonathan Klick & Thomas Stratmann, 2007. "Diabetes Treatments and Moral Hazard," Journal of Law and Economics, University of Chicago Press, vol. 50(3), pages 519-538.
    13. Deepak Hegde, 2009. "Political Influence behind the Veil of Peer Review: An Analysis of Public Biomedical Research Funding in the United States," Journal of Law and Economics, University of Chicago Press, vol. 52(4), pages 665-690, November.
    14. March, Raymond J., 2017. "Skin in the game: comparing the private and public regulation of isotretinoin," Journal of Institutional Economics, Cambridge University Press, vol. 13(3), pages 649-672, September.
    15. Morris M. Kleiner & Allison Marier & Kyoung Won Park & Coady Wing, 2016. "Relaxing Occupational Licensing Requirements: Analyzing Wages and Prices for a Medical Service," Journal of Law and Economics, University of Chicago Press, vol. 59(2), pages 261-291.
    16. High, Jack & Coppin, Clayton A., 1988. "Wiley and the Whiskey Industry: Strategic Behavior in the Passage of the Pure Food Act," Business History Review, Cambridge University Press, vol. 62(2), pages 286-309, July.
    17. Stanziani, Alessandro, 2007. "Negotiating Innovation in a Market Economy: Foodstuffs and Beverages Adulteration in Nineteenth-Century France," Enterprise & Society, Cambridge University Press, vol. 8(2), pages 375-412, June.
    18. Diana W. Thomas & Peter T. Leeson, 2012. "The brewer, the baker, and the monopoly maker," Journal of Entrepreneurship and Public Policy, Emerald Group Publishing Limited, vol. 1(1), pages 84-95, April.
    19. Catherine Schaumans & Frank Verboven, 2008. "Entry and regulation: evidence from health care professions," RAND Journal of Economics, RAND Corporation, vol. 39(4), pages 949-972, December.
    20. Dupré, Ruth, 1999. "“If It's Yellow, It Must Be Butter†: Margarine Regulation in North America Since 1886," The Journal of Economic History, Cambridge University Press, vol. 59(2), pages 353-371, June.
    21. John J. Perry, 2009. "The Rise And Impact Of Nurse Practitioners And Physician Assistants On Their Own And Cross‐Occupation Incomes," Contemporary Economic Policy, Western Economic Association International, vol. 27(4), pages 491-511, October.
    22. Svorny, Shirley & Toma, Eugenia Froedge, 1998. "Entry Barriers and Medical Board Funding Autonomy," Public Choice, Springer, vol. 97(1-2), pages 93-106, October.
    23. Peter T. Leeson & M. Scott King & Tate J. Fegley, 2020. "Regulating quack medicine," Public Choice, Springer, vol. 182(3), pages 273-286, March.
    24. Haas-Wilson, Deborah, 1986. "The Effect of Commercial Practice Restrictions: The Case of Optometry," Journal of Law and Economics, University of Chicago Press, vol. 29(1), pages 165-186, April.
    25. Benham, Lee & Benham, Alexandra, 1975. "Regulating Through the Professions: A Perspective on Information Control," Journal of Law and Economics, University of Chicago Press, vol. 18(2), pages 421-447, October.
    26. Eline Poelmans & John A. Dove & Jason E. Taylor, 2018. "The politics of beer: analysis of the congressional votes on the beer bill of 1933," Public Choice, Springer, vol. 174(1), pages 81-106, January.
    27. Alberto Batinti, 2016. "NIH biomedical funding: evidence of executive dominance in swing-voter states during presidential elections," Public Choice, Springer, vol. 168(3), pages 239-263, September.
    28. Broscheid, Andreas & Teske, Paul E, 2003. "Public Members on Medical Licensing Boards and the Choice of Entry Barriers," Public Choice, Springer, vol. 114(3-4), pages 445-459, March.
    29. Diana W. Thomas & Peter T. Leeson, 2012. "The brewer, the baker, and the monopoly maker," Journal of Entrepreneurship and Public Policy, Emerald Group Publishing Limited, vol. 1(1), pages 84-95, April.
    30. Shepard, Lawrence, 1978. "Licensing Restrictions and the Cost of Dental Care," Journal of Law and Economics, University of Chicago Press, vol. 21(1), pages 187-201, April.
    31. Troesken, Werner, 1999. "Typhoid Rates and the Public Acquisition of Private Waterwork, 1880–1920," The Journal of Economic History, Cambridge University Press, vol. 59(4), pages 927-948, December.
    32. Libecap, Gary D, 1992. "The Rise of the Chicago Packers and the Origins of Meat Inspection and Antitrust," Economic Inquiry, Western Economic Association International, vol. 30(2), pages 242-262, April.
    33. Tullock, Gordon, 1995. "The Cost of Medical Progress," American Economic Review, American Economic Association, vol. 85(2), pages 77-80, May.
    34. Milton Friedman & Simon Kuznets, 1945. "Income from Independent Professional Practice," NBER Books, National Bureau of Economic Research, Inc, number frie54-1, March.
    35. Peltzman, Sam, 1987. "The Health Effects of Mandatory Prescriptions," Journal of Law and Economics, University of Chicago Press, vol. 30(2), pages 207-238, October.
    36. Leffler, Keith B, 1978. "Physician Licensure: Competition and Monopoly in American Medicine," Journal of Law and Economics, University of Chicago Press, vol. 21(1), pages 165-186, April.
    37. Matt E. Ryan, 2014. "Allocating Infection: The Political Economy Of The Swine Flu (H1n1) Vaccine," Economic Inquiry, Western Economic Association International, vol. 52(1), pages 138-154, January.
    38. Antoon Spithoven, 2016. "The Influence of Vested Interests on Healthcare Legislation in the USA, 2009–2010," Journal of Economic Issues, Taylor & Francis Journals, vol. 50(2), pages 630-638, April.
    39. Costa-Font,Joan & Turati,Gilberto & Batinti,Alberto, 2020. "The Political Economy of Health and Healthcare," Cambridge Books, Cambridge University Press, number 9781108474979, January.
    40. Munger, Michael & Schaller, Thomas, 1997. "The Prohibition-Repeal Amendments: A Natural Experiment in Interest Group Influence," Public Choice, Springer, vol. 90(1-4), pages 139-163, March.
    41. Kleiner, Morris M & Kudrle, Robert T, 2000. "Does Regulation Affect Economic Outcomes? The Case of Dentistry," Journal of Law and Economics, University of Chicago Press, vol. 43(2), pages 547-582, October.
    42. Deepak Hegde & Bhaven Sampat, 2015. "Can Private Money Buy Public Science? Disease Group Lobbying and Federal Funding for Biomedical Research," Management Science, INFORMS, vol. 61(10), pages 2281-2298, October.
    43. Peltzman, Sam, 1973. "An Evaluation of Consumer Protection Legislation: The 1962 Drug Amendments," Journal of Political Economy, University of Chicago Press, vol. 81(5), pages 1049-1091, Sept.-Oct.
    44. Svorny, Shirley V, 1987. "Physician Licensure: A New Approach to Examining the Role of Professional Interests," Economic Inquiry, Western Economic Association International, vol. 25(3), pages 497-509, July.
    45. Maurizi, Alex, 1974. "Occupational Licensing and the Public Interest," Journal of Political Economy, University of Chicago Press, vol. 82(2), pages 399-413, Part I, M.
    46. Weingast, Barry R & Moran, Mark J, 1983. "Bureaucratic Discretion or Congressional Control? Regulatory Policymaking by the Federal Trade Commission," Journal of Political Economy, University of Chicago Press, vol. 91(5), pages 765-800, October.
    47. Ohsfeldt, Robert L & Gohmann, Stephan F, 1992. "The Economics of AIDS-Related Health Insurance Regulations: Interest Group Influence and Ideology," Public Choice, Springer, vol. 74(1), pages 105-126, July.
    48. Urban, Raymond & Mancke, Richard B, 1972. "Federal Regulation of Whiskey Labelling: From the Repeal of Prohibition to the Present," Journal of Law and Economics, University of Chicago Press, vol. 15(2), pages 411-426, October.
    49. Wood, Donna J., 1985. "The Strategic Use of Public Policy: Business Support for the 1906 Food and Drug Act," Business History Review, Cambridge University Press, vol. 59(3), pages 403-432, October.
    50. Brenton Peterson & Sonal Pandya & David Leblang, 2014. "Doctors with borders: occupational licensing as an implicit barrier to high skill migration," Public Choice, Springer, vol. 160(1), pages 45-63, July.
    51. A. Frank Adams III & Robert B. Ekelund Jr. & John D. Jackson, 2003. "Occupational Licensing of a Credence Good: The Regulation of Midwifery," Southern Economic Journal, John Wiley & Sons, vol. 69(3), pages 659-675, January.
    52. Barrilleaux, Charles J. & Miller, Mark E., 1988. "The Political Economy of State Medicaid Policy," American Political Science Review, Cambridge University Press, vol. 82(4), pages 1089-1107, December.
    53. Tollison, Robert D & Wagner, Richard E, 1991. "Self-Interest, Public Interest, and Public Health," Public Choice, Springer, vol. 69(3), pages 323-343, March.
    54. Gary M. Anderson, 1990. "Parasites, Profits, and Politicians: Public Health and Public Choice," Cato Journal, Cato Journal, Cato Institute, vol. 9(3), pages 557-578, Winter.
    55. Adam J. Hoffer & Adam Pellillo, 2012. "The political economy of tobacco control spending," Applied Economics Letters, Taylor & Francis Journals, vol. 19(18), pages 1793-1797, December.
    56. Aloys Prinz, 2009. "The political economy of smoking regulation and taxation," Public Choice, Springer, vol. 141(3), pages 291-303, December.
    57. Smith, Janet Kiholm, 1982. "An Analysis of State Regulations Governing Liquor Store Licensees," Journal of Law and Economics, University of Chicago Press, vol. 25(2), pages 301-319, October.
    58. Benjamin J. McMichael, 2017. "The Demand for Healthcare Regulation: The Effect of Political Spending on Occupational Licensing Laws," Southern Economic Journal, John Wiley & Sons, vol. 84(1), pages 297-316, July.
    59. Russell S. Sobel, 2014. "The elephant in the room: why some states are refusing to expand Medicaid," Applied Economics Letters, Taylor & Francis Journals, vol. 21(17), pages 1226-1229, November.
    60. Paul J. Gertler & Manisha Shah, 2011. "Sex Work and Infection: What's Law Enforcement Got to Do with It?," Journal of Law and Economics, University of Chicago Press, vol. 54(4), pages 811-840.
    61. Robert Rosenman, 2011. "The public finance of healthy behavior," Public Choice, Springer, vol. 147(1), pages 173-188, April.
    62. March, Raymond J. & Geloso, Vincent, 2020. "Gordon Tullock meets Phineas Gage: The political economy of lobotomies in the United States," Research Policy, Elsevier, vol. 49(1).
    63. Gary S. Becker, 1983. "A Theory of Competition Among Pressure Groups for Political Influence," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 98(3), pages 371-400.
    64. Ward, Michael R & Dranove, David, 1995. "The Vertical Chain of Research and Development in the Pharmaceutical Industry," Economic Inquiry, Western Economic Association International, vol. 33(1), pages 70-87, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Vincent Miozzi & Benjamin Powell, 2023. "The pre-pandemic political economy determinants of lockdown severity," Public Choice, Springer, vol. 197(1), pages 167-183, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Pagliero, Mario, 2013. "The impact of potential labor supply on licensing exam difficulty," Labour Economics, Elsevier, vol. 25(C), pages 141-152.
    2. Peter T. Leeson & M. Scott King & Tate J. Fegley, 2020. "Regulating quack medicine," Public Choice, Springer, vol. 182(3), pages 273-286, March.
    3. Law, Marc T. & Kim, Sukkoo, 2005. "Specialization and Regulation: The Rise of Professionals and the Emergence of Occupational Licensing Regulation," The Journal of Economic History, Cambridge University Press, vol. 65(3), pages 723-756, September.
    4. Mario Pagliero, 2007. "The Impact of Potential Labor Supply on Licensing Exam Difficulty in the US Market for Lawyers," CHILD Working Papers wp19_08, CHILD - Centre for Household, Income, Labour and Demographic economics - ITALY.
    5. Till Bärnighausen & David E. Bloom, 2009. "Changing Research Perspectives on the Global Health Workforce," NBER Working Papers 15168, National Bureau of Economic Research, Inc.
    6. Xia, Xing, 2021. "Barrier to Entry or Signal of Quality? The Effects of Occupational Licensing on Minority Dental Assistants," Labour Economics, Elsevier, vol. 71(C).
    7. Kanazawa, Mark Tooru, 2023. "The Efficiency of Occupational Licensing during the Gilded and Progressive Eras: Evidence from Judicial Review," The Journal of Economic History, Cambridge University Press, vol. 83(4), pages 1221-1252, December.
    8. Gaetano Basso & Eleonora Brandimarti & Michele Pellizzari & Giovanni Pica, 2021. "Quality and Selection in Regulated Professions," Development Working Papers 467, Centro Studi Luca d'Agliano, University of Milano.
    9. Benjamin J. McMichael, 2017. "The Demand for Healthcare Regulation: The Effect of Political Spending on Occupational Licensing Laws," Southern Economic Journal, John Wiley & Sons, vol. 84(1), pages 297-316, July.
    10. David Barker, 2008. "Ethics and Lobbying: The Case of Real Estate Brokerage," Journal of Business Ethics, Springer, vol. 80(1), pages 23-35, June.
    11. Dustin Chambers & Colin O’Reilly, 2022. "The economic theory of regulation and inequality," Public Choice, Springer, vol. 193(1), pages 63-78, October.
    12. Ilya Kukaev & Edward J. Timmons, 2023. "Certifiably employable?: The effects of occupational regulation on unemployment duration," Working Papers 23-02, Department of Economics, West Virginia University.
    13. Mario Pagliero, 2010. "Licensing Exam Difficulty and Entry Salaries in the US Market for Lawyers," British Journal of Industrial Relations, London School of Economics, vol. 48(4), pages 726-739, December.
    14. John M. Barrios, 2022. "Occupational Licensing and Accountant Quality: Evidence from the 150‐Hour Rule," Journal of Accounting Research, Wiley Blackwell, vol. 60(1), pages 3-43, March.
    15. Daniel J. Smith & Macy Scheck, 2023. "Examining the public interest rationale for regulating whiskey with the pure food and drugs act," Public Choice, Springer, vol. 196(1), pages 85-122, July.
    16. Stange, Kevin, 2014. "How does provider supply and regulation influence health care markets? Evidence from nurse practitioners and physician assistants," Journal of Health Economics, Elsevier, vol. 33(C), pages 1-27.
    17. Mario Pagliero, 2019. "Occupational Licensing in the EU: Protecting Consumers or Limiting Competition?," Review of Industrial Organization, Springer;The Industrial Organization Society, vol. 55(1), pages 137-153, August.
    18. Gilbert Becker, 1986. "The public interest hypothesis revisited: A new test of Peltzman's theory of regulation," Public Choice, Springer, vol. 49(3), pages 223-234, January.
    19. Michele Pellizzari & Giovanni Pica, 2010. "Liberalizing Professional Services: Evidence from Italian Lawyers," Working Papers 372, IGIER (Innocenzo Gasparini Institute for Economic Research), Bocconi University.
    20. Brenton Peterson & Sonal Pandya & David Leblang, 2014. "Doctors with borders: occupational licensing as an implicit barrier to high skill migration," Public Choice, Springer, vol. 160(1), pages 45-63, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:kap:pubcho:v:195:y:2023:i:1:d:10.1007_s11127-021-00900-2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.