IDEAS home Printed from https://ideas.repec.org/p/arx/papers/2008.00374.html
   My bibliography  Save this paper

Fair Allocation of Vaccines, Ventilators and Antiviral Treatments: Leaving No Ethical Value Behind in Health Care Rationing

Author

Listed:
  • Parag A. Pathak
  • Tayfun Sonmez
  • M. Utku Unver
  • M. Bumin Yenmez

Abstract

A priority system has traditionally been the protocol of choice for the allocation of scarce life-saving resources during public health emergencies. Covid-19 revealed the limitations of this allocation rule. Many argue that priority systems abandon ethical values such as equity by discriminating against disadvantaged communities. We show that a restrictive feature of the traditional priority system largely drives these limitations. Following minimalist market design, an institution design paradigm that integrates research and policy efforts, we formulate pandemic allocation of scarce life-saving resources as a new application of market design. Interfering only with the restrictive feature of the priority system to address its shortcomings, we formulate a reserve system as an alternative allocation rule. Our theoretical analysis develops a general theory of reserve design. We relate our analysis to debates during Covid-19 and describe the impact of our paper on policy and practice.

Suggested Citation

  • Parag A. Pathak & Tayfun Sonmez & M. Utku Unver & M. Bumin Yenmez, 2020. "Fair Allocation of Vaccines, Ventilators and Antiviral Treatments: Leaving No Ethical Value Behind in Health Care Rationing," Papers 2008.00374, arXiv.org, revised Jul 2023.
    • Handle: RePEc:arx:papers:2008.00374
    as

    Download full text from publisher

    File URL: http://arxiv.org/pdf/2008.00374
    File Function: Latest version
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Tayfun Sönmez & M. Bumin Yenmez, 2019. "Affirmative Action in India via Vertical and Horizontal Reservations," Boston College Working Papers in Economics 977, Boston College Department of Economics.
    2. Aygün, Orhan & Turhan, Bertan, 2020. "Dynamic reserves in matching markets," Journal of Economic Theory, Elsevier, vol. 188(C).
    3. Kominers, Scott Duke & Sönmez, Tayfun, 2016. "Matching with slot-specific priorities: theory," Theoretical Economics, Econometric Society, vol. 11(2), May.
    4. Ehlers, Lars & Hafalir, Isa E. & Yenmez, M. Bumin & Yildirim, Muhammed A., 2014. "School choice with controlled choice constraints: Hard bounds versus soft bounds," Journal of Economic Theory, Elsevier, vol. 153(C), pages 648-683.
    5. Paul Milgrom, 2000. "Putting Auction Theory to Work: The Simultaneous Ascending Auction," Journal of Political Economy, University of Chicago Press, vol. 108(2), pages 245-272, April.
    6. Atila Abdulkadiroglu & Tayfun Sönmez, 2003. "School Choice: A Mechanism Design Approach," American Economic Review, American Economic Association, vol. 93(3), pages 729-747, June.
    7. Atı̇la Abdulkadı̇roğlu & Joshua D. Angrist & Yusuke Narita & Parag Pathak, 2022. "Breaking Ties: Regression Discontinuity Design Meets Market Design," Econometrica, Econometric Society, vol. 90(1), pages 117-151, January.
    8. Benjamin Edelman & Michael Ostrovsky & Michael Schwarz, 2007. "Internet Advertising and the Generalized Second-Price Auction: Selling Billions of Dollars Worth of Keywords," American Economic Review, American Economic Association, vol. 97(1), pages 242-259, March.
    9. Tayfun Sönmez & Tobias B. Switzer, 2013. "Matching With (Branch‐of‐Choice) Contracts at the United States Military Academy," Econometrica, Econometric Society, vol. 81(2), pages 451-488, March.
    10. Schummer, James & Abizada, Azar, 2017. "Incentives in landing slot problems," Journal of Economic Theory, Elsevier, vol. 170(C), pages 29-55.
    11. Doğan, Battal, 2016. "Responsive affirmative action in school choice," Journal of Economic Theory, Elsevier, vol. 165(C), pages 69-105.
    12. Andersson, Tommy, 2017. "Refugee Matching as a Market Design Application," Working Papers 2017:16, Lund University, Department of Economics.
    13. Tayfun Sönmez & M. Utku Ünver, 2010. "Course Bidding At Business Schools," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 51(1), pages 99-123, February.
    14. Parag A. Pathak & Alex Rees-Jones & Tayfun Sönmez, 2020. "Immigration Lottery Design: Engineered and Coincidental Consequences of H-1B Reforms," NBER Working Papers 26767, National Bureau of Economic Research, Inc.
    15. Yuichiro Kamada & Fuhito Kojima, 2015. "Efficient Matching under Distributional Constraints: Theory and Applications," American Economic Review, American Economic Association, vol. 105(1), pages 67-99, January.
    16. Roth, Alvin E, 1984. "The Evolution of the Labor Market for Medical Interns and Residents: A Case Study in Game Theory," Journal of Political Economy, University of Chicago Press, vol. 92(6), pages 991-1016, December.
    17. Tayfun Sönmez & M. Bumin Yenmez, 2019. "Affirmative Action with Overlapping Reserves," Boston College Working Papers in Economics 990, Boston College Department of Economics, revised 15 Jan 2020.
    18. Eduardo M. Azevedo & Jacob D. Leshno, 2016. "A Supply and Demand Framework for Two-Sided Matching Markets," Journal of Political Economy, University of Chicago Press, vol. 124(5), pages 1235-1268.
    19. Orhan Aygün & Bertan Turhan, 2017. "Large-Scale Affirmative Action in School Choice: Admissions to IITs in India," American Economic Review, American Economic Association, vol. 107(5), pages 210-213, May.
    20. Balinski, Michel & Sonmez, Tayfun, 1999. "A Tale of Two Mechanisms: Student Placement," Journal of Economic Theory, Elsevier, vol. 84(1), pages 73-94, January.
    21. Tayfun Sönmez, 2013. "Bidding for Army Career Specialties: Improving the ROTC Branching Mechanism," Journal of Political Economy, University of Chicago Press, vol. 121(1), pages 186-219.
    22. Eric Budish, 2011. "The Combinatorial Assignment Problem: Approximate Competitive Equilibrium from Equal Incomes," Journal of Political Economy, University of Chicago Press, vol. 119(6), pages 1061-1103.
    23. Tayfun Sönmez & M. Bumin Yenmez, 2019. "Constitutional Implementation of Vertical and Horizontal Reservations in India: A Unified Mechanism for Civil Service Allocation and College Admissions," Boston College Working Papers in Economics 978, Boston College Department of Economics.
    24. Umut Mert Dur & Parag A. Pathak & Tayfun Sönmez, 2016. "Explicit vs. Statistical Preferential Treatment in Affirmative Action: Theory and Evidence from Chicago’s Exam Schools," Boston College Working Papers in Economics 906, Boston College Department of Economics.
    25. Dur, Umut & Pathak, Parag A. & Sönmez, Tayfun, 2020. "Explicit vs. statistical targeting in affirmative action: Theory and evidence from Chicago's exam schools," Journal of Economic Theory, Elsevier, vol. 187(C).
    26. Umut Dur & Scott Duke Kominers & Parag A. Pathak & Tayfun Sönmez, 2018. "Reserve Design: Unintended Consequences and the Demise of Boston’s Walk Zones," Journal of Political Economy, University of Chicago Press, vol. 126(6), pages 2457-2479.
    27. Elliott Peranson & Alvin E. Roth, 1999. "The Redesign of the Matching Market for American Physicians: Some Engineering Aspects of Economic Design," American Economic Review, American Economic Association, vol. 89(4), pages 748-780, September.
    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. Parag A. Pathak & Harald Schmidt & Adam Solomon & Edwin Song & Tayfun Sönmez & M. Utku Ünver, 2020. "Do Black and Indigenous Communities Receive their Fair Share of Vaccines Under the 2018 CDC Guidelines?," Boston College Working Papers in Economics 1019, Boston College Department of Economics.
    2. Avataneo, Michelle & Turhan, Bertan, 2021. "Slot-specific priorities with capacity transfers," Games and Economic Behavior, Elsevier, vol. 129(C), pages 536-548.
    3. Liang Guo & Wendy Xu, 2023. "“We Are the World”: When More Equality Improves Efficiency and Antipandemic Consumptions Are Intervened," Marketing Science, INFORMS, vol. 42(2), pages 214-232, March.
    4. Parag Pathak & Govind Persad & Tayfun Sönmez & M Utku Ünver, 2022. "Reserve system design for allocation of scarce medical resources in a pandemic: some perspectives from the field [‘Explicit vs Statistical Targeting in Affirmative Action: Theory and Evidence from ," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 38(4), pages 924-940.
    5. Scott Duke Kominers & Alex Tabarrok, 2022. "Vaccines and the Covid-19 pandemic: lessons from failure and success [‘Many Say They’re Confused About Whether, When to Get Second Booster’]," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 38(4), pages 719-741.
    6. Nikhil Vellodi & Joshua Weiss, 2021. "Optimal Vaccine Policies: Spillovers and Incentives," Working Paper 21-06, Federal Reserve Bank of Richmond.
    7. In'acio B'o & Li Chen, 2021. "Designing Heaven's Will: The job assignment in the Chinese imperial civil service," Papers 2105.02457, arXiv.org, revised Sep 2021.
    8. Babus, Ana & Das, Sanmay & Lee, SangMok, 2020. "The Optimal Allocation of Covid-19 Vaccines," CEPR Discussion Papers 15329, C.E.P.R. Discussion Papers.
    9. Muhammad Maaz, 2020. "Saturating stable matchings," Papers 2011.06046, arXiv.org, revised Mar 2021.
    10. Tayfun Sonmez, 2023. "Minimalist Market Design: A Framework for Economists with Policy Aspirations," Papers 2401.00307, arXiv.org.
    11. Tayfun Sönmez & M. Bumin Yenmez, 2019. "Can Economic Theory be Informative for the Judiciary? Affirmative Action in India via Vertical and Horizontal Reservations," Boston College Working Papers in Economics 1026, Boston College Department of Economics, revised 23 Jun 2021.
    12. Babus, Ana & Das, Sanmay & Lee, SangMok, 2023. "The optimal allocation of Covid-19 vaccines," Economics Letters, Elsevier, vol. 224(C).
    13. Haris Aziz & Florian Brandl, 2021. "Efficient, Fair, and Incentive-Compatible Healthcare Rationing," Papers 2102.04384, arXiv.org, revised Sep 2021.

    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. Parag A. Pathak & Tayfun Sönmez & M. Utku Ünver & M. Bumin Yenmez, 2020. "Leaving No Ethical Value Behind: Triage Protocol Design for Pandemic Rationing," Boston College Working Papers in Economics 997, Boston College Department of Economics, revised 26 Apr 2020.
    2. Parag A. Pathak & Alex Rees-Jones & Tayfun Sönmez, 2020. "Immigration Lottery Design: Engineered and Coincidental Consequences of H-1B Reforms," NBER Working Papers 26767, National Bureau of Economic Research, Inc.
    3. Tayfun Sönmez & M. Bumin Yenmez, 2019. "Can Economic Theory be Informative for the Judiciary? Affirmative Action in India via Vertical and Horizontal Reservations," Boston College Working Papers in Economics 1026, Boston College Department of Economics, revised 23 Jun 2021.
    4. Scott Duke Kominers & Alexander Teytelboym & Vincent P Crawford, 2017. "An invitation to market design," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 33(4), pages 541-571.
    5. Aygün, Orhan & Turhan, Bertan, 2021. "How to De-reserve Reserves," ISU General Staff Papers 202104130700001123, Iowa State University, Department of Economics.
    6. Aygün, Orhan & Turhan, Bertan, 2021. "How to De-reserve Reserves," ISU General Staff Papers 202103100800001123, Iowa State University, Department of Economics.
    7. Tayfun Sönmez & M. Bumin Yenmez, 2019. "Constitutional Implementation of Vertical and Horizontal Reservations in India: A Unified Mechanism for Civil Service Allocation and College Admissions," Boston College Working Papers in Economics 978, Boston College Department of Economics.
    8. Tayfun Sönmez & M. Bumin Yenmez, 2019. "Affirmative Action in India via Vertical and Horizontal Reservations," Boston College Working Papers in Economics 977, Boston College Department of Economics.
    9. Orhan Aygün & Bertan Turhan, 2023. "How to De-Reserve Reserves: Admissions to Technical Colleges in India," Management Science, INFORMS, vol. 69(10), pages 6147-6164, October.
    10. Kyle Greenberg & Parag A. Pathak & Tayfun Sönmez, 2020. "Mechanism Design meets Priority Design: Redesigning the US Army’s Branching Process Through Market Design," Boston College Working Papers in Economics 1035, Boston College Department of Economics.
    11. Kyle Greenberg & Parag A. Pathak & Tayfun Sonmez, 2021. "Mechanism Design meets Priority Design: Redesigning the US Army's Branching Process," Papers 2106.06582, arXiv.org.
    12. Orhan Aygun & Bertan Turhan, 2020. "Designing Direct Matching Mechanism for India with Comprehensive Affirmative Action," Papers 2004.13264, arXiv.org, revised Dec 2021.
    13. Aygün, Orhan & Turhan, Bertan, 2020. "Dynamic reserves in matching markets," Journal of Economic Theory, Elsevier, vol. 188(C).
    14. Avataneo, Michelle & Turhan, Bertan, 2021. "Slot-specific priorities with capacity transfers," Games and Economic Behavior, Elsevier, vol. 129(C), pages 536-548.
    15. Tayfun Sönmez & M. Bumin Yenmez, 2022. "Affirmative Action in India via Vertical, Horizontal, and Overlapping Reservations," Econometrica, Econometric Society, vol. 90(3), pages 1143-1176, May.
    16. Xiang Han & Onur Kesten & M. Utku Ünver, 2021. "Blood Allocation with Replacement Donors: A Theory of Multi-unit Exchange with Compatibility-based Preferences," Boston College Working Papers in Economics 1038, Boston College Department of Economics.
    17. Aygün, Orhan & Turhan, Bertan, 2019. "Matching with Generalized Lexicographic Choice Rules," ISU General Staff Papers 20191101070000, Iowa State University, Department of Economics.
    18. Kamada, Yuichiro & Kojima, Fuhito, 2017. "Stability concepts in matching under distributional constraints," Journal of Economic Theory, Elsevier, vol. 168(C), pages 107-142.
    19. Dur, Umut & Pathak, Parag A. & Sönmez, Tayfun, 2020. "Explicit vs. statistical targeting in affirmative action: Theory and evidence from Chicago's exam schools," Journal of Economic Theory, Elsevier, vol. 187(C).
    20. Afacan, Mustafa Oǧuz, 2020. "Graduate admission with financial support," Journal of Mathematical Economics, Elsevier, vol. 87(C), pages 114-127.

    More about this item

    JEL classification:

    • D45 - Microeconomics - - Market Structure, Pricing, and Design - - - Rationing; Licensing
    • D47 - Microeconomics - - Market Structure, Pricing, and Design - - - Market Design
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    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:arx:papers:2008.00374. 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: arXiv administrators (email available below). General contact details of provider: http://arxiv.org/ .

    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.