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Public Sector Rationing And Private Sector Selection

Author

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  • Ching-to Albert MA

    (Department of Economics, Boston University.)

  • Simona Grassi

    (University of Lausanne)

Abstract

We study the interaction between nonprice public rationing and prices in the private market. Under a limited budget, the public supplier uses a rationing policy. A private firm may supply the good to those consumers who are rationed by the public system. Consumers have different amounts of wealth, and costs of providing the good to them vary. We consider two regimes. First, the public supplier observes consumers’ wealth information; second, the public supplier observes both wealth and cost information. The public supplier chooses a rationing policy, and, simultaneously, the private firm, observing only cost but not wealth information, chooses a pricing policy. In the first regime, there is a continuum of equilibria. The Pareto dominant equilibrium is a means-test equilibrium: poor consumers are supplied while rich consumers are rationed. Prices in the private market increase with the budget. In the second regime, there is a unique equilibrium. This exhibits a cost-effectiveness rationing rule; consumers are supplied if and only if their cost–benefit ratios are low. Prices in the private market do not change with the budget. Equilibrium consumer utility is higher in the cost-effectiveness equilibrium than the meanstest equilibrium.

Suggested Citation

  • Ching-to Albert MA & Simona Grassi, 2011. "Public Sector Rationing And Private Sector Selection," Boston University - Department of Economics - Working Papers Series WP2011-021, Boston University - Department of Economics.
  • Handle: RePEc:bos:wpaper:wp2011-021
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    References listed on IDEAS

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    1. Grassi, Simona & Ma, Ching-to Albert, 2011. "Optimal public rationing and price response," Journal of Health Economics, Elsevier, vol. 30(6), pages 1197-1206.
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    11. Simona Grassi & Ching-to Albert Ma, 2008. "Rationing Poor Consumers to Reduce Prices," Boston University - Department of Economics - Working Papers Series wp2008-015, Boston University - Department of Economics.
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    Cited by:

    1. Rosella Levaggi & Marcello Montefiori, 2013. "Patient selection in a mixed oligopoly market for health care: the role of the soft budget constraint," International Review of Economics, Springer;Happiness Economics and Interpersonal Relations (HEIRS), vol. 60(1), pages 49-70, March.
    2. Ifzal Ahmad, 2017. "Understanding Internal, External and Relational Attributions in Reaction to Corporate Social Responsibility," Business & Economic Review, Institute of Management Sciences, Peshawar, Pakistan, vol. 9(4), pages 49-64, December.
    3. Simona Grassi & Ching-to Albert Ma, 2008. "Rationing Poor Consumers to Reduce Prices," Boston University - Department of Economics - Working Papers Series wp2008-015, Boston University - Department of Economics.
    4. Laine, Liisa T. & Ma, Ching-to Albert, 2017. "Quality and competition between public and private firms," Journal of Economic Behavior & Organization, Elsevier, vol. 140(C), pages 336-353.
    5. Simona Grassi & Ching-to Ma, 2010. "Subsidy design: wealth versus benefits," Journal of Economics, Springer, vol. 101(1), pages 49-72, September.
    6. Grassi, Simona & Ma, Ching-to Albert, 2011. "Optimal public rationing and price response," Journal of Health Economics, Elsevier, vol. 30(6), pages 1197-1206.
    7. Liu, Ting & Albert Ma, Ching-to & Mak, Henry Y., 2018. "Incentives for motivated experts in a partnership," Journal of Economic Behavior & Organization, Elsevier, vol. 152(C), pages 296-313.
    8. Glazer, Jacob & McGuire, Thomas G., 2013. "Making Medicare advantage a middle-class program," Journal of Health Economics, Elsevier, vol. 32(2), pages 463-473.
    9. Vesa Kanniainen & Juha Laine & Ismo Linnosmaa, 2019. "Pricing the Pharmaceuticals when the Ability to Pay Differs: Taking Vertical Equity Seriously," CESifo Working Paper Series 8031, CESifo.
    10. Chiara Canta, 2021. "Efficiency, access, and the mixed delivery of health care services," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 23(3), pages 510-533, June.
    11. Putnam, Joshua T., 2015. "A simple approach to projecting the electoral college," International Journal of Forecasting, Elsevier, vol. 31(3), pages 910-915.
    12. Andrew, Jane & Cahill, Damien, 2017. "Rationalising and resisting neoliberalism: The uneven geography of costs," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 45(C), pages 12-28.
    13. Yang, Ou & Chan, Marc K. & Cheng, Terence C. & Yong, Jongsay, 2020. "Cream skimming: Theory and evidence from hospital transfers and capacity utilization," Journal of Economic Behavior & Organization, Elsevier, vol. 173(C), pages 68-87.

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