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The birth of the congressional clinic

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  • Raphaël Godefroy

    (PSE - Paris-Jourdan Sciences Economiques - CNRS : UMR8545 - École des Hautes Études en Sciences Sociales (EHESS) - École des Ponts ParisTech (ENPC) - École normale supérieure [ENS] - Paris - Institut national de la recherche agronomique (INRA), EEP-PSE - Ecole d'Économie de Paris - Paris School of Economics - Ecole d'Économie de Paris)

Abstract

This paper investigates the impact of mortality in the districts/states represented in key congressional groups (i.e. committees, subcommittees, and parties) on the public investment in medical research in the US. I focus on National Institutes of Health (NIH) R01 grants awarded between 1985-2002. Exploiting the recomposition of any group after congressional elections, I estimate that the composition of the House Subcommittee on Labor, Health and Human Services, Education and Related Agencies (HouS), impacts the NIH budget: a 1% increase of life-years lost because of a disease in the districts represented in HouS increases the funds for clinical research on that disease by 1.2-3.2%. I also find that this impact results from the larger bargaining power of HouS or the House majority, or both groups, in the budget process. No group significantly impacts the allocation of funds for basic research, or the allocation of funds across states.

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Bibliographic Info

Paper provided by HAL in its series PSE Working Papers with number halshs-00564921.

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Date of creation: Oct 2010
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Handle: RePEc:hal:psewpa:halshs-00564921

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Related research

Keywords: health policy ; government policy ; publicly-provided goods ; medical research ; legislative bargaining;

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  1. Jacob, Brian A. & Lefgren, Lars, 2011. "The impact of research grant funding on scientific productivity," Journal of Public Economics, Elsevier, Elsevier, vol. 95(9-10), pages 1168-1177, October.
  2. Brian Knight, 2005. "Estimating the Value of Proposal Power," American Economic Review, American Economic Association, American Economic Association, vol. 95(5), pages 1639-1652, December.
  3. Jay Bhattacharya & Mikko Packalen, 2008. "Is Medicine an Ivory Tower? Induced Innovation, Technological Opportunity, and For-Profit vs. Non-Profit Innovation," NBER Working Papers 13862, National Bureau of Economic Research, Inc.
  4. Rodrigo Cerda, 2003. "Drugs, Market Size and Population," Documentos de Trabajo, Instituto de Economia. Pontificia Universidad Católica de Chile. 238, Instituto de Economia. Pontificia Universidad Católica de Chile..
  5. Daron Acemoglu & Joshua Linn, 2003. "Market Size in Innovation: Theory and Evidence From the Pharmaceutical Industry," NBER Working Papers 10038, National Bureau of Economic Research, Inc.
  6. Frank R. Lichtenberg & Joel Waldfogel, 2003. "Does Misery Love Company? Evidence from pharmaceutical markets before and after the Orphan Drug Act," NBER Working Papers 9750, National Bureau of Economic Research, Inc.
  7. Snowberg, Erik & Wolfers, Justin & Zitzewitz, Eric, 2007. "Party Influence in Congress and the Economy," Quarterly Journal of Political Science, now publishers, vol. 2(3), pages 277-286, August.
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