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Do medical marijuana laws reduce addictions and deaths related to pain killers?

Author

Listed:
  • Powell, David
  • Pacula, Rosalie Liccardo
  • Jacobson, Mireille

Abstract

Recent work finds that medical marijuana laws reduce the daily doses filled for opioid analgesics among Medicare Part-D and Medicaid enrollees, as well as population-wide opioid overdose deaths. We replicate the result for opioid overdose deaths and explore the potential mechanism. The key feature of a medical marijuana law that facilitates a reduction in overdose death rates is a relatively liberal allowance for dispensaries. As states have become more stringent in their regulation of dispensaries, the protective value generally has fallen. These findings suggest that broader access to medical marijuana facilitates substitution of marijuana for powerful and addictive opioids.

Suggested Citation

  • Powell, David & Pacula, Rosalie Liccardo & Jacobson, Mireille, 2018. "Do medical marijuana laws reduce addictions and deaths related to pain killers?," Journal of Health Economics, Elsevier, vol. 58(C), pages 29-42.
  • Handle: RePEc:eee:jhecon:v:58:y:2018:i:c:p:29-42
    DOI: 10.1016/j.jhealeco.2017.12.007
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    References listed on IDEAS

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    1. Pacula Rosalie Liccardo & Kilmer Beau & Grossman Michael & Chaloupka Frank J, 2010. "Risks and Prices: The Role of User Sanctions in Marijuana Markets," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 10(1), pages 1-38, February.
    2. Anne Case & Angus Deaton, 2017. "Mortality and Morbidity in the 21st Century," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(1 (Spring), pages 397-476.
    3. Alberto Abadie & Javier Gardeazabal, 2003. "The Economic Costs of Conflict: A Case Study of the Basque Country," American Economic Review, American Economic Association, vol. 93(1), pages 113-132, March.
    4. D. Mark Anderson & Benjamin Hansen & Daniel I. Rees, 2015. "Medical Marijuana Laws and Teen Marijuana Use," American Law and Economics Review, Oxford University Press, vol. 17(2), pages 495-528.
    5. Chu, Yu-Wei Luke, 2014. "The effects of medical marijuana laws on illegal marijuana use," Journal of Health Economics, Elsevier, vol. 38(C), pages 43-61.
    6. Kim, J.H. & Santaella-Tenorio, J. & Mauro, C. & Wrobel, J. & Cerda, M. & Keyes, K.M. & Hasin, D. & Martins, S.S. & Li, G., 2016. "State medical marijuana laws and the prevalence of opioids detected among fatally injured drivers," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 2032-2037.
    7. D. Mark Anderson & Benjamin Hansen & Daniel I. Rees, 2013. "Medical Marijuana Laws, Traffic Fatalities, and Alcohol Consumption," Journal of Law and Economics, University of Chicago Press, vol. 56(2), pages 333-369.
    8. J. M. C. Santos Silva & Silvana Tenreyro, 2006. "The Log of Gravity," The Review of Economics and Statistics, MIT Press, vol. 88(4), pages 641-658, November.
    9. Rosalie L. Pacula & David Powell & Paul Heaton & Eric L. Sevigny, 2015. "Assessing the Effects of Medical Marijuana Laws on Marijuana Use: The Devil is in the Details," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 34(1), pages 7-31, January.
    10. Anderson, D. Mark, 2010. "Does information matter? The effect of the Meth Project on meth use among youths," Journal of Health Economics, Elsevier, vol. 29(5), pages 732-742, September.
    11. Rosalie Liccardo Pacula & David Powell & Paul Heaton & Eric L. Sevigny, 2013. "Assessing the Effects of Medical Marijuana Laws on Marijuana and Alcohol Use: The Devil is in the Details," NBER Working Papers 19302, National Bureau of Economic Research, Inc.
    12. repec:oup:alecon:v:17:y:2015:i:2:p:495-528. is not listed on IDEAS
    13. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    14. Thomas C. Buchmueller & Colleen Carey, 2018. "The Effect of Prescription Drug Monitoring Programs on Opioid Utilization in Medicare," American Economic Journal: Economic Policy, American Economic Association, vol. 10(1), pages 77-112, February.
    15. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
    16. Wen, Hefei & Hockenberry, Jason M. & Cummings, Janet R., 2015. "The effect of medical marijuana laws on adolescent and adult use of marijuana, alcohol, and other substances," Journal of Health Economics, Elsevier, vol. 42(C), pages 64-80.
    17. Lynne-Landsman, S.D. & Livingston, M.D. & Wagenaar, A.C., 2013. "Effects of state medical marijuana laws on adolescent marijuana use," American Journal of Public Health, American Public Health Association, vol. 103(8), pages 1500-1506.
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    More about this item

    Keywords

    Medical marijuana; Opioids; Pain killers; Dispensaries; Mortality; Substance abuse;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy

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