IDEAS home Printed from
   My bibliography  Save this paper

Regulation and Hospital Competition in a Medical Arms Race


  • Fournier, G.M.
  • Schumacher, E.J.


This paper provides a model of hospital competition to explain the "medical arms race", i.e. the tendency of hospitals to over-invest in specialized services. The model examines how hospitals gain an edge ("prestige effect") by adopting a larger complement of services than their rivals. In a medical arms race, ,arket outcomes are made worse than what results under free entry with Cournot interaction. Simulations of equilibria identify cost and demand conditions that lead to the over-provision of services.

Suggested Citation

  • Fournier, G.M. & Schumacher, E.J., 1996. "Regulation and Hospital Competition in a Medical Arms Race," Working Papers 1996_09_01, Department of Economics, Florida State University.
  • Handle: RePEc:fsu:wpaper:1996_09_01

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    References listed on IDEAS

    1. Montgomery, Edward, 1992. "Evidence on metropolitan wage differences across industries and over time," Journal of Urban Economics, Elsevier, vol. 31(1), pages 69-83, January.
    2. Gyourko, Joseph & Tracy, Joseph, 1991. "The Structure of Local Public Finance and the Quality of Life," Journal of Political Economy, University of Chicago Press, vol. 99(4), pages 774-806, August.
    3. Greenwood, Michael J, et al, 1991. "Migration, Regional Equilibrium, and the Estimation of Compensating Differentials," American Economic Review, American Economic Association, vol. 81(5), pages 1382-1390, December.
    4. Roback, Jennifer, 1982. "Wages, Rents, and the Quality of Life," Journal of Political Economy, University of Chicago Press, vol. 90(6), pages 1257-1278, December.
    5. Hanushek, Eric A, 1973. "Regional Differences in the Structure of Earnings," The Review of Economics and Statistics, MIT Press, vol. 55(2), pages 204-213, May.
    6. Barry T. Hirsch & John L. Neufeld, 1987. "Nominal and Real Union Wage Differentials and the Effects of Industry and SMSA Density: 1973-83," Journal of Human Resources, University of Wisconsin Press, vol. 22(1), pages 138-148.
    7. Ciccone, Antonio & Hall, Robert E, 1996. "Productivity and the Density of Economic Activity," American Economic Review, American Economic Association, vol. 86(1), pages 54-70, March.
    8. Randall W. Eberts & Joe A. Stone, 1992. "Wage and Employment Adjustment in Local Labor Markets," Books from Upjohn Press, W.E. Upjohn Institute for Employment Research, number wea, November.
    9. repec:hoo:wpaper:e-94-11 is not listed on IDEAS
    10. Glaeser, E. L., 1998. "Should transfer payments be indexed to local price levels?," Regional Science and Urban Economics, Elsevier, vol. 28(1), pages 1-20, January.
    11. Glaeser, Edward L & Mare, David C, 2001. "Cities and Skills," Journal of Labor Economics, University of Chicago Press, vol. 19(2), pages 316-342, April.
    12. David E. Bloom & Gilles Grenier, 1993. "Language, Employment and Earnings in the United States: Spanish-English Differentials from 1970 to 1990," NBER Working Papers 4584, National Bureau of Economic Research, Inc.
    13. McManus, Walter & Gould, William & Welch, Finis, 1983. "Earnings of Hispanic Men: The Role of English Language Proficiency," Journal of Labor Economics, University of Chicago Press, vol. 1(2), pages 101-130, April.
    14. Sahling, Leonard G & Smith, Sharon P, 1983. "Regional Wage Differentials: Has the South Risen Again?," The Review of Economics and Statistics, MIT Press, vol. 65(1), pages 131-135, February.
    15. Rosenbloom, Joshua L., 1996. "Was There a National Labor Market at the End of the Nineteenth Century? New Evidence on Earnings in Manufacturing," The Journal of Economic History, Cambridge University Press, vol. 56(03), pages 626-656, September.
    16. Bellante, Don, 1979. "The North-South Differential and the Migration of Heterogeneous Labor," American Economic Review, American Economic Association, vol. 69(1), pages 166-175, March.
    17. Blomquist, Glenn C & Berger, Mark C & Hoehn, John P, 1988. "New Estimates of Quality of Life in Urban Areas," American Economic Review, American Economic Association, vol. 78(1), pages 89-107, March.
    Full references (including those not matched with items on IDEAS)

    More about this item



    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • L1 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance


    Access and download statistics


    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:fsu:wpaper:1996_09_01. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dmitry Ryvkin). General contact details of provider: .

    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.

    We have no references for this item. You can help adding them by using 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.

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.