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阿片类药物市场中的价格与政策

Prices and Policies in Opioid Markets
Journal of Political Economy · 2024 · Casey B. Mulligan

中文摘要

阿片类药物死亡率的上升既与宽松的阿片类药物处方监管相关,也与严格的处方监管相关。对处方来源与非法制造来源的阿片类药物之间的选择进行建模,有助于调和这些看似矛盾的实证发现。该模型还识别出反应方向与平均水平相反的群体,并将既有研究应用于新的供给条件。围绕这两种供给渠道,本文构建了一个政策数据库,揭示出1999—2021年间不同的定价阶段。与模型一致,在后期阶段,阿片类药物致死率(根据死亡证明测算)与其构成之间的关系发生符号反转;未成年人的致死率趋势与成年人的相反;黑人与白人之间的差距也发生符号反转。

Abstract

Opioid mortality increases have been linked to both lax and restrictive opioid prescription regulations. Modeling choice between prescription and illicitly manufactured opioid sources helps reconcile the apparently contradictory empirical findings. It also identifies groups responding opposite of the average and applies previous studies to new supply conditions. Organized around the two supply channels, a policy database is assembled that reveals distinct pricing phases during 1999–2021. Consistent with the model, during the later phases the relationship between the opioid fatality rate (measured from death certificates) and its composition changes sign, minors’ fatality rates trend opposite of adults’, and the black-white gap changes sign.
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