There is substantial evidence that cost-sharing in medical care constrains total health spending. However, there is relatively little (and unclear) evidence on its health effects, particularly in low- and middle-income countries. This paper re-evaluates the link between outpatient cost-sharing...

The vast majority of China's fertility decline predates the famous One Child Policy - and instead occurred under its predecessor, the Later, Longer, Fewer (LLF) fertility control policy. In this paper, we first study LLF's contribution to marriage and fertility behavior, finding that the policy...

Political and economic transition is often blamed for Russia's 40% surge in deaths between 1990 and 1994. Highlighting that increases in mortality occurred primarily among alcohol-related causes and among working-age men (the heaviest drinkers), this paper investigates an alternative...

A central issue in designing performance incentive contracts is whether to reward the production of outputs versus use of inputs: the former rewards efficiency and innovation in production, while the latter imposes less risk on agents. Agents with varying levels of skill may perform better under...

Throughout history, technological progress has transformed population health, but the distributional effects of these gains are unclear. New substitutes for older, more expensive health technologies can produce convergence in population health outcomes, but may also be prone to "elite capture"...

We analyze data from a survey we administered during the COVID-19 pandemic to investigate the relationship between people's subjective risk beliefs and their protective behaviors. We report three main findings. First, on average, people substantially overestimate the absolute level of risk...

Standard measures of bodyweight (overweight and obese, for example) fail to reflect technological progress over time - and in particular, recent progress disproportionately promoting longevity at higher bodyweights (and differences in access to it). This paper builds on the pioneering work of...

Nearly one-quarter of married, fertile-age women in Sub-Saharan Africa say that they want to avoid pregnancy but are not using contraceptives. To the best of our knowledge, this paper is the first to study this puzzle in a developing country using detailed data on women's subjective...

Unexpected medical care spending imposes considerable financial risk on developing country households. Based on managed care models of health insurance in wealthy countries, Colombia's Régimen Subsidiado is a publicly financed insurance program targeted to the poor, aiming both to provide risk...

In contrast to earlier United States policies of open war, forcible removal, and relocation to address the "Indian Problem," the Dawes Act of 1887 focused on assimilation and land severalty -- making American Indians citizens of the United States with individually-titled plots of land rather...