The literature on mergers between private hospitals suggests that such mergers often produce little benefit. Despite this, the UK government has pursued an active policy of hospital mergers, arguing that such consolidations will bring improvements for patients. We examine whether this promise is...

The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The...

Extending choice in health care is currently popular amongst English, and other, politicians. Those promoting choice make an appeal to a simple economic argument. Competitive pressure helps make private firms more efficient and consumer choice acts as a major driver for efficiency. Giving...

The medical workforce is important based merely on its size and takes on even greater importance given the influence physicians, nurses, dentists, and pharmacists have on patient treatment. On the supply side, most governments regulate health professions to assure that the inputs into the health...

The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non-experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The...

New policies in the National Health Service in England seek to extend the choice of provider of care for patients on waiting lists for elective surgery. We try to identify where in the country there are likely to be most constraints on choice for patients waiting over 6 months for elective care....

Centralized public sector wage setting for public sector workers is widespread. We would expect such regulation to have effects on labor supply and on the productivity of public services in areas with strong local labor markets. In this paper we test this, using the British National Health...

The use of genetic markers as instrumental variables (IV) is receiving increasing attention from epidemiologists, economists, statisticians and social scientists. This paper examines the conditions that need to be met for genetic variants to be used as instruments. Although these have been...

Height has long been recognised as associated with better outcomes: the question is whether this association is causal. We use children’s genetic variants as instrumental variables (IV) to deal with possible unobserved confounders and examine the effect of child and adolescent height on a wide...