TY - JOUR AU - Lichtenberg,Frank R. AU - Waldfogel,Joel TI - Does Misery Love Company? Evidence from pharmaceutical markets before and after the Orphan Drug Act JF - National Bureau of Economic Research Working Paper Series VL - No. 9750 PY - 2003 Y2 - June 2003 UR - http://www.nber.org/papers/w9750 L1 - http://www.nber.org/papers/w9750.pdf N1 - Author contact info: Frank R. Lichtenberg Graduate School of Business Columbia University 3022 Broadway, 614 Uris Hall New York, NY 10027 Tel: 212/854-4408 Fax: 212/316-9219 E-Mail: frank.lichtenberg@columbia.edu Joel Waldfogel Business and Public Policy University of Pennsylvania, Wharton School 1400 Steinberg Hall-Dietrich Hall Philadelphia, PA 19104-6372 Tel: 215/898-7148 Fax: 215/898-7635 E-Mail: waldfogj@wharton.upenn.edu AB - With substantial fixed costs of drug development, more common conditions can support more products. If additional pharmaceutical products are beneficial, they will attract greater consumption and promote better health, e.g. greater longevity. We ask how market size measured by condition prevalence affects consumption and longevity. We document in condition cross sections that both the tendency to use a drug and longevity are higher for individuals with more prevalent conditions. We also make use of the 1983 Orphan Drug Act (ODA), which promoted development of drugs for the treatment of rare conditions. Longevity and drug use have grown more quickly for persons with rare diseases and even more quickly for persons with conditions with substantial orphan drug use. ER -