National Bureau of Economic Research
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Prescription Access and Public Health Outcomes
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The hepatitis C virus (HCV) is a major public health concern due to its high infection and mortality rates. Recent pharmaceutical innovations known as direct-acting antivirals (DAAs) have the potential to cure HCV and can also generate positive health externalities through reduced transmission. However, the high cost of these drugs—with a sticker price of approximately $84,000 for the course of treatment when initially introduced in 2013—creates substantial obstacles to their use under traditional reimbursement schemes and in cash-strapped Medicaid programs.
In Subscriptions to Prescriptions: Lessons from Louisiana’s Effort to Eliminate Hepatitis C (NBER Working Paper 33617), James M. Flynn, Bethany I. Lemont, and Barton Willage evaluate the effects of the Louisiana Hepatitis C Elimination Plan...
From the NBER Reporter: Research, program, and conference summaries

Program Report: Development of the American Economy
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The Development of the American Economy (DAE) program was one of the first research programs launched by Martin Feldstein in 1978 when he formalized the modern structure of the NBER.
The mission of the program is to research historical aspects of the American economy. Its members are economic historians whose specific interests span many subfields within economics, including macroeconomics, labor economics, finance, political economy, trade, and industrial organization. Broadly, economic history research comes in two flavors. First, economic historians study the evolution of economic trends that illuminate issues relevant to the modern economy, such as the entry of women in the labor force and the moderation of economic crises over time. Second, economic historians use the natural experiments offered by history to test economic…
From the NBER Bulletin on Entrepreneurship

Entrepreneurship as an Alternative to Flexibility at Work
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The surge in remote work in recent years has transformed labor markets, with potentially important implications for the interaction between workplace flexibility and entrepreneurship. In Hustling from Home? Work from Home Flexibility and Entrepreneurial Entry (NBER Working Paper 33237), John M. Barrios, Yael Hochberg, and Hanyi (Livia) Yi explore whether the increased flexibility provided by work-from-home (WFH) arrangements has affected entrepreneurial decisions. They focus on the COVID-19 pandemic as a natural experiment and analyze how the sudden shift to remote work affected new business creation. Guided…
From the NBER Bulletin on Health

Policy Changes and Pharmaceutical Innovation Combine to Increase Naloxone Access
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Naloxone, which reverses the effects of an opioid overdose, is a critical tool for responding to the opioid crisis. However, prior to the 2010s, two barriers hindered its widespread distribution and use in the United States. One was legal access: Naloxone required a prescription from a healthcare provider. Another was that naloxone was administered by injection and therefore required training for proper use.
In 2010, Illinois became the first state to adopt a dispensing naloxone access law (NAL) that permitted individuals to obtain naloxone directly from pharmacists, eliminating the need for an individual prescription. By 2015, another 35 states had implemented dispensing NALs. These policy initiatives were complemented by the introduction of Narcan, the first FDA-approved naloxone nasal spray, in 2016. This new…
Featured Working Papers
Replacing the gas tax with a vehicle miles travelled tax would benefit rural and central-US based regions, where gasoline-powered vehicles are relatively more common, while urban and coastal areas would experience higher taxation, according to new estimates by Christopher R. Knittel, Gilbert E. Metcalf, and Shereein Saraf.
Individuals in low-income households who were given $200 monthly in basic income initially reduced their employment by 58 percent on average, but by a year later, they had returned to baseline employment levels, Jorge Luis García, Patrick L. Warren, and L. Reed Watson find.
Laura Alfaro, Paola Conconi, Fariha Kamal, Zachary Kroff leverage trade data to study transactions within US multinational enterprises and find that more than half of international subsidiaries export to or import from their US-based parents.
The introduction of export restrictions on rare earth elements (REE) by China led to a global surge in innovation and exports in REE-intensive downstream sectors outside of China, according to Laura Alfaro, Harald Fadinger, Jan S. Schymik, and Gede Virananda.
Adeline L. Delavande, Gizem Koşar, and Basit Zafar find that the correlation between partners’ beliefs about a given spouse’s Social Security benefits is 0.70, and that when one partner receives information about benefit levels, that information spills over to the other one.
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