[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/31781.html
   My bibliography  Save this paper

The Political Economy of a “Miracle Cure”: The Case of Nebulized Ibuprofen and its Diffusion in Argentina

Author

Listed:
  • Sebastian Calónico
  • Rafael Di Tella
  • Juan Cruz Lopez del Valle
Abstract
We study the diffusion of a clinically unproven treatment for COVID-19 in Argentina. As the pandemic spread, nebulized ibuprofen reached thousands of patients, even some seriously ill, despite warnings by the regulator and medical societies. We use daily data on drug deliveries for all towns in one of the largest provinces to study diffusion patterns and find a role for learning. An experimental survey is also consistent with learning. A key dimension affecting diffusion is ideology: towns and subjects classified as “right-wing” are more likely to adopt and to learn.

Suggested Citation

  • Sebastian Calónico & Rafael Di Tella & Juan Cruz Lopez del Valle, 2023. "The Political Economy of a “Miracle Cure”: The Case of Nebulized Ibuprofen and its Diffusion in Argentina," NBER Working Papers 31781, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:31781
    Note: DEV EH POL
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w31781.pdf
    Download Restriction: Access to the full text is generally limited to series subscribers, however if the top level domain of the client browser is in a developing country or transition economy free access is provided. More information about subscriptions and free access is available at http://www.nber.org/wwphelp.html. Free access is also available to older working papers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Janet M. Currie & W. Bentley MacLeod, 2020. "Understanding Doctor Decision Making: The Case of Depression Treatment," Econometrica, Econometric Society, vol. 88(3), pages 847-878, May.
    2. Kremer, Michael Robert & Miguel, Edward A., 2004. "The Illusion of Sustainability," Department of Economics, Working Paper Series qt94p8w1d7, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    3. Bodeker, G. & Kronenberg, F., 2002. "A public health agenda for traditional, complementary, and alternative medicine," American Journal of Public Health, American Public Health Association, vol. 92(10), pages 1582-1591.
    4. Oriana Bandiera & Imran Rasul, 2006. "Social Networks and Technology Adoption in Northern Mozambique," Economic Journal, Royal Economic Society, vol. 116(514), pages 869-902, October.
    5. Michael Kremer & Edward Miguel, 2007. "The Illusion of Sustainability," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(3), pages 1007-1065.
    6. Tomas J. Philipson & Eric Sun, 2008. "Is the Food And Drug Administration Safe And Effective?," Journal of Economic Perspectives, American Economic Association, vol. 22(1), pages 85-102, Winter.
    7. Leila Agha & David Molitor, 2018. "The Local Influence of Pioneer Investigators on Technology Adoption: Evidence from New Cancer Drugs," The Review of Economics and Statistics, MIT Press, vol. 100(1), pages 29-44, March.
    8. Allcott, Hunt & Boxell, Levi & Conway, Jacob & Gentzkow, Matthew & Thaler, Michael & Yang, David, 2020. "Polarization and public health: Partisan differences in social distancing during the coronavirus pandemic," Journal of Public Economics, Elsevier, vol. 191(C).
    9. William A. Brock & Steven N. Durlauf, 2001. "Discrete Choice with Social Interactions," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 68(2), pages 235-260.
    10. Abel Brodeur & David Gray & Anik Islam & Suraiya Bhuiyan, 2021. "A literature review of the economics of COVID‐19," Journal of Economic Surveys, Wiley Blackwell, vol. 35(4), pages 1007-1044, September.
    11. Pascaline Dupas, 2014. "Short‐Run Subsidies and Long‐Run Adoption of New Health Products: Evidence From a Field Experiment," Econometrica, Econometric Society, vol. 82(1), pages 197-228, January.
    12. Eric Budish & Benjamin N. Roin & Heidi Williams, 2015. "Do Firms Underinvest in Long-Term Research? Evidence from Cancer Clinical Trials," American Economic Review, American Economic Association, vol. 105(7), pages 2044-2085, July.
    13. Rema Hanna & Esther Duflo & Michael Greenstone, 2016. "Up in Smoke: The Influence of Household Behavior on the Long-Run Impact of Improved Cooking Stoves," American Economic Journal: Economic Policy, American Economic Association, vol. 8(1), pages 80-114, February.
    14. Daniel Carpenter & Michael M. Ting, 2007. "Regulatory Errors with Endogenous Agendas," American Journal of Political Science, John Wiley & Sons, vol. 51(4), pages 835-852, October.
    15. Milosh, Maria & Painter, Marcus & Sonin, Konstantin & Van Dijcke, David & Wright, Austin L., 2021. "Unmasking partisanship: Polarization undermines public response to collective risk," Journal of Public Economics, Elsevier, vol. 204(C).
    16. Leonard, Kenneth L., 2003. "African traditional healers and outcome-contingent contracts in health care," Journal of Development Economics, Elsevier, vol. 71(1), pages 1-22, June.
    17. Francisco J. Buera & Alexander Monge‐Naranjo & Giorgio E. Primiceri, 2011. "Learning the Wealth of Nations," Econometrica, Econometric Society, vol. 79(1), pages 1-45, January.
    18. Timothy G. Conley & Christopher R. Udry, 2010. "Learning about a New Technology: Pineapple in Ghana," American Economic Review, American Economic Association, vol. 100(1), pages 35-69, March.
    19. Sergei Guriev & Elias Papaioannou, 2022. "The Political Economy of Populism," Journal of Economic Literature, American Economic Association, vol. 60(3), pages 753-832, September.
    20. Amitabh Chandra & Douglas O Staiger, 2020. "Identifying Sources of Inefficiency in Healthcare [“The Determinants of Productivity in Medical Testing: Intensity and Allocation of Care,”]," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 135(2), pages 785-843.
    21. M. Amelia Gibbons & Tommy E. Murphy & Martín A. Rossi, 2021. "Confinement and intimate partner violence," Kyklos, Wiley Blackwell, vol. 74(3), pages 349-361, August.
    22. Janet M. Currie & W. Bentley MacLeod, 2018. "Understanding Doctor Decision Making: The Case of Depression," NBER Working Papers 24955, National Bureau of Economic Research, Inc.
    23. Charles F. Manski, 1993. "Identification of Endogenous Social Effects: The Reflection Problem," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 60(3), pages 531-542.
    24. David Cutler & Jonathan S. Skinner & Ariel Dora Stern & David Wennberg, 2019. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending," American Economic Journal: Economic Policy, American Economic Association, vol. 11(1), pages 192-221, February.
    25. Jonathan Skinner & Douglas Staiger, 2015. "Technology Diffusion and Productivity Growth in Health Care," The Review of Economics and Statistics, MIT Press, vol. 97(5), pages 951-964, December.
    26. Walker, Jack L., 1969. "The Diffusion of Innovations among the American States," American Political Science Review, Cambridge University Press, vol. 63(3), pages 880-899, November.
    27. Luca Bellodi & Massimo Morelli & Matia Vannoni, 2021. "The Costs of Populism for the Bureaucracy and Government Performance: Evidence from Italian Municipalities," BAFFI CAREFIN Working Papers 21158, BAFFI CAREFIN, Centre for Applied Research on International Markets Banking Finance and Regulation, Universita' Bocconi, Milano, Italy.
    28. David C. Chan, 2021. "Influence and Information in Team Decisions: Evidence from Medical Residency," American Economic Journal: Economic Policy, American Economic Association, vol. 13(1), pages 106-137, February.
    29. Emily Oster & Rebecca Thornton, 2012. "Determinants Of Technology Adoption: Peer Effects In Menstrual Cup Take-Up," Journal of the European Economic Association, European Economic Association, vol. 10(6), pages 1263-1293, December.
    30. Joseph J. Doyle Jr. & John A. Graves & Jonathan Gruber & Samuel A. Kleiner, 2015. "Measuring Returns to Hospital Care: Evidence from Ambulance Referral Patterns," Journal of Political Economy, University of Chicago Press, vol. 123(1), pages 170-214.
    31. Walker, Jack L., 1969. "The Diffusion of Innovations among the American States," American Political Science Review, Cambridge University Press, vol. 63(3), pages 880-899, November.
    32. Janet Currie & W. Bentley MacLeod, 2017. "Diagnosing Expertise: Human Capital, Decision Making, and Performance among Physicians," Journal of Labor Economics, University of Chicago Press, vol. 35(1), pages 1-43.
    33. Leila Agha & Dan Zeltzer, 2022. "Drug Diffusion through Peer Networks: The Influence of Industry Payments," American Economic Journal: Economic Policy, American Economic Association, vol. 14(2), pages 1-33, May.
    34. Munshi, Kaivan & Myaux, Jacques, 2006. "Social norms and the fertility transition," Journal of Development Economics, Elsevier, vol. 80(1), pages 1-38, June.
    35. Tessa Bold & Kayuki C. Kaizzi & Jakob Svensson & David Yanagizawa-Drott, 2017. "Lemon Technologies and Adoption: Measurement, Theory and Evidence from Agricultural Markets in Uganda," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 132(3), pages 1055-1100.
    36. David C Chan & Matthew Gentzkow & Chuan Yu, 2022. "Selection with Variation in Diagnostic Skill: Evidence from Radiologists [The Determinants of Productivity in Medical Testing: Intensity and Allocation of Care]," The Quarterly Journal of Economics, Oxford University Press, vol. 137(2), pages 729-783.
    37. Peltzman, Sam, 1973. "An Evaluation of Consumer Protection Legislation: The 1962 Drug Amendments," Journal of Political Economy, University of Chicago Press, vol. 81(5), pages 1049-1091, Sept.-Oct.
    38. Julie M Donohue & Hasan Guclu & Walid F Gellad & Chung-Chou H Chang & Haiden A Huskamp & Niteesh K Choudhry & Ruoxin Zhang & Wei-Hsuan Lo-Ciganic & Stefanie P Junker & Timothy Anderson & Seth Richards, 2018. "Influence of peer networks on physician adoption of new drugs," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-18, October.
    39. Luca Bellodi & Massimo Morelli & Matia Vannoni, 2021. "The Costs of Populism for the Bureaucracy and Government Performance: Evidence from Italian Municipalities," BAFFI CAREFIN Working Papers 21158, BAFFI CAREFIN, Centre for Applied Research on International Markets Banking Finance and Regulation, Universita' Bocconi, Milano, Italy.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bonan, Jacopo & Battiston, Pietro & Bleck, Jaimie & LeMay-Boucher, Philippe & Pareglio, Stefano & Sarr, Bassirou & Tavoni, Massimo, 2021. "Social interaction and technology adoption: Experimental evidence from improved cookstoves in Mali," World Development, Elsevier, vol. 144(C).
    2. Jing Cai & Alain De Janvry & Elisabeth Sadoulet, 2015. "Social Networks and the Decision to Insure," American Economic Journal: Applied Economics, American Economic Association, vol. 7(2), pages 81-108, April.
    3. Magnan, Nicholas & Spielman, David J. & Lybbert, Travis J. & Gulati, Kajal, 2015. "Leveling with friends: Social networks and Indian farmers' demand for a technology with heterogeneous benefits," Journal of Development Economics, Elsevier, vol. 116(C), pages 223-251.
    4. Raphaël Soubeyran, 2019. "Technology adoption and pro-social preferences," Working Papers halshs-02291905, HAL.
    5. Powell-Jackson, Timothy & Ansah, Evelyn K., 2015. "The indirect effects of subsidised healthcare in rural Ghana," Social Science & Medicine, Elsevier, vol. 144(C), pages 96-103.
    6. Kandpal, Eeshani & Baylis, Kathy, 2019. "The social lives of married women: Peer effects in female autonomy and investments in children," Journal of Development Economics, Elsevier, vol. 140(C), pages 26-43.
    7. Magnan, Nicholas & Spielman, David J. & Gulati, Kajal, 2013. "Female social networks and learning about a new technology in eastern Uttar Pradesh, India," 2013 Annual Meeting, August 4-6, 2013, Washington, D.C. 150688, Agricultural and Applied Economics Association.
    8. Srinivasan, Suchita & Carattini, Stefano, 2020. "Adding fuel to fire? Social spillovers in the adoption of LPG in India," Ecological Economics, Elsevier, vol. 167(C).
    9. Meredith, Jennifer & Robinson, Jonathan & Walker, Sarah & Wydick, Bruce, 2013. "Keeping the doctor away: Experimental evidence on investment in preventative health products," Journal of Development Economics, Elsevier, vol. 105(C), pages 196-210.
    10. Antonia Grohmann & Sahra Sakha, 2015. "The Effect of Peer Observation on Consumption Choices: Experimental Evidence," Discussion Papers of DIW Berlin 1525, DIW Berlin, German Institute for Economic Research.
    11. Matsumoto, Tomoya, 2014. "Disseminating new farming practices among small scale farmers: An experimental intervention in Uganda," Journal of the Japanese and International Economies, Elsevier, vol. 33(C), pages 43-74.
    12. Songsermsawas, Tisorn & Baylis, Kathy & Chhatre, Ashwini & Michelson, Hope, 2016. "Can Peers Improve Agricultural Revenue?," World Development, Elsevier, vol. 83(C), pages 163-178.
    13. Takahashi, Kazushi & Mano, Yukichi & Otsuka, Keijiro, 2019. "Learning from experts and peer farmers about rice production: Experimental evidence from Cote d’Ivoire," World Development, Elsevier, vol. 122(C), pages 157-169.
    14. Raphael Soubeyran, 2021. "Pro-social Motivations, Externalities and Incentives," CEE-M Working Papers hal-03212888, CEE-M, Universtiy of Montpellier, CNRS, INRA, Montpellier SupAgro.
    15. Leila Agha & Dan Zeltzer, 2022. "Drug Diffusion through Peer Networks: The Influence of Industry Payments," American Economic Journal: Economic Policy, American Economic Association, vol. 14(2), pages 1-33, May.
    16. Diego Comin & Jonathan Skinner & Douglas Staiger, 2022. "Overconfidence and technology adoption in health care," IFS Working Papers W22/33, Institute for Fiscal Studies.
    17. Sene, Ligane Massamba, 2015. "Connectivity as engine for productivity among smallholder peanut farmers in Senegal," 2015 Conference, August 9-14, 2015, Milan, Italy 212263, International Association of Agricultural Economists.
    18. Andrew D. Foster & Mark R. Rosenzweig, 2010. "Microeconomics of Technology Adoption," Annual Review of Economics, Annual Reviews, vol. 2(1), pages 395-424, September.
    19. Camilo García-Jimeno & Angel Iglesias & Pinar Yildirim, 2018. "Women, Rails and Telegraphs: An Empirical Study of Information Diffusion and Collective Action," NBER Working Papers 24495, National Bureau of Economic Research, Inc.
    20. Alem, Yonas, 2021. "Mitigating climate change through sustainable technology adoption: Insights from cookstove interventions," Ruhr Economic Papers 907, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.

    More about this item

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes
    • P46 - Political Economy and Comparative Economic Systems - - Other Economic Systems - - - Consumer Economics; Health; Education and Training; Welfare, Income, Wealth, and Poverty

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:nbr:nberwo:31781. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/nberrus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.