Reverse moral hazard of liability insurers: evidence from medical malpractice claims

This study investigates putative differences in the legal defense of medical malpractice claims between liability carriers with distinct ownership forms: doctor-controlled and commercial-stock. The scope of a carrier's legal defense is determined by claim characteristics, such as injury severity and liability, and possibly the doctor's private costs from settling or losing a claim. When a carrier does not internalize the doctor's private costs from losing or settling a claim, then a conflict of interest arises as the carrier provides a lower level of legal defense than preferred by the doctor (i.e., reverse moral hazard). The perception is that doctor-sponsored carriers mitigate such conflicts of interest. If this is the case, we should expect to see differences in the amount spent by the carrier in defense of the doctor and the propensity to settle claims. To test these expectations, we use medical malpractice claims filed in Florida between 1985 and 1990. We indeed find differences in legal defense in terms of amount spent on legal defense and settlement rate between carriers with different ownership. The doctor-sponsored carrier we investigated was less likely to settle out-of-court, and did spend more on a doctor's legal defense than stock carriers.     

Social morality and the primacy of individual perspectives

This paper examines themes and concerns about my book, The Order of Public Reason, raised in the three essays in this symposium by Peter Boettke & Rosolino Candela, Michael Munger and Kevin Vallier. The three essays present variations on a common theme: I need to embrace deeper commitments than The Order of Public Reason acknowledges. In my estimation these proposals lead to places that I do not wish to go — nor should anyone devoted to core Hayekian insights. The goal of the book is show how a diversity of moral views can lead to a cooperative social morality while abjuring as far as possible “external” moral claims — claims that do not derive from the perspectives of cooperating individuals. The diverse individual moral perspectives, and what they understand as normative, must be the real engines of social normativity. In this essay I stress the primacy of the individual normative perspectives in generating social morality; this helps show why the urge to embrace deeper commitments should be resisted. Rather than going over the presentation in The Order of Public Reason to stress this point, I sketch a modest recasting of the analysis in terms of models of individual moral interaction.     

Bounded rationality: the two cultures

Research on bounded rationality has two cultures, which I call ‘idealistic’ and ‘pragmatic’. Technically, the cultures differ on whether they (1) build models based on normative axioms or empirical facts, (2) assume that people's goal is to optimize or to satisfice, (3) do not or do model psychological processes, (4) let parameters vary freely or fix them, (5) aim at explanation or prediction and (6) test models from one or both cultures. Each culture tells a story about people's rationality. The story of the idealistic culture is frustrating, with people in principle being able to know what they should do, but in practice systematically failing to do it. This story makes one hide in books for intellectual solace or surrender to the designs of someone smarter. The story of the pragmatic culture is empowering: If people are educated to use the right tool in the right situation, they do well.     

经济学者更利己吗

近年来,国外学者利用大量的道德实验和调查问卷等实证方法来研究经济学者与非经济学者之间的行为差别,其中多数结果都证明:经济学者普遍比非经济学者表现得更利己,也更缺乏亲社会行为。对经济学者更利己的原因解释分为性别差异假说、自我选择假说和教育灌输假说等。在对其中经典的研究予以梳理和比较之后,本文重点分析了此次金融危机中经济学者的行为。结果发现:经济学课程的学习对学生们有着长期效应,这些学生工作后一定程度上成为金融危机的直接微观推手,而那些经济学教授们也明显表现出忙于寻找借口、推卸责任的道德风险行为。     

The validity of the contingent valuation method: Perfect and regular embedding

This article deals with one aspect of the validity claim of the contingent valuation method, namely: to what extent does the method produce different values in situations for which economic theory claims different values. Two aspects of this validity test — perfect and regular embedding — were tested in a field experiment comprising six samples of the Dutch population. Perfect embedding occurs when the value for a specific good is similar to the value for a more inclusive good. Perfect embedding did not manifest itself in the experiment. Respondents considered a package of six goods as well as a package of two goods more valuable than one of these goods. It is argued that this supportive evidence of the method's validity claim occurred because the goods involved were well-defined. Regular embedding occurs when the same good receives a lower value if the value for it is inferred from the value for a more inclusive good rather than if that good is valued on its own. Regular embedding was only found when respondents were given the opportunity to value the inclusive good before valuing the specific good. Respondents who were given information on the inclusive good without valuing it did not state different values than respondents who were not given that information. It seems that respondents perceive an inclusive good as being relevant to their valuation decision only when they are asked to value it. Further research is necessary to shed more light on the underlying processes that may account for this.     

Normative Power Europe and the Moral Economy of Africa–EU Ties: A Conceptual Reorientation of ‘Normative Power’

‘Normative power’ is an increasingly popularised concept in the study of EU external relations in fields including military policy, human rights, and international trade. Defined by Manners, it acknowledges the normative foundations of the European project, examines how Europe acts to (re)shape internationally accepted norms, and makes the claim that Europe ought to influence external partners' conception of ‘normal’ behaviour in pursuit of a just global order. This article, however, argues that a moral economy perspective is central to a critical reorientation of the concept of normative power towards appraisal of discrepancies between nominal EU norms and material EU policy outcomes. Examining Europe's ‘normative power’ in its relations with the African, Caribbean, and Pacific (ACP) countries, it demonstrates how a moral economy of ACP–EU ties has been instituted in negotiation with European ethical norms as to solidarity with ‘the poor’. Nevertheless, the moral economy of ACP–EU ties is seen not to be ‘moral’ in terms of outcomes for vulnerable citizens in ACP countries. Rather the embedding of moral norms concerning pro-poor ‘development’ has rationalised asymmetric economic ties. ‘Normative power’ is understood as the EU's utilisation of moral norms in the public legitimisation and self-rationalisation of geopolitical interest and commercial gain in its relations with external ‘partners’.     

制度落差对跨国技术转移的影响——基于2009—2019年面板数据分析

国家之间制度差异是跨国技术转移的重要影响因素,现有文献缺乏基于制度距离大小和方向对跨国技术转移的探讨。在将制度落差划分为制度逆差和制度顺差的基础上,依据2009—2019年中国技术引进面板数据,探究制度落差对跨国技术转移的影响,并考察技术来源国创新能力在这一影响过程中的调节作用。研究发现,管制逆差和规范逆差对跨国技术转移具有显著促进作用,技术来源国创新能力有助于增强规范逆差对跨国技术转移的促进作用,而对管制逆差影响跨国技术转移的调节作用不显著;管制顺差和规范顺差对跨国技术转移均有显著阻碍作用,且技术来源国创新能力能够削弱其阻碍作用。研究结论证实制度落差对跨国技术转移具有差异化影响,有助于拓展跨国技术转移研究,并为相关部门从制度落差视角指导中国技术引进实践提供参考。     

WHAT CAN ECONOMIC ANALYSIS CONTRIBUTE TO THE ‘SUSTAINABILITY’ DEBATE?

Economics generally, and benefit-cost analysis in particular, are not substitutes for values. They are tools of analysis that rest on assumptions about values. The primary role for economics in normative analysis is to provide information about efficiently achieving that which is valued, not to make the decision. The major economic tool for analyzing normative issues is benefit-cost analysis. This paper considers the role of benefit-cost analysis in addressing the sustainability debate. The notion of "sustain-ability" raises concerns about values held by society. The analysis here addresses several issues within the sustainability debate: concerns about intergenerational equity including the appropriate discount rate for projects with environmental consequences; implications for burdens on future generations; and the moral basis for benefit-cost analysis. The authors argue that the correct discount rate for all such projects is the social rate of time preference, and that suggestions for using lower discount rates result from attempting to prevent inequities by adjusting prices. Additionally, the authors argue that economic analysis, especially benefit-cost analysis, can play a useful role in providing information to decision makers, who ultimately will face resource allocation issues as they seek to implement policies promoting sustainability.     

Insurance Taxation and Insurance Fraud

It is common practice in the United States to impose a sales tax on insurance premiums. Insurance benefits are not taxed, and it is typically argued that they should not be taxed because they compensate for a loss. In this paper I present a case where the taxation of insurance benefits is preferable to the taxation of premiums. When insurance fraud is present—in the form of ex post moral hazard—a tax on insurance premiums increases the number of fraudulent claims in the economy, whereas a tax on insurance benefits may reduce fraud. More importantly, however, policyholders are made better off with a benefit tax than with a premium tax.     

Super‐Majorites,One‐Dimensional Policies,and Social Surplus

In the setting of a one‐dimensional legislative bargaining game, we characterize qualified majority rules maximizing social surplus, that is, the sum of individual benefits. The simple majority rule maximizes social surplus when individual utilities are tent‐shaped. When the utilities are strictly concave, the surplus maximizing rule is a strict supermajority.     

Labor in a Changing America

Nation states having prompted powerful opposition with their claim to be solely responsible for the management of drinking water, the norms controlling governance of this resource have become increasingly fragmented between different normative powers, each defending a distinct "model." To put these models into perspective, it is suggested that the action stratification analysis developed by Giddens (1984) should be used, for it may prove revealing when applied to the question of water services governance. It is capable of demonstrating how the different institutional levels fit together in providing a framework for local practices, stressing the importance of "intersubjectivity" in the process of creating meaning and ultimately underlining the importance of recursive practices in reproducing and transforming the institutions under consideration.     

JAMES WATT AS INTELLECTUAL MONOPOLIST: COMMENT ON BOLDRIN AND LEVINE*

In their 2003 Lawrence R. Klein Lecture, Michele Boldrin and David Levine argue that intellectual property rights may be damaging to social welfare. As empirical evidence for their theory they offer James Watt's steam engine patent, claiming that it delayed the Industrial Revolution by as much as two decades. We show that this claim, as well as the more general claim that Watt's story supports Boldrin and Levine's theory, rests upon a distorted summary of the historical record.     

Privatizing public services and strategic behavior: The impact of incentives to reduce workers' compensation claim duration

During the 1990s, the state of Ohio contracted out Workers' Compensation (WC) case management, incorporating a large bonus payment intended to reward reduced claim duration. The bonus is essentially a decreasing function of average days away from work, excluding claims longer than 15 months. In response, duration is predicted to decrease for claims with moderate injuries and increase for some severe claims so that claimants will miss more than 15 months of work and be excluded from the calculation. I show that contractors increased duration for severe claims but find no evidence that contractors successfully reduced duration for moderate claims. However, contractors received large bonus payments. This is likely because the financial reward to merely excluding a small share of severe claims from the calculation of the bonus payment is large enough to enable TCMs to receive the full bonus. These contractor responses are inconsistent with state intentions, suggesting public entities should anticipate strategic behavior when crafting performance-based incentives.     

How many educated workers for your economy? European targets,optimal public spending,and labor market impact

This paper studies optimal taxation schemes for education in a search-matching model where the labor market is divided between a high-skill and a low-skill sector. Two public policy targets - maximizing the total employment level and optimizing the social surplus - are studied according to three different public taxation strategies. We calibrate our model using evidence from thirteen European countries, and compare our results with the target from the Europe 2020 Agenda for achievement in higher education. We show that, with current labor market characteristics, the target set by governments seems compatible with the social surplus maximization objective for some countries, while being too high for other countries. For all countries, maximizing employment would imply higher educational spending than that required for the social surplus to reach its maximum.     

On the Anthropological Study of Economies: A Comment

This paper deals with the moral justification behind policy positions. Squeezed between the inevitability of having a welfare ideology and the mantra of value-neutrality (depoliticization), neoclassical policy economists tend to disguise their normative positions on policy matters as common sense. This attitude is particularly pronounced in what I will call "the rhetoric of worthiness," whereby the neoclassical approach justifies its advocacy that certain people should not be helped. This normative position is disguised by a vocabulary (e.g., moral hazard) claimed to be politically neutral. The present paper criticizes this neoclassical mode of policy evaluation in favor of a more socially conscious and innovative policy approach.     

Unemployment Insurance under Moral Hazard and Limited Commitment: Public versus Private Provision

This paper analyzes a model of private unemployment insurance under limited commitment and a model of public unemployment insurance subject to moral hazard in an economy with a continuum of agents and an infinite time horizon. The dynamic and steady‐state properties of the optimum private unemployment insurance scheme are established. The interaction between public and private unemployment insurance schemes is examined. Examples are constructed to show that for some parameter values increased public insurance can reduce welfare by crowding out private insurance more than one‐to‐one and that for other parameter values a mix of both public and private insurance can be welfare maximizing.     

The measurement and decomposition of nonuse values: A critical review

We critically review the literature that claims that existence values, or nonuse values in general, are a large and measurable component of total value for certain environmental resources. Our concern is not with the question “do nonuse values exist?” For some individuals they surely do. Rather, our concern is with two interrelated questions: are there operationally meaningful theorems which might lead to the specific measurement of nonuse values, and do we in fact have a body of credible evidence which shows that nonuse values, particularly components of any nonuse value, are “large”? We find nothing in the way of operationally meaningful hypotheses which would permit the estimation of values attributable to specific motives of individuals. We find no credible basis for claims related to either the measurement of existence and other motive-related values or claims for the “large” relative size of such values. In short, we question the conventional wisdom that such values are measurable and that they are significant as a component of total value.