The Economics of the Public Option: Evidence from Local Pharmaceutical Markets

Author:

Atal Juan Pablo1,Cuesta José Ignacio2,González Felipe3,Otero Cristóbal4

Affiliation:

1. University of Pennsylvania (email: )

2. Stanford University and NBER (email: )

3. Queen Mary University of London (email: )

4. Columbia Business School (email: )

Abstract

We study the effects of competition by state-owned firms, leveraging the decentralized entry of public pharmacies to local markets in Chile. Public pharmacies sell the same drugs at a third of private pharmacy prices, because of stronger upstream bargaining and market power in the private sector, but are of lower quality. Public pharmacies induced market segmentation and price increases in the private sector, which benefited the switchers to the public option but harmed the stayers. The countrywide entry of public pharmacies would reduce yearly consumer drug expenditure by 1.6 percent. (JEL D22, I18, L32, L65, O14)

Publisher

American Economic Association

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3. Alé-Chilet, Jorge. 2018. "Gradually Rebuilding a Relationship: The Emergence of Collusion in Retail Pharmacies in Chile." Unpublished.

4. Araucanía Cuenta. 2016. "Se encuentran abiertas las inscripciones para farmacia municipal de Villarrica." Araucanía Cuenta. https://rb.gy/mhzisl (accessed March 25, 2021).

5. The Competitive Effects of Entry: Evidence from Supercenter Expansion

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