Browsing by Author "March, Raymond J."
Now showing 1 - 3 of 3
- Results Per Page
- Sort Options
Item Do SNAP Recipients Get the Best Prices?(2020) March, Raymond J.; Carpio, Carlos E. (TTU); Boonsaeng, Tullaya (TTU); Lyford, Conrad P. (TTU)We developed an expensiveness index and used the Food Acquisition and Purchase Survey data set to examine empirically whether Supplemental Nutrition Assistance Program (SNAP) participants pay higher prices compared with nonqualifying and qualifying, but nonparticipating, households. Purchasers' ability to minimize food expenditures has significant effects on the program's effectiveness and on participants' food security. Using ordinary least squares and two techniques that control for the endogeneity of SNAP participation, we found no significant effect of SNAP participation on food prices. Moreover, we found that SNAP participants pay, on average, lower prices than do nonparticipants. We conclude by providing suggestions for policy improvements and implications for future research.Item Self-regulation in the U.S. pharmaceutical market(2017-05) March, Raymond J.; Martin, Adam G.; Lyford, Conrad; Segarra, Eduardo; Berdine, GilbertAnalysis of healthcare markets, including pharmaceutical markets, from an economics framework frequently engages in efforts to modify governmental regulatory efforts to attain efficient outcomes. Often, the complex and rapidly changing pharmaceutical market outpaces the regulatory body provided by federal and state level governments. These dynamics leave portions of the regulatory efforts to produce and deliver pharmaceutical products unexamined. This dissertation redirects the attention to efforts within the pharmaceutical market to provide effective self-regulation. It also compares the relative effectiveness of self-regulation efforts to public regulatory efforts in terms of their abilities to obtain sought health outcomes. The findings in each essay conclude self-regulatory frequently attain sought outcomes more effectively than public alternatives. Essay 1 finds physicians and pharmaceutical companies working as entrepreneurial actors were able to better serve patients by finding effective alternative uses of these drugs. I examine off-label drug prescription from an entrepreneurial framework by examining the development processes of aspirin, Viagra, and minoxidil. In each case, research and treatment conclusions were recognized by the medical community quicker than the FDA. These examples challenge the view that off-label prescription requires government oversight due to a lack of sufficient testing and provide counter evidence to the view off-label prescription is reckless and requires additional governmental oversight. Essay 2 engages in a comparative-institutional-analysis of the private and public risk-management programs of the drug isotretinoin, which are designed to prevent the undesired effects isotretinoin has on fetal development. This case study sheds light on the comparative effectiveness of private and public regulation in the pharmaceutical and healthcare markets. A range of evidence indicates that the private risk management program successful in reducing pregnancies and educating patients about the harmful effects isotretinoin can have on a fetus. These findings challenge a consensus found in the medical literature that the private program needed to be supplanted and contain implications for future risk-management policy in healthcare. Essay 3 uses a rent-seeking framework to examine payments made to physicians from the pharmaceutical industry. The empirical analysis examines physician concentration at the state level for total, office-based, and hospital-based concentration reduces the dollar amount spent on payments made to physicians. Using OLS and 2-stage least squares, this paper finds increased physician concentration at the state level is associated with lesser payment amounts made to physicians from pharmaceutical companies for total and office-based physician concentration while the results for hospital-based concentration were mixed. These findings provide important insights for health policy.Item Spillover effect of violent conflicts on food insecurity in sub-Saharan Africa(2023) Muriuki, James; Hudson, Darren (TTU); Fuad, Syed (TTU); March, Raymond J.; Lacombe, Donald J. (TTU)We examine violent conflict's spillover effects on food insecurity in Uganda, Ethiopia, and Malawi. Using a contiguity matrix weighted on the distance between housing units and data from the Living Standard Measurement Survey, we find a statistically significant spillover effect of violent conflict on food security in Ethiopia and Uganda. Statistically significant indirect effects of violent conflict on food security were negative within Malawi and positive within Ethiopia. Direct and spillover effects of violent conflicts and other covariates on food security are also analyzed.