{"title":"Institutional heterogeneity in the education and earnings returns to postsecondary technical education: Evidence from Missouri","authors":"Maxwell J. Cook, Cory Koedel, Michael Reda","doi":"10.1002/soej.12711","DOIUrl":"https://doi.org/10.1002/soej.12711","url":null,"abstract":"We estimate the education and earnings returns to enrolling in technical 2‐year degree programs at community colleges in Missouri. A unique feature of the Missouri context is the presence of a highly regarded, nationally ranked technical college: State Technical College of Missouri (State Tech). We find that enrolling in a technical program in Missouri increases the likelihood of associate degree attainment and post‐enrollment earnings, but that the positive effects statewide are driven largely by students who attend State Tech. These findings demonstrate the potential for a high‐performing community college to change students' education and labor market trajectories. At the same time, they exemplify the potential for substantial institutional heterogeneity in the returns to postsecondary education.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"25 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141167463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of Certificate‐of‐Need laws on substance use disorder care for vulnerable populations","authors":"Alicia Plemmons, Darwyyn Deyo, Sarah Drain","doi":"10.1002/soej.12696","DOIUrl":"https://doi.org/10.1002/soej.12696","url":null,"abstract":"Substance use disorders are a prevalent and growing problem across the United States, especially for households that rely on publicly funded healthcare insurance plans. State Certificate‐of‐Need (CON) laws for substance use disorder (SUD) treatment facilities can worsen outcomes for these patients by restricting the supply of facilities and beds, leading to spillovers into the general hospital system. We present a choice theory for treatment facility patient admission and model the outcome as a function of the patient's insurance type. We then combine two datasets on state CON laws for SUD treatment facilities with Medicaid patient data from 2017 to 2020 to test the model using a three‐stage least squares design and provide some of the first evidence on Medicaid patient outcomes under CON laws for SUD treatment facilities. We find significant evidence that state CON laws for SUD treatment facilities are associated with higher rates of hospital bed utilization, increases in the number of infants born with Neonatal Abstinence Syndrome, and higher rates of emergency department visits. Our findings are robust to several specification tests, including a model of conditional mixed method endogeneity and incorporating timing of the Affordable Care Act.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"43 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140935481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Certificate‐of‐Need laws in healthcare: A comprehensive review of the literature","authors":"Matthew D. Mitchell","doi":"10.1002/soej.12698","DOIUrl":"https://doi.org/10.1002/soej.12698","url":null,"abstract":"Certificate‐of‐Need (CON) laws limit the supply of healthcare services in about two‐thirds of U.S. states. The regulations require those who wish to open or expand their facilities to first prove that their services are needed. Once encouraged by the federal government, Congress eliminated the inducement in the 1980s and since then several states have either pared their CON programs back or eliminated them altogether. To date, there have been 128 academic assessments of CON laws and together these papers contain over 450 tests. In this paper, I review this literature, organizing the results around the most common rationales for CON laws. The accumulated evidence is overwhelming that CON laws do not achieve their purpose. Instead, the balance of evidence suggests that these regulations increase spending, reduce access to care, undermine quality, and fail to ensure care for underserved populations.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"66 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140935483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What philosophy can teach political economy about corruption: A non‐ideal theory","authors":"Mario I. Juarez‐Garcia","doi":"10.1002/soej.12692","DOIUrl":"https://doi.org/10.1002/soej.12692","url":null,"abstract":"Scholars who study political corruption typically assume that it is a pathology. This assumption gives rise to certain problems. On the one hand, scholars who conceive corruption as a principal‐agent problem yield anti‐corruption policies with disappointing results. On the other hand, political economists who grasp the functionality of corruption within inefficient institutions are torn between embracing the functionality of corrupt actions and eradicating them. These issues result from the assumption that corruption is a pathology. Philosophy operates at the level of assumptions, offering a potential avenue for addressing these issues. This paper puts forward a non‐ideal theory of corruption, in which partial compliance with the law is not always seen as a pathology; sometimes corruption includes information about the quality of the law. A non‐ideal theory of corruption puts forward the idea that some cases of corruption result from defective laws rather than defective people.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"17 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140615368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vitor Melo, Liam Sigaud, Elijah Neilson, Markus Bjoerkheim
{"title":"Rural healthcare access and supply constraints: A causal analysis","authors":"Vitor Melo, Liam Sigaud, Elijah Neilson, Markus Bjoerkheim","doi":"10.1002/soej.12686","DOIUrl":"https://doi.org/10.1002/soej.12686","url":null,"abstract":"Certificate‐of‐Need (CON) laws require that healthcare providers receive approval from a state board before offering additional services in a given community. Proponents of CON laws claim that these laws are needed to prevent the oversupply of healthcare services in urban areas and to increase access in rural areas, which are predominantly underserved. Yet, the policy could lower rural access if used by incumbents to limit entry from competitors. We explore the repeal of these regulations in five U.S. states to offer the first estimate of the causal effects of CON laws on rural and urban healthcare access. We find that repealing CON laws causes a substantial increase in hospitals in both rural and urban areas. We also find that the repeal leads to fewer beds and smaller hospitals on average, suggesting an increase in entry and competition in both rural and urban areas.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"4 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of substance use Certificate‐of‐Need laws on access to substance use disorder treatment facilities","authors":"Shishir Shakya, Christine Bretschneider‐Fries","doi":"10.1002/soej.12689","DOIUrl":"https://doi.org/10.1002/soej.12689","url":null,"abstract":"We investigate how substance use Certificate‐of‐Need (CON) laws influence access to substance use disorder treatment facilities in the United States. We use the National Directory of Drug and Alcohol Abuse Treatment Facilities data set, which lists all federal, state, and local government facilities and private facilities that provide substance use treatment services in 2020. Based on the locations of these facilities, we develop a novel access index to substance use disorder treatment facilities that accounts for driving distance and duration to measure the ease of reaching these facilities for individuals living at the population‐weighted county centroids. We find that counties in states with CON laws that border counties without such laws have nearly 10% less spatial accessibility to substance use disorder treatment facilities at a 5% level of significance.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"47 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does capitalism disfavor women? Evidence from life satisfaction","authors":"Niclas Berggren, Christian Bjørnskov","doi":"10.1002/soej.12691","DOIUrl":"https://doi.org/10.1002/soej.12691","url":null,"abstract":"There is concern, especially in certain feminist circles, that capitalism disfavors women. This could take many forms, for example, lower wages for the same work, reduced career opportunities, disparities in ownership, and the upholding of traditional gender roles, and it could result in capitalism conferring more life satisfaction on men than on women. We test empirically whether this concern is justified. Using the epidemiological approach to rule out reverse causality, we first confirm previous findings that most areas of economic freedom (legal quality in particular, but also monetary stability, openness, and regulation) are beneficial for general life satisfaction. When looking at women and men separately, we find virtually no statistically significant differences, and in the cases we do, the estimates reveal <jats:italic>a more beneficial</jats:italic> outcome for women. Hence, we conclude that capitalism does not seem to favor men more than women in terms of life satisfaction.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"215 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unemployment insurance and opioid prescriptions during the great recession","authors":"Xiaohui Guo, Lizhong Peng","doi":"10.1002/soej.12688","DOIUrl":"https://doi.org/10.1002/soej.12688","url":null,"abstract":"This is the first U.S. study on the causal relationship between unemployment insurance (UI) expansions during the Great Recession and the use of prescribed opioids. Using annual county‐level prescription data from 2006 to 2013 and plausibly exogenous variation in state and federal policies, we estimate that a one standard deviation increase in UI generosity ($10,800) reduces per‐capita prescription opioid use by 1.9%. We supplement our main analysis with a border discontinuity design and find a similar effect. We also find no evidence of pre‐trends in the outcome. Finally, additional analyses suggest that increased health care utilization after exposure to higher UI generosity could be a plausible explanation for the declines in opioid prescriptions.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"46 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Competition and profit orientation in microfinance","authors":"Ahadul Kabir Muyeed, Ruoning Han","doi":"10.1002/soej.12687","DOIUrl":"https://doi.org/10.1002/soej.12687","url":null,"abstract":"This study examines how microfinance lenders design their loan contracts to motivate borrower repayments under competition. We develop a model of an individual lending scheme in which a dynamic incentive mechanism is employed to mitigate borrower strategic defaults. We find that competition affects loan terms and borrower welfare in different ways depending on whether lenders are non‐profit or for‐profit. Non‐profits always charge the lowest feasible interest rate and show some degree of leniency toward defaulters by renewing their contracts. An increase in competition leads non‐profits to curtail leniency to a level that induces repayment, without affecting borrower welfare. In contrast, for‐profits charge the highest feasible interest rate and show no leniency to defaulters. They respond to competition by lowering the interest rate, leading to welfare gains for borrowers.","PeriodicalId":47946,"journal":{"name":"Southern Economic Journal","volume":"241 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}