Innovation and Diffusion of Medical Treatment

Working Paper: NBER ID: w24577

Authors: Barton H. Hamilton; Andrés Hincapié; Robert A. Miller; Nicholas W. Papageorge

Abstract: This paper develops and estimates a dynamic structural model of demand for a multi-attribute product. The demand side equilibrium supports a product spectrum, the characteristics of which evolve over time in response to supply innovations induced by the composition and extent of aggregate demand. The direction and speed of innovation is inefficient because individuals create an externality by not accounting for their influence on the discovery process. We apply the model to drugs invented to combat the HIV epidemic, during which frequent, incremental innovations in medication were punctuated by sporadic breakthroughs. In this application products differ in their efficacy and their propensity to cause side effects. Our biennial data on four American cities track a replenished panel of individuals for over twenty years, from when drugs were not only ineffective but also created debilitating side effects, to when the market matured. We find that the externalities are quantitatively important and that even a temporary subsidy would have improved average social welfare and been more equitable.

Keywords: Innovation; HIV Treatments; Consumer Demand; Externalities; Social Welfare

JEL Codes: O31


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
consumer demand (D12)characteristics of new products (L15)
individual preferences (D11)path of innovation (O36)
consumer behavior (D19)speed of innovation (O35)
financial incentives for trial participation (M52)improved innovation outcomes (O36)
consumer choice (D10)future product developments (O39)
individual choices (D01)pace and direction of technological progress (O33)
consumer demand (D12)supply of innovations (O36)
externality from consumer choices (D62)misalignment of personal choices and collective welfare outcomes (D70)

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