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Innovation and Health Inequality: Evidence from Direct-Acting Antivirals / Kevin Callison, Michael E. Darden, Keith F. Teltser.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Callison, Kevin.
Contributor:
Darden, Michael E.
Teltser, Keith F.
National Bureau of Economic Research.
Series:
Working Paper Series (National Bureau of Economic Research) no. w33735.
NBER working paper series no. w33735
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2025.
Summary:
We study disparities in liver transplant allocation when innovation alleviates the scarcity of organs. When direct-acting antivirals for Hepatitis C (HCV) reduced HCV+ liver demand, we show a disproportionate increase in White HCV- liver transplants (56.6%) relative to Black HCV- transplants (11.9%). The time to transplant decreased (31.1%), and the transplant rate increased (19.5pp), only for White HCV- patients. Our results are surprising because liver health is the primary determinant of transplant priority and marginal White patients were of better liver health. We show more similar gains when we focus on privately insured patients and/or areas with more Black patients.
Notes:
May 2025.
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