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IZA Discussion Paper No. 15220
April 2022
Physicians and the Production of Health: Returns to Health Care during the Mortality Transition

published online in: Review of Economics and Statistics, 22 August 2024

This paper investigates the returns to health care provision during the mortality transition. We construct a new panel data set covering German municipalities from 1928 to 1936. The endogeneity of health care supply is addressed by using the expulsion of Jewish physicians from statutory health insurance as exogenous variation in regional physician supply. Increases in the supply of physicians reduce infant mortality and mortality from common childhood diseases. Using a semiparametric control function approach, we find diminishing marginal returns to health care provision. The results are consistent with historical trends in infant mortality over the 20th century.

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Mark Fallak
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Olga Nottmeyer
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+352 585-855-501
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Christina Gathmann
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