TY - RPRT AU - Hamilton, Barton H. AU - Hincapié, Andrés AU - Kalish, Emma C. AU - Papageorge, Nicholas W. TI - Medical Innovation and Health Disparities PY - 2022/Nov/ PB - Institute of Labor Economics (IZA) CY - Bonn T2 - IZA Discussion Paper IS - 15711 UR - https://www.iza.org/publications/dp15711 AB - Health-maximizing and welfare-maximizing behaviors can be at odds, especially among disadvantaged groups, generating health disparities. We estimate a lifecycle model of medication and labor supply decisions using data on HIV-positive men. We evaluate an effective HIV treatment innovation that had harsh side effects: HAART. Measured in lifetime utility gains, HAART disproportionately benefitted higher-education men. Lower-education men were more likely to avoid the side effects of HAART that interfered with work. A counterfactual mandate to use HAART improves health but increases inequality because low-education individuals work less. A counterfactual non-labor income subsidy increases HAART adoption and improves health among lower-education individuals. KW - health disparities KW - health behaviors KW - dynamic demand KW - side effects KW - structural models KW - HIV/AIDS ER -