Prescription Opioids and Labor Market Pains: The Effect of Schedule II Opioids on Labor Force Participation and Unemployment

We examine the effect of prescription opioids on county labor market outcomes, using data from the Prescription Drug Monitoring Programs of ten U.S. states and labor data from the Bureau of Labor Statistics. We achieve causal identification by exploiting plausibly exogenous variation in the concentr...

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Veröffentlicht in:The Journal of human resources 2020-10, Vol.55 (4), p.1319-1364
Hauptverfasser: Harris, Matthew C, Kessler, Lawrence M, Murray, Matthew N, Glenn, Beth
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creator Harris, Matthew C
Kessler, Lawrence M
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Glenn, Beth
description We examine the effect of prescription opioids on county labor market outcomes, using data from the Prescription Drug Monitoring Programs of ten U.S. states and labor data from the Bureau of Labor Statistics. We achieve causal identification by exploiting plausibly exogenous variation in the concentration of high-volume prescribers as instruments (using Medicare Part D prescriber data). We find strong adverse effects on labor force participation rates, employment-to-population ratios, and unemployment rates. Notably, a 10 percent increase in prescriptions causes a 0.53 percentage point reduction in labor force participation, similar to the drop attributed to the 1984 liberalization of Disability Insurance.
doi_str_mv 10.3368/jhr.55.4.1017-9093R2
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subjects Disability
Disability insurance
Effects
Employment
Insurance
Labor force
Labor force participation
Labor market
Liberalization
Medicare
Narcotics
Opioids
Prescription drugs
Side effects
Therapeutic drug monitoring
Unemployment
title Prescription Opioids and Labor Market Pains: The Effect of Schedule II Opioids on Labor Force Participation and Unemployment
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