Evidence map›Paper›PMID 26900414›Full record

ArticleAmerican economic journal. Economic policy2016

Paying on the margin for medical care: Evidence from breast cancer treatments.

Liran Einav, Amy Finkelstein, Heidi Williams

Open access · bronzeAbstract read
In one paragraph

Article in American economic journal. Economic policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 43 citations in OpenAlex.

  1. PRODUCING HEALTH: MEASURING VALUE ADDED OF NURSING HOMES.Econometrica : journal of the Econometric Society · 2025
    Article
  2. Health Risk and the Value of Life.Journal of public economics · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Health information seeking behavior of female breast cancer patients.Journal of education and health promotion · 2018
    Article
  7. Article
  8. BEHAVIORAL HAZARD IN HEALTH INSURANCE.The quarterly journal of economics · 2015
    Article
  9. Behavioral hazard in health insurance.National Bureau of Economic Research bulletin on aging and health · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Liran EinavStanford and NBER.
Amy FinkelsteinMIT and NBER.
Heidi WilliamsMIT and NBER.
Massachusetts Institute of Technology · USStanford University · US

Funding

CALIFORNIA COORDINATED CANCER PREVENTION & CONTROL PROGRAMU58DP003862 · DP · CALIFORNIA STATE DEPT OF PUBLIC HEALTH · PI SNIPES, KURT P · 2012 to 2014
$31.5M
Determinants of Elderly Health: The Role of Place-Based FactorsR37AG032449 · NIA · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI FINKELSTEIN, AMY N. · 2020 to 2025
$5.9M
The Design of Social Insurance for the Elderly: Public Pensions & Health InsurancR01AG032449 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI EINAV, LIRAN, FINKELSTEIN, AMY N. · 2009 to 2019
$5.6M
NCCDPHP CDC HHS U58 DP003862NCI NIH HHS HHSN261201000034CNCI NIH HHS HHSN261201000035CNCI NIH HHS HHSN261201000035INCI NIH HHS HHSN261201000140CNIA NIH HHS R01 AG032449NIA NIH HHS R37 AG032449
6 · The paper itself

Abstract

We present a simple graphical framework to illustrate the potential welfare gains from a "top-up" health insurance policy requiring patients to pay the incremental price for more expensive treatment options. We apply this framework to breast cancer treatments, where lumpectomy with radiation therapy is more expensive than mastectomy but generates similar average health benefits. We estimate the relative demand for lumpectomy using variation in distance to the nearest radiation facility, and estimate that the "top-up" policy increases social welfare by $700-2,500 per patient relative to two common alternatives. We briefly discuss additional tradeoffs that arise from an ex-ante perspective.

Identifiers

PMID26900414
PMCPMC4758371
OpenAlexW1606428588

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.