Profile picture
Jennifer Doleac @jenniferdoleac
, 12 tweets, 4 min read Read on Twitter
My paper on Naloxone access and opioid abuse (joint work with @anita_mukherjee) is now online:

"The Moral Hazard of Lifesaving Innovations: Naloxone Access, Opioid Abuse, and Crime"…
Naloxone is a drug that can save someone’s life if administered during an opioid overdose. It therefore has potential as a harm-reduction strategy to fight the opioid epidemic.
Every state has passed laws expanding access to Naloxone; many places now have standing orders allowing anyone to purchase it without a prescription. For many, the goal is to get Naloxone into everyone’s medicine cabinet.
Saving lives is good. But the potential downside of easy access to Naloxone is that reducing the risk associated with abusing opioids could increase opioid abuse.
If the risk of death from opioid consumption falls, but the number or potency of uses increases, the net effect on mortality is ambiguous.
We use the gradual rollout of Naloxone access laws as a natural experiment to measure the effect of broadening Naloxone access on a variety of outcomes related to opioid abuse.
We find that broadening Naloxone access increases opioid-related crime and ER visits, and reduces interest in drug treatment. It has no net effect on mortality.
However, that average mortality effect masks substantial heterogeneity by region.

Most striking, we find that expanding Naloxone access *increased* opioid-related mortality in the Midwest by 14%, and fentanyl-related mortality by 84%.
We run a bunch of robustness checks and placebo tests that support these main results. We find no evidence that pre-existing trends or other policies implemented at the same time explain these effects.
Overall, our findings are consistent with the moral hazard hypothesis that broadening access to Naloxone
encourages riskier behaviors with respect to opioid abuse.
This is all super depressing, so I’ll end on a glimmer of hope: We find suggestive evidence that greater access to local drug treatment could help mitigate these effects.
Given other evidence that increasing access to drug treatment reduces crime, this is one more reason to increase drug treatment availability in local communities.…
Missing some Tweet in this thread?
You can try to force a refresh.

Like this thread? Get email updates or save it to PDF!

Subscribe to Jennifer Doleac
Profile picture

Get real-time email alerts when new unrolls are available from this author!

This content may be removed anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just three indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member and get exclusive features!

Premium member ($3.00/month or $30.00/year)

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!