Anup Malani Profile picture
Health & devt economist, law prof @uchicago. Founder, Int'l Innovation Corps. Health policy, inf disease, slums, bioecon & blockchain.
May 15 9 tweets 2 min read
I’ve always thought the most important US constitutional doctrine was the dormant commerce clause. It (mostly) guaranteed an unfettered large internal market in the US. I think it plays a huge role in America’s ~2% GDP growth over the last 150 years, which is our superpower. 1/n This is ironic bec the dormant commerce clause, despite its name, is unwritten. It’s implied by the commerce clause, which says Congress can regulate trade b/w states. The Supreme Court said the negative implication is that states cannot erect trade barriers b/w themselves. (It’s also unpopular among con law scholars because it’s non-textual. Chalk this up as a victory for natural rights!)
Mar 27 14 tweets 4 min read
***New paper***

@jetson_econ & I have an NBER WP on economics of healthcare fraud. In it, we provide

- An economic definition of fraud
- Explain 3 main categories of fraud
- Distinguish fraud from malpractice
- Offer a model of why fraud occurs
- Examine trends in prosecutions Fraud is a confusing legal concept. It is defined by multiple statutes.

But nearly all *healthcare fraud* meets a simple definition:

Fraud occurs when there is a mismatch in
1/what a provider does
2/what the insurer thinks the patient needs &
3/what the provider bills for
Jan 26 6 tweets 2 min read
Two important charts for understanding why US lags Europe in longevity.

1/ It's behavior, not healthcare: US infant mortality is higher in the months after a baby goes home from the hospital. Suggesting it's at-home behavior, not bad healthcare that is responsible. Image 2/ The gap is driven by less-educated or lower economic status populations in the US. Being high status in the US is akin to being high status in Europe.

Source: Alice Chen, @ProfEmilyOster, @heidilwilliams_ Image
Jan 25 9 tweets 2 min read
Single most under-appreciated chart for understanding health insurance policy in the US.

Uninsured typically pay less than $5k out of pocket for care, regardless of their bill.

So, even without formal health insurance, ppl effectively have a $5000 deductible insurance policy. Image The reason is

1/ the govt requires hospitals treat people before billing them (EMTALA)

2/ the threat of bankruptcy (incl exemptions) gives people bargaining power to negotiate down these bills (debts)
Nov 19, 2024 12 tweets 4 min read
***New working paper alert***

With Ari Jacob, I present a new measure of the # of surviving children per female over time & across countries.

It shows slower decline globally than total fertility rate (TFR).
Show remarkable stability within countries over time.

@_alice_evans Image Available at nber.org/papers/w33175 and bfi.uchicago.edu/working-papers…
Jan 4, 2023 7 tweets 2 min read
I'm teaching microeconomics this quarter & frame the class as policy-relevant by discussing different methods of allocating scarce resources.

The purpose is to stop students from immediately going from mkt failure --> govt intervention. Instead... I want them to compare mkt allocation to non-market methods, incl public ones by first specifying the alternative method & then discussing how it compares to mkts. Trashing mkts is easy, specifying better alternative is hard.
Jan 3, 2023 4 tweets 2 min read
Teaching microeconomics today & explained Friedman point that econ, unlike eg biology, seeks a parsimonious predictive model rather than a descriptively accurate one.

But raises a q: as cost of info & processing power falls, should economics use a more complex base model? The way I explain it is that predictive power (of a model for human behavior) is an increasing, concave function of complexity (eg number of variables k). Cost of complexity is increasing and complexly. Suggests an optimal complexity point where slope of power = slope of cost.
Jul 23, 2022 14 tweets 4 min read
Research involves a *lot* of admin costs that reduce scientific productivity. Here are 8 ways to reduce this (especially in economics), with little cost to journals or grantors. We should pressure organization to make these changes.... But first, this thread is inspired by a @salonium post at @WorksInProgMag. Also H/T @MargRev.

worksinprogress.co/issue/real-pee…
Apr 6, 2022 6 tweets 2 min read
What if you could bid to get quicker ref repts for your submission to the peer review journals? At least for econ journals.

Refs would be chosen by editor (not authors), remain anonymous. But payment for completed repts would increase acceptance of invitation & faster review... Seems like the mechanism economists would like.

Benefits obvious: refs get $$ for time, encourages reviews at a time ppl are complaining abt how hard it is, etc.

Also research is public good w/ inadequate private supply. Why discourage supply w/ 0 or low-price caps on refs?
Apr 2, 2022 12 tweets 3 min read
Two conversations this week got me to think differently. They end w/ requests for recommended reading.

TL;DR:
1/Economics needs to be as empirically rigorous about welfare analysis of politics as markets.
2/Economics must supplement causal ev w/ non-causal ev to be impactful. Convo #1: @APanagariya's wonderful India conference @columbia. There was a discussion of farm & ed reforms. There was some discussion of the politics of the farm reforms, but less on ed.

I've had similar convos about US housing reform w/ @DanielJHemel @ProfSchleich.
Mar 27, 2022 17 tweets 4 min read
How valuable is causal inference?

Economists & statisticians embody high human capital and spend a ton of time showing (policy) X causes Y. What is the rate of return on this effort? TL;DR: The policy & business does not seem to value causation as much as academic economists do. It suggests that economists need to either:

-convince ppl on the value of investing a lot of effort on causation
-work on reducing the costs of inferring causation
Mar 25, 2022 8 tweets 2 min read
Thinking about Uber given recent news about their app hosting taxis and Showtime's super pumped, I had the following question:

What is the optimum level of antitrust scrutiny of startups that seek to displace vested interests? TL;DR: Attacking vested interests is a public good, subject to collective action problems. To get a socially optimal amount of sectoral innovation, we may want to tolerate some collusion or give a period of monopoly rights to new entrants. A useful analogy is Hatch-Waxman.
Mar 20, 2022 4 tweets 2 min read
If you buy this thread, my follow up is what reform/shock would cause us to change the equilibrium? Would any Foundation’s want to support this change? @JohnArnoldFndtn - looking at you! For example, a credit system for reports. Or a payment to allow dual submissions. Or financial support to revive the Berkeley press forum idea. Or payments to depts for counting quantity more for tenure. Or paying for more slots in/issues of top journals.

@AnthonyLeeZhang
Mar 20, 2022 8 tweets 2 min read
Many journals in economics require exclusive submission: a submitted paper not be under consideration elsewhere.

Given the long review times at econ journals, this delays publication of research. Given fixed tenure clocks, it creates large career risk for junior economists.... The costs are compounded cuz, w few exceptions (AER => AEJ, etc), journals don't consider reviews from previous rejections.

There are fields (law) where authors are allowed to submit to multiple journals at once.

*So, what are the best arguments for this policy?*
Mar 19, 2022 7 tweets 2 min read
If you think declining fertility is a serious problem, age of marriage is a big issue in cultures where marriage precedes childbirth, eg India & China.

Things that delay marriage also reduce fertility. This is a huge headwind for gender equality (which I support).

An example… Dommaraju 2008 looks at India.

In theory, you can offset late marriage by shorter birth interval. And you see shorter interval for first child, but longer for 2nd+ children. Doesn’t have to be that way, but is.

@Alicee_evans @srajagopalan

dhsprogram.com/pubs/pdf/WP52/… Image
Feb 20, 2022 18 tweets 5 min read
I've been thinking about the economics of misinformation. Here are a few simple models of misinfo & the solutions they do & do not imply. A thread...

TL;DR: The usual solutions (censoring misinfo) will not work or may backfire.

@cblatts @tylercowen @balajis @slatestarcodex Here is the theory that ppl who want to simply censor misinfo have in mind. I'll call it:

** 1. Null theory: Simpletons **
Ppl seek the truth and trust everything they hear. They cannot judge good from bad info or logic.

There are 2 problems w/ this theory.
Feb 20, 2022 4 tweets 3 min read
It’s that time of year…

We just bottled our 2021 vintage of Cherry Bounce!

@cblatts @sarahcobey Cherry Bounce is our home made sour cherry infused Rittenhouse rye.

Bottling was a long process. Only made possible by being able to eat the loaded cherries that are left over.
Feb 18, 2022 11 tweets 3 min read
What do you think of this crude model of politics to help explain why politicians/twitterati make bad (economic) arguments, eg MMT? Short thread.

TL;DR: 1/They make bad arguments to compete at the margin for ppl who can’t identify good args. 2/Making logical args on @Twitter abt how bad eg MMT is misses the point. Ppl who can judge a good arg aren’t fooled by bad args; they don’t need your logic. Ppl who can’t won’t be convinced by it.

This is why bad args (& policy) persist.

(Extend to COVID policy at your peril.)
Feb 13, 2022 10 tweets 4 min read
I do a lot of interdisciplinary work. Here are 4 hard lessons I've learned. They may help you be more successful (than me) if you want to work across fields. Why listen to me? I'm trained in law & economics. I've written on

-placebo effects with a doctor
-avian flu : biologist
-viral evolution : epidemiologist
-conflict of interest : accountant
-primates : bio anthropologist
-cellular immunity to COVID : immunologist
and more...
Feb 5, 2022 7 tweets 2 min read
I made (at least) 5 research-management mistakes as a young academic. You should avoid these.

1/ You should drop everything possible when you get an R&R and turn that right away. Each week a paper is not published is a week it can't get cited.

Ppl blame slow refs & editors. But as an editor @JLE for >> a decade (& as an author) I know lags before submitting a revision seems almost as long as editorial delays.
Feb 3, 2022 4 tweets 1 min read
Allow me to say something unpopular: the direction of an externality during COVID depends on what ppl's belief about underlying rights are. And we disagree act that.

1 reason COVID policy is challenging is that we're fighting over the wrong question: externalities, not rights. For ppl who think you have a right to not get an infection from others, COVID is a negative externality.

For ppl who think you have a right to free movement, the restrictions on integrity, lockdowns are the externality.