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Optimal vaccine subsidies for endemic diseases

Matthew Goodkin-Gold, Michael Kremer, Christopher Snyder and Heidi Williams ()

International Journal of Industrial Organization, 2022, vol. 84, issue C

Abstract: In Goodkin-Gold et al. (2021), we analyzed optimal subsidies for a vaccine against an epidemic outbreak like Covid-19. This companion paper alters the underlying epidemiological model to suit endemic diseases requiring continuous vaccination of new cohorts—also suiting an epidemic like Covid-19 if, following Gans (2020), one assumes peaks are leveled by social distancing. We obtain qualitatively similar results: across market structures ranging from perfect competition to monopoly, the subsidy needed to induce first-best vaccination coverage on the private market is highest for moderately infectious diseases, which invite the most free riding; extremely infectious diseases drive more consumers to become vaccinated, attenuating externalities. Stylized calibrations to HIV, among other diseases, suggest that first-best subsidies can be exorbitantly high when suppliers have market power, rationalizing alternative policies observed in practice such as bulk purchases negotiated by the government on behalf of the consumers.

Keywords: Vaccine; Epidemiology; Externality; Pharmaceutical (search for similar items in EconPapers)
JEL-codes: D42 I18 L11 O31 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:indorg:v:84:y:2022:i:c:s0167718722000169

DOI: 10.1016/j.ijindorg.2022.102840

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