health insurance and the welfare of health care consumers abstract we show that given the close linkage between the health insurance and the health care industries as well as other special characteristics of conventional health insurance the introduction of conventional health insurance will reduce consumers welfare if the supply of health care is sufficiently price inelastic

does health plan generosity enhance hospital market power we test whether the generosity of employer sponsored health insurance facilitates the exercise of market power by hospitals we construct indices of health plan generosity and the price and volume of hospital services using data from truven marketscan for 601 counties from 2001 to 2007 we use variation in the industry and union status of covered workers within a county over time to identify the causal effects of generosity although ols estimates fail to reject the hypothesis that generosity facilitates the exercise of hospital market power iv estimates show a statistically significant and economically important positive effect of plan generosity on hospital prices in uncompetitive markets but not in competitive markets our results suggest that most of the aggregate effect of hospital market structure on prices found in previous work may be coming from areas with generous plans

the demand for spatially complementary national parks using a panel dataset on annual visits to each u s national park we empirically analyze the demand for these parks using a spatial lag model which accounts for the complementary nature of the parks our results suggest that increases in fuel costs temperature increases of greater than 3 f and restrictions on foreign tourism all lower visitation to u s national parks causing associated decreases in money spent by tourists jobs created and income generated these results can also be used to analyze the possible implications of proposed public policies such as international visa requirements gas taxes and carbon taxing trading

when are forest visits valued the most an analysis of the seasonal demand for forest recreation in poland while the demand for forest recreation has been a topic covered in many studies little attention has been paid so far to seasonal demand in a forest context the seasonal analysis is particularly interesting because of inter temporal change in forest attributes throughout the year which can influence trip taking behavior in this paper the model of seasonal forest visitation is developed to provide a richer understanding of the role played by seasonal fluctuation on a distribution of forest social benefits the analysis is based on an on site survey conducted in four forests in poland results show that the most valuable forest trips are those taken in fall and that seasonal trips are separable

possibilities for including the opportunity cost of time in recreation demand systems recreation demand modelers have attempted to identify and incorporate the opportunity cost of an individual s time in travel and on site in the model larson 1993b focused on the value of leisure time in a model where individuals face a fixed work week in this paper we examine the connection between labor supply and recreation demands and focus on conditional demand systems we illustrate that corner solution models are not needed to explain several interesting time related recreation issues

the individual travel cost method with consumer specific values of travel time savings the treatment of the opportunity cost of travel time in travel cost models has been an area of research interest for many decades our analysis develops a methodology to combine the travel distance and travel time data with respondent specific estimates of the value of travel time savings vtts the individual vtts are elicited with the use of discrete choice stated preference methods the travel time valuation procedure is integrated into the travel cost valuation exercise to create a two equation structural model of site valuation since the travel time equation of the structural model incorporates individual preference heterogeneity the full structure model provides a travel cost site demand model based upon individualized values of time the methodology is illustrated in a study of recreational birdwatching more specifically visits to a stork village in poland we show that the usual practice of basing respondents vtts on 1 3 of their wage rate is largely unfounded and propose alternatives including a separate component of the travel cost survey aimed at valuation of respondents vtts or as a second best asking if they wish if their journey was shorter and for those who do use full hourly wage as an indicator of their vtts

reconciling models of recreational route and site choices when employing travel cost models the unit cost of the essential input travel in the household s production of a recreation experience is central to obtaining the preference structure for the recreational good however little attention has been given to the choice of the route although the route defines the monetary and time costs used to compute travel costs conventional wisdom considers time and money costs in determining the cost per mile in the estimation of site choices but does not use both in determining the route choices and mileages this paper investigates whether models of recreational site and route choices can be reconciled

measurement error in recreation demand models the joint estimation of participation site choice and site characteristics abstract in the demand for recreational fishing sites an important explanatory variable differentiating sites is the unobserved expected catch rate since the observed catch rate is subject to sampling variability using the average of a site s observed catch rates causes the parameter estimator on catch to be biased downward we develop and demonstrate a solution to this errors in variables problem when there are repeated measurements on the catch rate consistent and efficient estimates of both the demand parameters and the expected catch rates are obtained by simultaneously estimating them by maximum likelihood an empirical example demonstrates the importance of simultaneous estimation

estimating the private benefits of vaccination against cholera in beira mozambique a travel cost approach abstract this paper reports the results of the first study that estimates households private demand for cholera vaccines using the travel cost method we take advantage of an unusual natural experiment in january 2004 more than 41 000 residents from various locations in beira mozambique received two doses of oral cholera vaccine free of charge during the first vaccination trial to test its effectiveness in an endemic cholera zone of africa about 30 000 people participated from outside the target zone resulting in long queues and an average waiting time of about 85 min per dose we estimated travel cost models of the revealed demand for cholera vaccines among households informed of the trial using information collected in in person interviews conducted during the summer of 2005 to explore households participation in the trial we used standard and zero inflated household count models for all household members and dichotomous choice models for the head of the household our analysis shows that the quantity of vaccines obtained by households and the likelihood of participation decreased as travel cost in time and transport expenses rose our best estimates of per capita willingness to pay for the two required doses of cholera vaccine are about 0 85 usd these estimates are sensitive to the assumed value of time spent acquiring vaccines

the opportunity cost of travel time as a noisy wage fraction few issues are more important to welfare estimation with recreation demand models than the specification of the opportunity cost of travel time the two most common approaches to specifying this cost treat it as a fixed fraction of the recreationist s wage and either estimate the fraction done infrequently or assume it takes some value done commonly with references to results from the commute time literature used to justify the latter however these approaches lack firm conceptual rationales and the consequences of using them are not fully understood recognizing that information limitations often preclude more general approaches we use a joint recreation travel labor supply model to show that under relatively modest assumptions the opportunity cost of travel time can be expressed as a wage fraction with noise this formulation is straightforward to implement as part of random parameters based recreation demand models we then evaluate the welfare consequences of using the two approaches noted above which are special cases of the noisy wage fraction specification our results suggest that the more critical restriction to relax in opportunity cost of travel time specifications is the absence of noise rather than the specific level of the wage fraction

valuing bundled attributes a latent characteristics approach lancaster wrote that attributes of goods may combine to produce characteristics that are the primary units of consumption 1966 often the attributes of goods are bundled and cannot be separated we show that if attributes are technically bundled then valuation analyses that treat these attributes as independent will be wrong we show that a latent characteristics ap proach improves upon other methods by incorpo rating more information about attributes than standard methods and by directly modeling the linkages among attributes for the case of wilder ness hiking the latent approach provides a statis tically better model of site choice than other stan dard methods jel q20 q26

recreational value user heterogeneity and site characteristics in contingent valuation abstract we propose an adaptation of the dichotomous choice contingent valuation method applied to the recreational quality of a site and to heterogeneity between visitors tourists and residents this method is based on a set of repeated valuation questions and is used to study relations between the components of environmental goods we propose its application to public coastal sites in south western france we show that programmes regarding the ocean beaches and forests are generally independent of one another in order to stress the heterogeneity of users two separate models are assessed the way time is taken into account then appears to be one of the most interesting sources of divergence between tourists and residents individual wtp per day also varies this confirms that beaches used by residents provide high economic benefits although they generate little indirect revenue finally contingent valuation appears to be a useful alternative for analyzing the multiple dimensions of a public policy

health insurance and the demand for medical care evidence from a randomized experiment we estimate how cost sharing the portion of the bill the patient pays affects the demand for medical services the data come from a randomized experiment a catastrophic insurance plan reduces expenditures 31 percent relative to zero out of pocket price the price elasticity is approximately 0 2 we reject the hypothesis that less favorable coverage of outpatient services increases total expenditure for example by deterring preventive care or inducing hospitalization

specification of driving costs in models of recreation demand existing recreation demand models have paid much attention to the heterogeneous nature of the opportunity cost of time but generally stipulate constant per mile costs in access price specifications this study proposes two alternative approaches to introduce user specific driving costs into recreation demand models the first approach is based on a refined measurement of driving costs based on engineering considerations the second strategy estimates perceived per mile cost as a function of vehicle attributes in an empirical framework we find strong evidence that driving costs are a visitor specific concept and that prescribed and perceived costs differ substantially however welfare measures generated by these alternative specifications are not statistically different from those produced by the standard model in our application of jet skiing in the lake tahoe region

time is money improved valuation of time and transportation costs the proper valuation of time isimportant for estimating the demand for severaleconomic goods this paper explores the propervaluation of time when estimating recreationaldemand where time costs represent asubstantial portion of the purchase price toestimate demand this paper uses a travel costframework to analyze actual behavior revealedpreference data and hypothetical behavior stated preference data which is induced byhypothetical increases in access fees traveltime and travel distance by comparing theresponses to these three contingencies theanalysis adjusts and improves the valuation oftime costs as evidence of this improvement this analysis demonstrates a great increase inthe consistency between the revealed and stateddata similarly this paper improves thevaluation of transportation related costs

combining discrete and continuous representations of preference heterogeneity a latent class approach unobserved preference heterogeneity has been widely recognized as a critical issue not only for modelling choice behaviour but also for policy analysis this paper examines alternative approaches for incorporating heterogeneity in recreational demand we apply a hybrid model combining discrete and continuous heterogeneity representations of tastes to capture the defining features of both the latent class and the random parameter logit specifications this model allows for the joint estimation of discrete segments and within segment heterogeneity providing a richer interpretation of preference heterogeneity a database of recreational trips to forest sites in mallorca has been used to compare the empirical performance of this hybrid approach with common specifications such as the conditional logit the random parameter logit and the latent class model

simulating the diffusion of organic farming practices in two new eu member states abstract agriculture continues to be a major contributor to water pollution climate change and loss of biodiversity although policies to encourage farmers to work to higher sustainability standards in food and energy crop production have increased throughout the european union in new member states accession to the european union mostly brought a substantially increased public support to foster the diffusion of certified organic farming however the take up of organic farming is varied for reasons that are not yet well understood in this paper we analyse the diffusion of organic farming through farm populations this involves an understanding of farmer behaviour and how it can change over time we present a generic agent based model that builds on the theory of planned behaviour as framework for understanding and modelling farmers decision making processes the model is applied to high diffusion regions in two new eu member states latvia and estonia the values for the model s parameters are informed by survey data the model reproduces the interdependence of social influence and economic factors social influence alone is shown to make little difference to the model dynamics organic farmers remain organic and conventional farmers remain conventional introducing a change to the environment e g a subsidy results in an increase in the proportion of adopters thus economic factors appear to be more influential than social factors however only when allowing for both the subsidy and social influence do we reveal the whole picture and the combined adoption rate is higher than the sum of the proportion of adopters resulting from just social influence without a subsidy and from just a subsidy without social influence we also compare the effect of the subsidy with the effect of influence from organic farm advisors to develop policy recommendations

on the aggregate value of recreational activities a nested price index approach using poisson demand systems an important consideration in the development ofregulations and policies that administer naturalresources in an area is the value of the non marketactivities supported by those lands little attentionhas been paid to the aggregate value of largegeographic areas this analysis builds autility theoretic price index and utilizes this indexto estimate an aggregate poisson demand to valuebackcountry recreational hiking opportunities innorthern california

a semiparametric smooth coefficient estimator for recreation demand we introduce a semiparametric smooth coefficient estimator for recreation demand data that allows more flexible modeling of preference heterogeneity we show that our sample of visitors each has an individual statistically significant price coefficient estimate leading to clearly nonparametric consumer surplus and willingness to pay wtp distributions we also show mean wtp estimates that are different in economically meaningful ways for every demographic variable we have for our sample of beach visitors this flexibility is valuable for future researchers who can include any variables of interest beyond the standard demographic variables we have included here and the richer results price elasticities consumer surplus and wtp estimates are valuable to planners and policymakers who can easily see how all these estimates vary with characteristics of the population of interest

modeling recreation demand in the presence of unobservable travel costs toward a travel price model an important issue in the application of travel cost models is the construction of a travel cost variable this paper develops an econometric approach that views travel costs as an unobserved latent variable the latent variable approach utilizes indicators to capture the role of individual travel costs in recreational demand models the latent variables approach has at least two advantages over conventional approaches one the indicators can include both traditional components such as time and distance and non traditional components such as the scenic beauty second the estimation procedure results in each indicator being valued in dollar terms

improved source improved quality demand for drinking water quality in rural india abstract this paper tests the hypothesis that the expansion of improved drinking water supplies in rural india reduced household expenditure on water quality offsetting some of the quality benefits from source protection i estimate demand for in home treatment using geological characteristics to predict a household s drinking water source the probability of treatment and in particular boiling reduces by 18 27 percentage points in response to source protection offsetting 4 of the water quality gains and saving households 0 5 1 in monthly expenditure behavioral choices partly counteract the water quality gains from source protection