A closer look at Doleac and Mukherjee (2022) and the effects of naloxone access laws on opioid ER admissions.

In their 2022 study, 'The Effects of Naloxone Access Laws on Opioid Abuse, Mortality, and Crime,' Doleac and Mukherjee conclude that broadening access to a life‐saving drug—naloxone—does not reduce opioid‐related mortality as the drug simultaneously encourages riskier drug use. I show issues with th...

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Publicado en:Economic Inquiry Vol. 64; no. 1; pp. 54 - 88
Autor principal: Alexeev, Sergey
Formato: Artículo
Publicado: Wiley-Blackwell Jan2026
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: A closer look at Doleac and Mukherjee (2022) and the effects of naloxone access laws on opioid ER admissions.
      aug:
        au: Alexeev, Sergey
        affil: NHMRC Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown New South Wales, , Australia
      su:
        Epidemiology
        Emergency room visits
        Pharmaceutical policy
        Drug addict mortality
        Research methodology
        Opioid epidemic
      sug:
        subj:
          Epidemiology
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Pharmaceutical and medicine manufacturing
          Drugs and Druggists' Sundries Merchant Wholesalers
          Emergency room visits
          Pharmaceutical policy
          Drug addict mortality
          Research methodology
          Opioid epidemic
      keyword:
        harm reduction
        health economics
        naloxone access laws
        opioid crisis
        overdose prevention
        public health policy
        reproducibility
        harm reduction
        health economics
        naloxone access laws
        opioid crisis
        overdose prevention
        public health policy
        reproducibility
      ab: In their 2022 study, 'The Effects of Naloxone Access Laws on Opioid Abuse, Mortality, and Crime,' Doleac and Mukherjee conclude that broadening access to a life‐saving drug—naloxone—does not reduce opioid‐related mortality as the drug simultaneously encourages riskier drug use. I show issues with their data, design, and estimation methods. For example, their Google Search data has an unverifiable origin, the law timing is incorrect, and the statistical inference is invalid. Correcting these issues within a triple difference design shows that naloxone, contrary to their findings, does not increase ER opioid admissions. I conclude that the moral hazard (and the ensuing adverse consequences) of naloxone use lacks empirical support.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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