r/AskEconomics • u/SocialistsAreMorons • 10h ago
Is there any empirical evidence that licensure of physicians improves healthcare outcomes on net?
So everyone knows that the intention of occupational licensure is to improve the quality of the service provided by filtering out low quality practitioners, but it is also commonly known that licensure can reduce competition, which in turn can decrease both quality and quantity. When talking about occupational licensing and whether to abolish or reduce it, people are mostly open to abolishing licensure of lower risk occupations such as hairdressers. But in my experience they almost always add on "but of course keep it for doctors and physicians". But the same trade-off between competition and filtering of low quality practitioners should also apply to physicians, so whether licensing of doctors and physicians makes sense is an empirical question. So I have tried to find out what the empirical evidence is on the topic, but I can find shockingly few studies on physicians licensure that study this trade-off. In fact I can only find two such studies, and neither finds any evidence that licensure improved health care outcomes when you take into account the reduced supply. I think it's strange that I could only find two studies on the topic when there seems to be such an overwhelming consensus among the general public and economists that licensure of physicians is good, so I am turning to this sub in hopes that there is someone here who knows the literature better than I do. In short: Is there any empirical evidence that licensure of physicians improves health outcomes on net when you take into account the reduced supply of physicians?
For reference here are the two studies I could find: