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Access, Innovation & Public Policy in Healthcare Markets ICICI Bank Chair Lecture - IIMA -2018
1. ACKNOWLEDGMENTS
National Science Foundation, Sloan Foundation, Qualcomm University Initiatives, Pfizer’s International Policy Unit, IQVIA – Formerly
IMS Health India, SAST-VAS-Karnataka, All India Organization of Chemists and Druggists, IIMB Young Faculty Research Chair, ISB Bharti &
Max Institute Fellowship in Public Policy and Healthcare, IIMA R&P Grants, collaborators, friends and family.
2. TOWARDS A COMPASSIONATE COMPASS IN HEALTHCARE MARKETS
• "the purpose of human life is to
serve, and to show compassion and
the will to help others." – Albert
Schweitzer
• Dynamic Trade-offs: Access and
affordability today versus incentives
for innovation tomorrow?
• Directions from Public Policy and
Management Practitioners
• Pivotal role of evidence-based
policy (not policy-based evidence)
3. AGENDA FOR THE TALK
• Summary of past work
• On-going work
• Open questions
4. SUMMARY OF PAST RESEARCH
• Access versus Innovation Incentives (evidence from
US Pharmaceutical Markets)
• Welfare effects of differential pricing of medicines
in India
• Ring-leaders & cartels in Indian medicine markets
• Physicians and their role in diffusion of irrational
medicines in India
• Spatial peer effects in diffusion of UHC in India (the
Karnataka VAS experiment)
• Does competition respond to firm entry with
stakeholder orientation in healthcare markets?
16. TO SUMMARIZE PAST WORK
• Interdisciplinary (economics, strategic management,
business ethics and firm behaviour, global health
and public policy) and Collaborative
• Unit of observation (individuals, physicians, firms,
markets, organizations, households, villages)
• Evidence based policy, not policy based evidence
(Go where evidence takes us as scientists,
can/should we go beyond?)
17. SOME ON-GOING PROJECTS
• Pandemics and vaccine market response with new
products (India and the H1N1 shock).
• Experiments on disempowerment and risks women
differentially take to buy fairness creams?
• Price controls and differential fixed costs of entry &
welfare effects in Indian malarial markets.
• IPR shifts in India, changing firm organizational structure
and within-market churns.
• ODA & Risky Bio-Pharmaceutical VC funding in EU
Healthcare Entrepreneurial Activity.