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An Empirical Model of the Medical Match

Nikhil Agarwal

American Economic Review · 2015 · Volume 105 · Issue 7

DOI: 10.1257/aer.20131006

Abstract

This paper develops a framework for estimating preferences in a many-to-one matching market using only observed matches. I use pairwise stability and a vertical preference restriction on one side to identify preferences on both sides of the market. Counterfactual simulations are used to analyze the antitrust allegation that the centralized medical residency match is responsible for salary depression. Due to residents' willingness to pay for desirable programs and capacity constraints, salaries in any competitive equilibrium would remain, on average, at least $23,000 below the marginal product of labor. Therefore, the match is not the likely cause of low salaries. (JEL C78, I11, J31, J44, K21, L44)

Keywords

Bargaining Theory, Matching Theory, Analysis of Health Care Markets, Wage Level and Structure, Wage Differentials, Professional Labor Markets, Occupational Licensing, Antitrust Law, Antitrust Policy and Public Enterprises, Nonprofit Institutions, and Professional Organizations

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