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M. Utku Ünver

Publications and source records attributed to M. Utku Ünver.

3 recordsLinked to original sources

Search and Matching for Adoption from Foster Care

To find families for the more than 70,000 children in need of adoptive placements, most United States child welfare agencies have employed a family-driven search approach in which prospective families respond to announcements made by the agency. However, some agencies have switched to a caseworker-driven search approach in which the caseworker directly contacts families recommended for a child. We introduce a novel search-and-matching model that captures the key features of the adoption process and compare family-driven with caseworker-driven search in a game-theoretical framework. Under either approach, the equilibria are generated by threshold strategies and form a lattice structure. Our main theoretical finding then shows that no family-driven equilibrium can Pareto dominate any caseworker-driven outcome, whereas it is possible that each caseworker-driven equilibrium Pareto dominates every equilibrium attainable under family-driven search. We also find that, within our model, when families are sufficiently impatient, caseworker-driven search is better for all children. We numerically illustrate that most agents are better off under caseworker-driven search across a wide range of parameter values. Finally, we present an empirical study of an agency that switched to caseworker-driven search, finding a three-year adoption probability that outperformed a statewide benchmark by 44.9%, along with a statistically significant 54% higher adoption hazard rate.

cs.GT↗

Fair Allocation of Vaccines, Ventilators and Antiviral Treatments: Leaving No Ethical Value Behind in Health Care Rationing

A priority system has traditionally been the protocol of choice for the allocation of scarce life-saving resources during public health emergencies. Covid-19 revealed the limitations of this allocation rule. Many argue that priority systems abandon ethical values such as equity by discriminating against disadvantaged communities. We show that a restrictive feature of the traditional priority system largely drives these limitations. Following minimalist market design, an institution design paradigm that integrates research and policy efforts, we formulate pandemic allocation of scarce life-saving resources as a new application of market design. Interfering only with the restrictive feature of the priority system to address its shortcomings, we formulate a reserve system as an alternative allocation rule. Our theoretical analysis develops a general theory of reserve design. We relate our analysis to debates during Covid-19 and describe the impact of our paper on policy and practice.

econ.TH↗

Do Black and Indigenous Communities Receive their Fair Share of Vaccines Under the 2018 CDC Guidelines

A major focus of debate about rationing guidelines for COVID-19 vaccines is whether and how to prioritize access for minority populations that have been particularly affected by the pandemic, and been the subject of historical and structural disadvantage, particularly Black and Indigenous individuals. We simulate the 2018 CDC Vaccine Allocation guidelines using data from the American Community Survey under different assumptions on total vaccine supply. Black and Indigenous individuals combined receive a higher share of vaccines compared to their population share for all assumptions on total vaccine supply. However, their vaccine share under the 2018 CDC guidelines is considerably lower than their share of COVID-19 deaths and age-adjusted deaths. We then simulate one method to incorporate disadvantage in vaccine allocation via a reserve system. In a reserve system, units are placed into categories and units reserved for a category give preferential treatment to individuals from that category. Using the Area Deprivation Index (ADI) as a proxy for disadvantage, we show that a 40% high-ADI reserve increases the number of vaccines allocated to Black or Indigenous individuals, with a share that approaches their COVID-19 death share when there are about 75 million units. Our findings illustrate that whether an allocation is equitable depends crucially on the benchmark and highlight the importance of considering the expected distribution of outcomes from implementing vaccine allocation guidelines.

econ.GN↗