arXiv subjects

Parag A. Pathak

Publications and source records attributed to Parag A. Pathak.

5 recordsLinked to original sources

arXiv2023

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↗

arXiv2023

Redesigning the US Army's Branching Process: A Case Study in Minimalist Market Design

We present the proof-of-concept for minimalist market design (Sönmez, 2023) as an effective methodology to enhance an institution based on the desiderata of stakeholders with minimal interference. Four objectives-respecting merit, increasing retention, aligning talent, and enhancing trust-guided reforms to US Army's centralized branching process of cadets to military specialties since 2006. USMA's mechanism for the Class of 2020 exacerbated challenges implementing these objectives. Formulating the Army's desiderata as rigorous axioms, we analyze their implications. Under our minimalist approach to institution redesign, the Army's objectives uniquely identify a branching mechanism. Our design is now adopted at USMA and ROTC.

econ.TH↗

arXiv2021

Mechanism Design meets Priority Design: Redesigning the US Army's Branching Process

Army cadets obtain occupations through a centralized process. Three objectives -- increasing retention, aligning talent, and enhancing trust -- have guided reforms to this process since 2006. West Point's mechanism for the Class of 2020 exacerbated challenges implementing Army policy aims. We formulate these desiderata as axioms and study their implications theoretically and with administrative data. We show that the Army's objectives not only determine an allocation mechanism, but also a specific priority policy, a uniqueness result that integrates mechanism and priority design. These results led to a re-design of the mechanism, now adopted at both West Point and ROTC.

econ.TH↗

arXiv2020

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↗

arXiv2015

Demand Modeling, Forecasting, and Counterfactuals, Part I

There are relatively few systematic comparisons of the ex ante counterfactual predictions from structural models to what occurs ex post. This paper uses a large-scale policy change in Boston in 2014 to investigate the performance of discrete choice models of demand compared to simpler alternatives. In 2013, Boston Public Schools (BPS) proposed alternative zone configurations in their school choice plan, each of which alters the set of schools participants are allowed to rank. Pathak Shi (2013) estimated discrete choice models of demand using families' historical choices and these demand models were used to forecast the outcomes under alternative plans. BPS, the school committee, and the public used these forecasts to compare alternatives and eventually adopt a new plan for Spring 2014. This paper updates the forecasts using the most recently available historical data on participants' submitted preferences and also makes forecasts based on an alternative statistical model not based a random utility foundation. We describe our analysis plan, the methodology, and the target forecast outcomes. Our ex ante forecasts eliminate any scope for post-analysis bias because they are made before new preferences are submitted. Part II will use newly submitted preference data to evaluate these forecasts and assess the strengths and limitations of discrete choice models of demand in our context.

stat.AP↗