The birth of the congressional clinic
Article [Version of Record]
Publisher(s)Université de Montréal. Département de sciences économiques.
This paper studies the impact of mortality in the districts/states represented in key congressional groups (i.e. committees, subcommittees, and parties) on the National Institutes of Health (NIH) allocation of medical research funds across diseases, for the period 1985-2002. Exploiting the recomposition of any group after congressional elections, I ﬁnd that congressmen who sit in the House Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies appear successful in steering more funds towards research on diseases that aﬀect their constituents disproportionately. This eﬀect is larger for clinical than for basic research. No other relevant congressional group, except, to a lesser extent, the House majority, seems to impact that allocation. No group signiﬁcantly impacts the allocation of funds across states.