eprintid: 49651 rev_number: 5 eprint_status: archive userid: 1482 importid: 105 dir: disk0/00/04/96/51 datestamp: 2024-09-06 09:44:20 lastmod: 2024-09-06 09:44:20 status_changed: 2024-09-06 09:44:20 type: monograph metadata_visibility: show creators_name: Natali, Ilaria creators_idrefppn: 280104979 creators_halaffid: 1002422 title: Economic Opportunity and Opioid Regulation: the Case of Codeine in France ispublished: pub subjects: subjects_ECO abstract: This paper empirically assesses the impact of laws restricting access to opioid painkillers and shows how local economic conditions matter for the magnitude of responses to these policies. By using a di˙erence in di˙erences (DiD) approach, I first estimate the causal impact of a new regulation that forbids over-the-counter (OTC) sales of Codeine-containing drugs. I then exploit a triple di˙erence (TD) strategy to evaluate possible heterogeneous responses across French departments. Using OpenHealth monthly data on Codeine product sales in 2017 for the 94 de-partments of Metropolitan France allows me to verify the parallel trend assumption validity. I find that the new law proved e˙ective in reducing Codeine consump-tion, but departments in economic disadvantage exhibit smaller decreases in con-sumption following its implementation. Hence, high-poverty departments are more ‘regulatory-inelastic’. This shows that demand-side factors can contribute to ampli-fying or hindering the e˙ect of supply-side interventions. Substitution e˙ect analysis finds an increase in non-opioid analgesic use after the new law in wealthy depart-ments relative to poor departments, but no significant substitution towards the black market. Results suggest that increased barriers to access should move in parallel with additional measures addressing the most deprived local communities. date: 2024-09 date_type: published publisher: TSE Working Paper official_url: http://tse-fr.eu/pub/129684 faculty: tse divisions: tse keywords: Drug Regulation keywords: Economic Opportunity keywords: Codeine keywords: France. language: en has_fulltext: TRUE subjectsJEL: JEL_I11 subjectsJEL: JEL_I18 view_date_year: 2024 full_text_status: public monograph_type: working_paper series: TSE Working Paper volume: 24-1563 place_of_pub: Toulouse pages: 61 institution: Université Toulouse Capitole department: Toulouse School of Economics book_title: TSE Working Paper oai_identifier: oai:tse-fr.eu:129684 harvester_local_overwrite: department harvester_local_overwrite: pending harvester_local_overwrite: subjectsJEL harvester_local_overwrite: creators_idrefppn harvester_local_overwrite: creators_halaffid harvester_local_overwrite: institution harvester_local_overwrite: place_of_pub harvester_local_overwrite: pages oai_lastmod: 2024-09-03T10:30:23Z oai_set: tse site: ut1 citation: Natali, Ilaria (2024) Economic Opportunity and Opioid Regulation: the Case of Codeine in France. TSE Working Paper, n. 24-1563, Toulouse document_url: https://publications.ut-capitole.fr/id/eprint/49651/1/wp_tse_1563.pdf