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Bargaining with Optimism:A Structural Analysis of Medical Malpractice Litigation

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Bargaining with Optimism:A Structural Analysis of Medical Malpractice Litigation
 
Antonio Merlo and Xun Tang 
Department of Economics
Rice University
 
August 3, 2015
 
Abstract
 
We study identi…cation and estimation of a structural model of bargaining with optimism where players have heterogeneous beliefs about the …nal resolution of a dispute if they fail to reach an agreement. We show the distribution of the players’beliefs and the stochastic bargaining surplus are  nonparametrically identi…ed from the probability of reaching an agreement and the distribution of transfers in the …nal resolution of the dispute. We use a
Maximum Simulated Likelihood approach to estimate the beliefs of doctors and patients in medical malpractice disputes in Florida during the 1980s and 1990s. We …nd strong evidence that beliefs for both parties vary with the severity of the injury and the quali…cation of the doctor named in the lawsuit, even though these characteristics are statistically insigni…cant in explaining whether the court rules in favor of the plaintff or of the defendant. We also
quantify the reduction in settlement amounts that would result from the introduction of a (counterfactual) policy that imposes caps on the total compensation for plaintiffs.
 
Key words: Bargaining, optimism, nonparametric identi…cation, medical malpractice litigation
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