More Battles among Licensed Occupations: Estimating the Effects of Scope of Practice and Direct Access on the Chiropractic, Physical Therapist, and Physician Labor Market

Mercatus Research, September 28, 2016

31 Pages Posted: 29 Sep 2016

See all articles by Edward Timmons

Edward Timmons

Saint Francis College - School of Business

Jason Hockenberry

Emory University

Christine Durrance

University of North Carolina (UNC) at Chapel Hill - Department of Public Policy

Multiple version iconThere are 2 versions of this paper

Date Written: September 28, 2016

Abstract

Primary-care physicians, chiropractors, and physical therapists (PTs) may all potentially treat patients experiencing back and neck pain — a $300 billion market. In this paper, we examine how state-level changes in chiropractic scope of practice and PT direct access to patients influence the wages, hours worked, and employment of each practitioner. Our results suggest that expansions in chiropractic scope of practice are associated with an increase in average chiropractor wages and a slight reduction in the average hours chiropractors work per week. We find little evidence that PT direct access has affected the labor market for any of the three studied practitioners.

Keywords: Occupational Licensing, Scope of Practice

JEL Classification: J44

Suggested Citation

Timmons, Edward and Hockenberry, Jason and Durrance, Christine, More Battles among Licensed Occupations: Estimating the Effects of Scope of Practice and Direct Access on the Chiropractic, Physical Therapist, and Physician Labor Market (September 28, 2016). Mercatus Research, September 28, 2016. Available at SSRN: https://ssrn.com/abstract=2845058

Edward Timmons (Contact Author)

Saint Francis College - School of Business ( email )

PO Box 600
Loretto, PA 15940
United States

Jason Hockenberry

Emory University ( email )

201 Dowman Drive
Atlanta, GA 30322
United States

Christine Durrance

University of North Carolina (UNC) at Chapel Hill - Department of Public Policy ( email )

Abernathy Hall
Chapel Hill, NC 27599-3435
United States

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