Abigail J. Ostriker
Massachusetts Institute of Technology
Institutional Affiliation: Massachusetts Institute of Technology
NBER Working Papers and Publications
|August 2019||Screening and Selection: The Case of Mammograms|
with Liran Einav, Amy Finkelstein, Tamar Oostrom, Heidi L. Williams: w26162
Debates over whether and when to recommend screening for a potential disease focus on the causal impact of screening for a typical individual covered by the recommendation, who may differ from the typical individual who responds to the recommendation. We explore this distinction in the context of recommendations that breast cancer screening start at age 40. The raw data suggest that responders to the age 40 recommendation have less cancer than do women who self-select into screening at earlier ages. Combining these patterns with a clinical oncology model allows us to infer that responders to the age 40 recommendation also have less cancer than women who never screen, suggesting that the benefits of recommending early screening are smaller than if responders were representative of covered i...