Removing Frictions in Repeated Decisions: Evidence from the Opioid Crisis. (with Ashna Arora)
(under review)
[Previously titled "Policing Substance Use: Chicago's Treatment Program for Narcotics Arrests" and "Drug Arrest Diversion."]
Award: Novartis Prize for best health economics paper, Irish Economic Association
Select media coverage: Chicago Tribune, Chicago Sun Times, The Crime Report, NewsNation, WTTW - Chicago PBS
Select policy coverage: California Law Revision Commission, Office of the Mayor (Chicago) (with direct quote), National Center for State Courts
Author podcast interview: Probable Causation (40 minutes)
Video coverage: UChicago Crime Lab - Narcotics Arrest Diversion Program
Behavioral science shows that frictions can lead to substantial decision-action gaps when it comes to one-time decisions such as retirement savings choices and organ donations. However, it is unclear whether the removal of decision frictions can meaningfully impact behaviors that involve repeated decisions, which characterize many of our most pressing social problems. In this paper, we focus on an important and on its face exceptionally hard-to-change behavior—drug use. Prior efforts to encourage drug users to take up treatment have led to largely disappointing results. However, these efforts missed the key insight we examine in our study—that behavioral responses to frictions may well be non-linear. We study the largest police-led drug diversion program in the United States, a zero friction approach to linking drug arrestees with substance use treatment within police stations. We find that this approach leads to exceptionally high treatment take-up rates even for a population with especially hard to change behavior. We use a triple difference design to show the beneficial downstream impacts of this linkage on both the individual and society—lower likelihood of arrest (for both drug and violent offenses) and suggestive increases in connections with some shelter services, albeit no discernible impact on fatal or non-fatal overdose risk.
Legal scholars argue that local prosecutors may be the most powerful actors in the criminal justice system, yet there is a limited understanding of how different prosecutorial approaches shape community level outcomes. This paper investigates the causal relationship between approaches taken by local criminal prosecutors—also called district attorneys—and community-level mortality rates. We leverage plausibly exogenous variation in prosecutorial approaches generated by closely contested partisan prosecutor elections, a context in which Republican prosecutorial candidates are commonly characterized as "tougher on crime." Using data from hundreds of closely contested partisan elections from 2010 to 2019 and a vote share regression discontinuity design, we find that narrow election of a Republican prosecutor reduces all-cause mortality rates among young men ages 20 to 29 by 6.6%. This decline is driven predominantly by reductions in firearm-related deaths, including a large reduction in firearm homicide among Black men and a smaller reduction in firearm suicides and accidents primarily among White men. Mechanism analyses indicate that increased prison-based incapacitation explains about one third of the effect among Black men and none of the effect among White men. Instead, the primary channel appears to be substantial increases in criminal conviction rates across racial groups and crime types, which then reduce firearm access through legal restrictions on gun ownership for the convicted.
(** graduate student co-author; ** pre-doc or undergraduate student co-author)
Low-Skill Tasks of High-Skill Workers: Evidence from Police Work.
Calls and Conduct: The Impact of Free Communication on Prison Misconduct. (with Nour Abdul-Razzak, Brandon Domash*, and Omair Gill**)
The abstract describing this multi-year research project is available here.
Award: Program Chair award in the area of Crime and Health, American Society of Health Economists (ASHEcon)
The Impact of Gunshots on Consumer and Business Activity. (with Jesse Bruhn and Adamson Bryant**)
Care Awareness and Health Outcomes: The 988 Crisis Helpline (with Alex Hollingsworth)
My research has been cited over 300 times (per Google Scholar, as of spring 2026) and has been covered in the media by over 50 news outlets nationally and internationally, including the Atlantic, Economist, and Chicago Tribune. My most covered journal article, "Slow Traffic, Fast Food," earned an Altmetric score of nearly 400 and places in the top 5% highest coverage among all research outputs across all disciplines indexed by Altmetric.
My research project "Removing Frictions in Repeated Decisions: Evidence from the Opioid Crisis" directly shaped policy, with the City of Chicago opting to effectively double the number of individuals eligible for accessing substance use treatment over criminal prosecution thanks to my and my co-author's work and to the successful local agency collaborations. (Read about the City of Chicago's announcement here.)
Slow Traffic, Fast Food: The effects of time lost on food store choice. IZA World of Labor, June 14, 2023 (with Lester Lusher and Becca Taylor)
Reducing substance abuse — without punishment. Chicago Tribune, December 1, 2022 (in print issue, lead Opinion piece) (with Ashna Arora)
Are the self-employed happy entrepreneurs?. Brookings Institution, September 29, 2017 (with Tuugi Chuluun and Carol Graham)