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Let's travel back to June
nineteen twenty four.
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President Coolidge's son, Calvin junior,
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is outside the White
House playing lawn tennis.
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While playing, he develops
a blister on his right foot.
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A week later, Calvin junior is dead.
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A simple staph infection developed
from a blister leading to sepsis.
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Even though Calvin junior
was the president's son,
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there was no medicine to save him. Deaths
from infection were common at the time.
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Even small wounds could
become a life or death ordeal.
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Just four years later,
penicillin was discovered,
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a breakthrough that could have
saved Calvin Junior's life.
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This first antibiotic
revolutionized medicine.
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Once fatal bacterial infections
became easily curable.
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But today, that miracle is
under threat from superbugs,
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bacteria resistant to antibiotics.
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How did superbugs happen? And what
does this have to do with economics?
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In the market for antibiotics, we have
buyers represented by the demand curve,
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and sellers represented
by the supply curve.
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A trade happens when the buyer values
the good more than the market price,
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and the seller values the
market price more than the good.
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The buyer and the seller
transact, and both benefit.
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All the buyers on this part of the
demand curve value the antibiotics
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more than the price, and they buy them.
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All the sellers on this part of the supply
curve can produce antibiotics for profit
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and sell them.
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When we say a market maximizes
the gains from trade,
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we're referring to every trade
being mutually beneficial.
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Consumer and producer
surplus are maximized.
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This is why economists like markets.
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But now we have a problem,
those pesky superbugs.
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We have to introduce a new
entity into our analysis,
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the bystanders.
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Bystanders are neither buying
nor selling, but nonetheless,
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they're affected by the
purchase and use of antibiotics.
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The economic concept of externalities
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describes the effect of
market trade on bystanders.
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When bystanders bear a cost, it's
called a negative externality.
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When bystanders receive a benefit,
that's called a positive externality.
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Either way, buyers and sellers do
not typically consider externalities
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on other people,
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and that means the market
equilibrium will maximize the sum
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of producer and consumer surplus,
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but not bystander surplus.
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And that's not good.
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The use of antibiotics has a
negative externality problem.
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Now, why is that?
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Well, no antibiotic is a
hundred percent effective.
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The antibiotic kills some bacteria,
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but some stronger bacteria survive,
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flourish, and reproduce,
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eventually rendering the
antibiotic ineffective.
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We then develop a new antibiotic,
and the story repeats.
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Play this evolutionary process out, and you
end up with superbugs that are resistant
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to many of our antibiotics.
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The fundamental problem is that
antibiotic users reap all the benefits
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of antibiotic use without
bearing all of the costs.
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Each use of an antibiotic creates a
small increase in bacterial resistance.
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We all suffer the consequences
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of the resulting less effective antibiotics
every time that someone uses them.
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Now, let's deploy supply and demand to
better visualize this externality problem.
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Here's our standard diagram with the quantity
of antibiotics on the horizontal axis.
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On the vertical axis, we're
showing both prices and costs,
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so that we can illustrate both
the price charged for antibiotics
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and the costs to bystanders.
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As usual, the equilibrium is found
where demand intersects supply.
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Now the key point is that the supply
curve is based on what we'll call
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the private cost, the cost of producing
the antibiotic paid by the supplier.
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But we know there's another cost.
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Every time an antibiotic
is produced and consumed,
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there's a cost of increased
bacterial resistance.
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We'll call that the external cost.
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Negative externality is just another way
of saying there's an external cost on
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bystanders.
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Suppliers do not typically consider
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the external costs of their
production to bystanders,
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so bystander costs are not
reflected in the price.
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We can add the external cost to the
private supply curve to make a new curve,
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the social cost curve. The social
cost is the cost to everyone,
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including bystanders.
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The vertical distance here is the
external cost, the cost to bystanders.
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Now, let's evaluate both quantities.
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The market equilibrium shows the
quantity the market produces,
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the quantity that maximizes
producer and consumer surplus.
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But we want to maximize social surplus,
which is the total net value created,
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namely the sum of consumer surplus,
producer surplus, and bystander surplus.
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Since we have large external costs,
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we don't want to produce at the market
equilibrium. We want to produce here,
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where the social cost curve
intersects the demand curve.
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That's where social surplus is maximized.
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You can see that the market
equilibrium quantity is higher
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than the socially efficient quantity.
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This difference represents
the overuse of antibiotics.
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We can show this in another way.
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Let's look at the value of the
last unit the market produces.
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What's the value of that last unit?
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Well, the private value is given
by the height of the demand curve.
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That's what consumers are willing to pay.
Now what's the cost of that last unit?
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Well, the private cost is given
by the private supply curve,
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but the social cost is given by
the higher social cost curve.
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We don't want to produce this last unit
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because the social cost
is greater than the value.
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If we don't want to produce that last
unit, then we don't want to produce
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any of the units where the social cost
is going to be greater than the value.
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In other words, this area
is a deadweight loss.
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The social cost of these units
is greater than their value.
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Producing these units means
society is worse off as a result.
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And this represents the loss to society
from the overuse of antibiotics.
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So what conclusions can we draw?
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If every deployment of an
antibiotic had a high value use,
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say if it saved a life, then the rise
of superbugs would be unfortunate,
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but not necessarily something we
could or should do something about.
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But in fact, antibiotics are
often deployed in low value uses.
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For instance, sometimes people take
antibiotics when they don't even need them.
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The market price does not
include the external costs,
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namely the costs of bacterial
resistance on bystanders.
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It's incentivizing consumption where
the social cost exceeds the value.
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The market price of
antibiotics is too low.
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We would like to discourage these
low value uses with a higher price.
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Now, many people assume
with a negative externality
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that the optimal quantity is zero,
but that's almost never the case.
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We still want the people who
highly value the good to buy it.
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In this example, for instance,
someone with a dangerous infection.
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We just don't want to produce
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and sell goods whose value
is less than the social cost.
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Remember that a free market maximizes
consumer surplus plus producer surplus,
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but it does not take into account
the costs or benefits to bystanders.
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Ultimately, what we care about
is the total social surplus,
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costs and benefits to consumers,
producers, and also to bystanders.
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When external costs are large, the
market will not maximize social surplus.
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Externalities, whether
negative or positive,
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are useful tools for analyzing markets and
leading us toward a variety of solutions
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to account for them. We'll
discuss those in other videos.
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If you're a teacher, you should
check out our externalities
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and public goods unit plan
that incorporates this video.
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If you're a learner,
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make sure this video sticks by answering
a few quick practice questions.
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Or if you're ready for more
microeconomics, click for the next video.