Do Dutch dentists extract monopoly rents?

Nadine Ketel, Edwin Leuven, Hessel Oosterbeek, & Bas van der Klaauw

Photo: Journal of Health Economics

Published in:

Journal of Health Economics, Volume 63, January 2019.

DOI: 10.1016/j.jhealeco.2018.11.001


We exploit lottery-determined admission to dental school to estimate the payoffs to the study of dentistry in the Netherlands. Using data from up to 22 years after the lottery, we find that in most years after graduation dentists earn around 50,000 Euros more than they would earn in their next-best profession. The payoff is larger for men than for women but does not vary with high school GPA. The large payoffs cannot be attributed to longer working hours, larger investments while studying (opportunity costs and direct costs), or unpleasant aspects of working as a dentist. A plausible explanation is that dentists earn a monopoly rent. Results from regressions of dentists’ earnings on dentists density are consistent with this, as are the facts that the supply of dentists in the Netherlands is low and that the payoff does not vary with high school GPA.

Published July 23, 2019 5:27 PM - Last modified July 23, 2019 5:27 PM