Are Marijuana and Alcohol Substitutes? Evidence from Neighboring Jurisdictions

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Are Marijuana and Alcohol Substitutes? Evidence from Neighboring Jurisdictions Are Marijuana and Alcohol Substitutes? Evidence from Neighboring Jurisdictions Author: Benjamin Hansena November 2019 Working Paper 2019.016 The Center for Growth and Opportunity at Utah State University is a university-based academic research center that explores the scientific foundations of the interaction between individuals, usiness,b and g overnment. This working paper represents scientific research that is intended for submission to an academic journal. The views expressed in this paper are those of the author(s) and do not necessarily reflect the views of the Center for Growth and Opportunity at Utah State University or the views of Utah State University. a University of Oregon, Eugene OR. Hansen: [email protected] * I wish to thank Shad Carter for exemplary and dedicated research assistance throughout the project. I appreciate helpful feedback from Michael Kuhn and Mark Anderson. Abstract A large literature in medicine, public policy, and economics has debated the relationship between alcohol and marijuana. Are the goods substitutes, complements, or neither? Recently, several states have legalized marijuana, which could offer new evidence on marijuana and its relationship with alcohol. However, rec- reational marijuana regimes have often followed liberal medical marijuana regimes. Therefore it’s unclear whether marijuana legalization in the short run alters alcohol consumption, as it could induce substitution between black market, medical, and recreational marijuana. I instead focus on neighboring jurisdictions, namely Idaho vis-à-vis Oregon and Washington State. I find that after Washington legalized, Google searches for “dispensary” dramatically rose over the next several years, despite the lack of medical or rec- reational marijuana stores in Idaho. Using administrative traffic-accident records from Idaho, I also find alcohol-related traffic accidents fell following Washington’s legalization. Moreover, I find evidence of a dis- tance gradient whereby alcohol-related traffic accidents decreased close to the border, but these decreases fade for counties further from nearby legal marijuana regimes. These findings are consistent with increased access to marijuana leading to substitution away from alcohol to marijuana. JEL Codes: H73, H77, I12, I18, K42, P48. Keywords: federalism, cross-border sales, spillover, traffic accidents, diversion, substitution, marijuana, natural experiment 2 1. Introduction While marijuana legalization spreads rapidly across the United States (eleven states now allow recreational consumption) and globally (Canada and Uruguay have fully legalized marijuana), many questions about the public health risks remain. Is marijuana legalization responsible for recent increases in traffic fatalities (Aydelotte et al. 2017; Hansen et al. 2019b)? Is the relative risk of marijuana-impaired driving similar to that of drunk driving (Levitt and Porter 2001)? If so, what are the right legal thresholds for impaired driving and what are the optimal punishments (Hansen 2015)? The answers to all of these questions di- rectly or indirectly depend on the answer to the underlying economic question that medicine, economics, and public health have long debated: are alcohol and marijuana substitutes or complements (or perhaps neither)? The empirical literature remains divided, although recent evidence has mostly found that the goods are substitutes. Microlevel data on the goods’ consumption reveal strong positive correlations among young users (Bruns and Geist 1984; Collins et al. 1998). Those who consume marijuana often also consume alcohol. However, despite this strong correlation, it could be that people are heterogeneous in their prefer- ences. Some people like drugs (both legal and illegal) and some do not. If this is true, then cross-sectional comparisons might reveal relatively little about the effects of changing the price, including distance, time, or other latent costs, of other goods while holding all else constant. In a simple model of economic substitutes and complements, all we need is price variation to learn the cross-price elasticity. However, in the real world, price variation is often driven by endogenous demand shocks. While medical marijuana laws have been followed by price decreases in high quality marijuana 3-4 years following legalization, those laws affect both the demand for and supply of marijuana (Anderson et al. 2013). Moreover, some recent papers have found evidence of substitution (Anderson et al. 2013; Crost and Guerrero 2012; Kelly and Rasul 2014) while others suggest complementarity (Pacula 1998; Williams et al. 2004; Wen et al. 2015). It might seem natural to test whether marijuana affects alcohol consumption by studying states that have legalized. However, such states all had preexisting medical marijuana regimes. Thus, it’s possible in the short run that legalization mostly cause substitution in recreational use between sources, as people shift from black market and medical marijuana to recreational options. However, in nearby regions, the new recreational marijuana markets could decrease the opportunity cost of purchasing marijuana. In this paper, I focus on border spillovers and the plausibly exogenous shift in the opportunity cost of purchasing marijuana that a neighboring state’s legalization could represent. Prior research has found that consumers can be sensitive to small differences in local prices, which are of- ten induced by differences in local taxes or by purchase bans (Asplund et al. 2007; Shelley et al. 2007). The incentives are even stronger for sin goods because they represent a large share of income for many frequent users and because they have a fairly long shelf life. Through studying sales patterns or collecting cigarette packs from the garbage, researchers have demonstrated consistently that cigarette consumers cross-border shop (Harding et al. 2012; DeCicca et al. 2013). Changes in alcohol prices are less common in the United States, so instead Lovenheim and Slemrod (2010) focus on the minimum legal drinking age (MLDA) and find evidence that young adults cross borders to purchase alcohol in jurisdictions where they have legal access. Moreover, Stehr (2007) finds that people drive to the county next door to purchase alcohol in response to a Sunday liquor ban, despite its temporary and predictable nature. In July 2014, recreational marijuana retailers opened in Washington State. For many residents of Idaho, this made purchasing marijuana easier and legal. Additionally, this shift in access was plausibly exogenous to Idaho residents, where marijuana remains illegal for any use. Oregon then legalized recreational sales in October 2015. However, local jurisdictions had control over whether legal sales could occur within their borders. This led to an effective ban on marijuana sales in nearly all of Eastern Oregon until 2016. In March 2016, two retailers in Huntington, Oregon, opened, with local officials openly admitting that this 3 decision was driven by the desire to attract buyers from Idaho. Subsequently more retailers open in Ontar- io given the substantial demand and the financial local benefits of additional excise tax revenue. This series of expansions to legal access in close proximity to Idaho provides a unique natural experiment for testing whether alcohol and marijuana are substitutes. Recent research by Hao and Cowan (2017) and Hansen et al. (2019a) finds evidence that consumers from neighboring regions purchase marijuana in Colorado and Washington. This study is the first to focus on the health externalities of this cross-border shopping and whether this increased or decreased traffic accidents related to alcohol abuse. I find evidence that searches for “dispen- saries,” a term for stores selling marijuana, increased dramatically in Idaho following legalization. Further, state police seizures of marijuana on highways increased from only thirteen in 2013 to over eight hundred in 2018. Moreover, drunk-driving-related accidents per vehicle mile traveled (VMT) fell following Wash- ington’s dispensary openings. Finally, I use administrative data on traffic accidents from 2010 to 2017 in Idaho. I find that alcohol-related accidents fell following Washington’s legalization but that this decrease differed in absolute magnitude depending on the distance to the border, with the largest decreases in the regions closest to marijuana retailers. In section 2, I discuss the timeline of legal access and Idaho’s current legal treatment of marijuana. In section 3, I review the data and empirical methods I use. I discuss the estimated models in section 4. In section 5, I reach conclusions and discuss policy implications of my results. 2. Background Federal prohibition of marijuana began in 1938, though Idaho, Washington, and Oregon had banned marijuana in 1927, 1923, and 1923 (Sanna 2014). While laws have been liberalized in Washington and Oregon—with legalization for medical use in both states in 1998 and legalization for recreational use more re- cently (2012 and 2014)—Idaho is one of the few states that do not allow marijuana possession for medical or recreational use. When legal sales began in Washington in July 2014, retailers opened in Spokane and Walla Walla and those became the closest sources of consumer marijuana (as opposed to black market marijuana) for residents in Idaho. Oregon followed Washington by allowing commercial sales of marijuana in October 2015. Legal sales in Oregon began in 2015 months before licenses were granted because of an emergency
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