Incentives and drunken driving
A lot of what I’ve written over the years here concerns the tension between the research economists and psychologists, who say that human behavior is pretty easy to change with incentives, and politicians who say that human behavior won’t be affected by incentives (e.g., Book Review: The Redistribution Recession looks at what happened when politicians offered to give Americans free houses, food, and health care on condition that they not take a W-2 job; Real World Divorce looks at the extent to which Americans will fight for custody of children who yield more cash than going to college and working).
“A Simple Fix for Drunken Driving” is a WSJ article on the same general theme. Psychologists who get paid to treat alcoholics believe that straightforward incentives (not involving paychecks to therapists) won’t affect their behavior:
Among the most enduring of these myths is the idea that no one can recover from a drinking problem without our help. Treatment professionals save many lives that would otherwise be lost to addiction, but we are not the sole pathway to recovery. National research surveys have shown repeatedly that most people who resolve a drinking problem never work with a professional.
Some members of the addiction field can also be faulted for spreading an extreme version of the theory that addiction is a “brain disease,” which rules out the possibility that rewards and penalties can change drinking behavior. Addiction is a legitimate disorder, in which the brain is centrally involved, but as Dr. Higgins notes, “it is not akin to a reflex or rigidity in a Parkinson’s patient.”
In their haste to ensure that people who suffer from substance-abuse disorders are not stigmatized, some well-meaning addiction professionals insist that their patients have no capacity for self-control. Most people with alcohol problems do indeed struggle to make good choices, but that just means they need an environment that more strongly reinforces a standard of abstinence.
This belief has persisted for roughly 25 years after a 1991 paper showing that cocaine users could be “induced to refrain from it when promised a small reward, like $10 for a negative urine test.”
Related:
- American Economic Association Meeting in Boston (summarizes all kinds of papers regarding incentives)


