Part of the reason for the growth in drug testing programs has been federal
government initiatives and legislation, which has encouraged or mandated
companies to implement drug-testing as a means to achieve drug-free workplaces
and to improve productivity. The issue gained national attention in 1986 with
President Reagan's Executive Order 12564, which required federal agencies to
develop programs and policies to achieve drug free workplaces. The Drug Free
Workplace Act was passed in 1986, which led to regulations by federal agencies
requiring random testing of contract workers where there were concerns related
to public safety or national security. According to surveys, drug testing by
American companies has increased significantly from the mid-1980's to the
present. For example, surveys of Fortune 500 companies have found that between
1985 and 1991, the percentage of companies conducting drug tests increased
from 18 to 40 percent. Representative surveys conducted by the Bureau of Labor
Statistics found close to a 50 percent increase in drug testing companies
between 1988 and 1990 for work sites with more than 250 employees. (from 31.9%
to 45.9 %). By 1992-93, national surveys indicated that 48 percent of work
sites with 50 or more full time employees and 71 percent of work sites with
1000 or more employees conducted some type of drug tests. A 1994 survey of the
American Management Association of their corporate members found a 300%
increase in testing since 1987, with 87 percent of their members conducting
some type of drug testing. Over half the members indicated that the decision
to implement drug testing stemmed from federal government requirements. With
the recent passage by the House of Representatives of the Drug Free Workplace
Act of 1998, which provides incentives to small businesses to establish drug
testing programs, it appears likely that the growth will continue.
The courts have provided some restrictions on the public sector regarding
the implementation of test programs, generally finding that public sector
employees cannot be tested without reasonable suspicion unless there is a
compelling need to protect public safety. However, these restrictions do not
apply to the private sector. Some states and local jurisdictions have passed
laws restricting or regulating specific the types of drug testing, such as
random testing of employees without reasonable cause. Recent surveys have also
shown that drug testing varies according to several factors, with drug testing
most widely used in transportation, mining and construction, and
manufacturing. Larger firms, or firms in the South or Mid-West are more likely
to test.
2. Potential Positive and Negative Effects on Productivity
The economic theory providing the link between drug testing and
productivity is not straightforward or unambiguous; there are reasonable
arguments that can be constructed suggesting either positive and negative
effects on productivity from drug testing. The arguments suggesting a positive
effect are primarily as follows: drug testing reduces illicit drug use (by
weeding out users or providing them with a strong incentive to stop) which, in
turn, enhances productivity. Potentially positive effects could also result if
highly productive workers or managers prefer to work at companies that conduct
drug tests, believing it provides a safer, drug free work environment, with
lower risk of accident, injury or interaction with other employees who use
drugs. These companies may attract better workers, and the workers there may
exhibit greater loyalty towards the company.
Implicit in the first argument suggesting a positive effect is the
assumption that use of illicit drugs lowers productivity. However, there is no
consensus among economists who have researched this area; in fact, some recent
research suggests positive associations between drug use and productivity for
at least some types of illicit drugs. In addition, drug testing does not
necessarily capture impairment in the work place, and some drugs (e.g.
marijuana) can be detected in the system for a long time after use. In
addition, drug tests may not capture all illicit drug use because they are not
100 % reliable--false positives and false negatives, though believed to be
rare, are both possible. Although the reliability of test results has improved
with modern test procedures, lab error is still possible, and legal food
products such as hemp seed oil and poppy seed bagels have been found to
generate "false-positive" test results. Furthermore it is possible that
workers who use illicit drugs may find strategies that allow them to pass a
drug test, such as substitution or adulteration of urine used for one of the
more common tests. It is therefore possible that drug testing will fail to
achieve desired increase in productivity if 1) drug use does not lower
productivity, or 2) the drug tests fail to accurately measure drug use in the
workplace. In addition, according to the CDUW report, the preventive effects
of drug testing on overall drug use in the work place has not been
scientifically documented. Nevertheless, it is reasonable to assume that drug
testing should serve to limit drug use in the work place by providing a
disincentive to workers from engaging in illicit drug use, with potentially
positive effects on productivity.
It is also possible that drug testing lowers productivity. There are
several reasons why this could be the case. The first reason is that drug
tests can be expensive and take time to administer. It is important to
consider all of the economic costs associated with drug tests. First there are
the transactions costs of implementing a drug test program and (in many cases)
contracting with the company that will administer the drug tests. Second is
the administrative costs associated with conducting the testing, including the
explicit costs of each test and the opportunity costs of time taken by company
employees to either administer or take the tests. Given the possibility of
false-positive test results, it is recommended that companies that conduct
drug tests also hire or contract for the services of a Medical Review Officer
(MRO). Third are the costs of follow-up in the event of a negative test, which
can range from firing the worker, to providing a second test (provided in some
cases because of the possibility of a false-positive), to providing some form
of treatment or discipline for the worker. If a worker is fired, (or not hired
in the event of pre-employment tests), then the company will have additional
costs of searching, hiring, or training a new worker. There may be additional
costs if a grievance is filed. Because drug tests entail costs and take time
away from other activities, it follows that they will either lower
productivity or raise costs unless there are offsetting benefits. The
administrative costs are probably small but the full economic costs of drug
tests have not been comprehensively researched. The costs of the drug tests
have been estimated to exceed one billion dollars per year, with over 20
million workers tested annually at a cost of approximately $50 per test. The
full economic costs of drug testing are clearly larger, yet few microeconomic
studies of the cost- effectiveness of drug testing programs have been
conducted.
The second possible reason for a negative effect is that drug testing could
undermine worker morale, motivation, loyalty, or effort towards the company.
Some surveys have shown that workers have a negative attitude towards drug
tests, particularly random tests, which are often viewed as unfair. For
example, a survey of railroad workers found that only 16 percent of the
workers believed that random testing was fair. It is not surprising that many
unions and the American Civil Liberties Union have opposed drug testing for a
variety of reasons, including: 1)they are inconsistent with the constitutional
protection against unreasonable search and seizure, 2) they are intrusive and
constitute an unnecessary invasion of privacy, 3) they do not capture
impairment in the workplace but rather prior use that may have occurred
outside of the workplace, or 4) they do not measure impairment from alcohol,
which may be the biggest contributor to productivity losses in workplace from
drugs. If drug tests contribute to a negative view towards the company, then
workers may not contribute as much in return, or they may seek employment
elsewhere; some workers may not seek or accept jobs from companies with drug
testing programs.
A third reason why drug testing may result in lower productivity is if
workers who use illicit drugs are either more productive than workers who do
not use illicit drugs, or more productive than they would be if they didn't
use drugs. It is generally believed that drug use lowers productivity, but the
research in this area is inconclusive. Dreher (1982) applied a case study
approach to analyze Jamaican farming and concluded that marijuana use raised
productivity. A study by Register and Williams,(1992) which controlled for the
endogeneity of drug use, found that " the net effect for all marijuana
users...was positive". Kaestner (1994) used the 1984 and 1988 National
Longitudinal Survey of Youth to develop both cross-sectional and longitudinal
(fixed effects) estimates of the effects of illicit drug use on wages, which
is considered a good proxy for productivity. He was able to estimate effects
separately for both men and women from cocaine as well as marijuana use. The
cross sectional estimates showed positive and significant effects of both
illicit drugs for both groups; and the longitudinal estimates, which
controlled for unobserved heterogeneity in the sample, found positive effects
for cocaine use for women. In no cases with either the cross-sectional or
longitudinal estimates were coefficients representing effects from drug use
found to be negative and significant. Finally, the review of the studies
conducted by the CDUW found that "low to moderate use of any illicit drug or
alcohol is either positively associated with productivity or simply not
related" ; negative effects are found only with heavy or problem users.
At a minimum, these studies suggest the possibility that some drugs may
even enhance productivity in at least some contexts. Furthermore, recent
studies by health research scientists suggest that some workers may be using
some illicit drugs for medical purposes. For example, Grinspoon (1997), or
Zimmer and Morgan (1997) argue that marijuana can be an effective medicine for
individuals suffering from pain, cancer, AIDs, multiple sclerosis, glaucoma,
arthritis, migraines, or even depression, among other possible ailments.
Access to medical marijuana for some patients, or rescheduling marijuana from
a schedule 1 to a schedule 2 controlled substance, (which allows doctors
prescriptions) has been endorsed by several major medical organizations,
including the New England Journal of Medicine, the Florida Medical
Association, the American Public Health Association, and the American Academy
of Family Physicians. If drug tests require workers with a variety of
conditions to give up effective medical treatments, there could be adverse
health consequences, with negative effects on productivity.
A fourth reason why drug tests may result in lower productivity is if
workers (rather than give up drug use altogether because of the drug tests)
substitute other drugs that are more harmful to performance in the workplace.
For example, most of the positive test results are for marijuana, which can be
detected up to one month after use. Yet, according to many experts, marijuana
use outside of the workplace will not adversely effect performance at work,
because any intoxicating effects or impairments of reasoning or motor skills
are short-lived. Because of the drug tests, workers may switch to "harder
drugs", like heroin, cocaine, or amphetamines, which do not remain in the
system as long. Or they might switch to alcohol, or drugs that are not tested
for, which could have more significant adverse effects on performance and
health. Some evidence of substitution effects have been found by other
researchers.
In summary, theory and prior evidence suggests that positive or negative
effects on productivity are possible. The issue should ultimately be resolved
on the basis of scientific evidence--the findings from carefully constructed
statistical models based on some underlying theory, and detailed case studies.
To our knowledge, no one has applied an economic production function model
using firm-level data to measure or test for effects from either drug use or
drug testing. Since workers are not likely to reveal their illicit drug use,
it is not possible to apply a production function model to directly measure
effects on productivity using microeconomic firm-level data. However, data on
drug tests by individual companies are now becoming available which allows for
application of such a model to investigate productivity effects from drug
tests. The goal of this paper is to develop such a model and then apply it to
a test industry. The next section presents the Cobb-Douglas production model
that is used for these purposes, followed by statistical estimates of the
effect of drug testing on productivity using data from the computer and
communications equipment industries.
3. The Model and Statistical Estimates.
The Cobb-Douglas (CD) production function is the most common form used in
applied studies because it is simple to estimate and is consistent with the
economic theory of production. It is commonly used in empirical studies to
analyze effects of varying workplace characteristics on productivity (for
example, unionization, profit sharing, flexible work schedules). The
mathematical derivation of the estimating equation is presented in the
appendix to this paper. Applying the CD model, it is possible to estimate the
effect of drug testing programs on productivity.
The estimating equation used in this study represents the intensive form of
the Cobb-Douglas model; a measure of output per worker is used as the
dependent variable (representing average productivity) in a modified
regression equation. The independent variables include the capital-labor
ratio, the level of labor, and a dummy variable for whether the firm has a
drug testing program. Econometric methods commonly applied in other production
function studies are used to estimate the production parameters. Control
variables for capital quality, rates of capacity utilization, and other
possible variables are readily incorporated into the model.
To estimate the model, data on drug testing from a sample of companies in
several related 3-digit SIC code industries comprising the computer and
communications equipment industries were obtained. The data on drug policies
used for this study was collected at an internet site where employees reported
their employer’s drug policy. The accuracy of the data was checked by 1)
comparing with other sites with comparable data, 2) checking the internet site
of the individual companies and 3) telephoning companies not previously
verified. Some companies refused to provide information on drug testing
programs, however, no discrepancies were found in the policies that were
reported. The results of our check suggested that no significant biases were
present with the employee-reported data. The data were then merged with
financial data from a sample of the same companies obtained through COMPUSTAT,
which provides standardized information on variables needed for production
function estimation (from company annual reports, 10-K reports and other
financial documents). A final data set with 63 organizations, all from SIC
(standard industrial classifications) codes of either 357 (Computer and Office
Equipment) or 737 (Computer and Data Processing Services) was developed. The
drug policy for each organization was assumed to have been intact between 1994
and 1996. (Our COMPUSTAT data covers the years 1994 to 1996 --56 companies
have three years of data and 6 have two years of data).
The dependent variable uses the log of net sales divided by number of
employees, as a proxy for productivity. The measure for capital is the log of
gross plant, property and equipment divided by the number of employees. The
log of employees is used to measure labor's input. To measure potential
differences between industries in their production functions, a variable was
coded one if the company is in SIC 737 and zero if in SIC 357 and was used in
interaction with the labor and capital variables. The drug testing variables
are equal to one if the testing is used and zero otherwise. Capital quality is
the net plant, property and equipment divided by the gross plant property and
equipment. Finally, a time trend variable is produced to control for
variations of production over time.
The basic production function estimated is a Cobb-Douglas with an
additional interaction term for the SIC classification, a separate intercept
variable for the SIC classification, a measure of capital quality, a time
trend variable and a variable(s) for drug testing. Two types of drug testing
variables are used, the first is coded one for any type of drug testing, zero
otherwise, and the second categorizes them into two groups: 1) pre-employment
screening testing and 2) random testing of current employees and
pre-employment screening. Ordinary least squares regression was used instead
of a fixed effect or random effects for these estimates. This is due to both
the lack of variance in the drug testing variables over the time period and
also the short time period.
The results presented in Table
I show both estimated regression results. Both regressions exhibit
problems with heteroscedasticity and the standard errors were corrected
following White (1978). The results of the Cobb-Douglas model for both
regressions find only a weakly significant difference for the labor input
variable. However, there is a highly significant difference in the effect of
capital per employee on productivity with a greater effect for the computers
and data processing industry.
[Table I]
The industry variable for SIC 737 is also significant but there is no
significant time effect. The estimates for the industries suggest constant
returns to scale for SIC 357 and increasing returns to scale for SIC 737. The
first column of results contains the variable representing any type of drug
testing and it is surprisingly negative and significant. The magnitude implies
that a change from not drug testing to using drug testing would reduce
productivity by 19 percent. Similarly, the regression estimates in column two
also suggest a large and significant decline in productivity with pre-testing
use associated with 16 percent drop and random testing with 29 percent.
Possible explanations for the magnitude and the direction of the estimates are
explored below. Although the random test variable suggest a greater difference
in productivity effects than the pre-test variable, a test that the two
coefficients are equal could not be rejected.
4. Interpretation of Results.
Overall the results suggest that drug testing has served to lower rather
than enhance productivity. The signs of the relevant coefficients are both
negative and significant. One surprise is the large magnitude of the
significant results, because they suggest that drug testing results in about a
20 percent lower level of productivity. This negative effect may appear
unbelievably large, but there are several possible explanations which need to
be investigated as part of future research. The first is that the
non-representativeness of the sample may be biasing the results. Nevertheless,
as is often the case, we were forced to deal with the data that were available
subject to project resources, and there were no obvious biases inherent in the
sample. The second possible reason is that the estimate of the mean effect is
rather imprecise, given the relatively small sample size. The 95 % confidence
interval ranges from around a negative 3 percent to a negative 31 percent, and
it is possible that the true effect is closer to the smaller end of the scale.
Further research on additional samples will be required to identify the true
effect with greater precision.
The third possible reason is that there are omitted variables which are
correlated with drug testing that are associated with companies of lower
productivity. One possibility is that companies with low levels of
productivity are more likely to adopt productivity enhancing programs, such as
drug testing, in the hopes of improving performance. Another is that companies
with inferior management are more likely to adopt drug testing. It is possible
that companies that relate to employees positively with a high degree of trust
are able to obtain more effort and loyalty in return. Drug testing,
particularly without probable cause, seems to imply a lack of trust, and
presumably could backfire if it leads to negative perceptions about the
company. A good approach for assessing this hypothesis would be to apply a
fixed effects model to control for unmeasured characteristics. This approach
is planned as part of future research when a larger sample of longitudinal
(before and after) data become available.
At the very least, the results contained in this paper cast serious doubt
about claims that drug testing can significantly boost productivity.
Considerable uncertainty remains concerning the economic effects of drug
testing, and our evidence suggests that negative effects on productivity are
possible. Despite the lack of strong scientific evidence that it is effective,
drug testing has become an accepted industry practice, and the federal
government continues to encourage companies in the private sector to develop
drug testing programs. In recent years, the frequency of "test-positive" test
results has fallen significantly, making it even less likely that drug testing
programs are cost effective. Further research will be required to see if the
surprising results contained in this paper hold up with other samples or in
other industries.
The discussion has also highlighted possible ways in which drug testing
might adversely affect productivity. If drug testing creates a negative work
environment, or causes substitutions of more dangerous drugs or alcohol, then
worker effort or employee selection may be diminished. Overall, productivity
could be adversely affected even if there are some positive outcomes such as
reduced absenteeism. Drug testing may generate economic benefits at some work
sites, however, there may be more efficient, less costly, and less intrusive
ways for companies to identify workers who are impaired on the job. Drug tests
do not measure impairment, and employees have reported ingenious ways to get
around or beat the drug tests. Companies and test laboratories must then
refine the test methods in response. Eventually, more perfect test and
verification methods might be developed that greatly reduce chances of
"false-positive" or "false-negative" test results. But there is no evidence
that productivity would be enhanced as a result, or that more widespread drug
testing would be cost-effective.
Appendix. Derivation of the Cobb-Douglas Estimating Equation.
The Cobb-Douglas estimating equation is derived in the context of a factor
augmentation model of production, with inputs redefined in terms of efficiency
units, and factor effort functions assumed to be of the following form: