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Regression Discontinuity and Natural Experiments · Tutorial 614 of 699

Capacity Constraints And Administrative Rationing

Assess whether an oversubscribed program’s rationing process creates a credible source of quasi-random offers, and interpret the resulting effects when applicants do not all take up treatment.

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What You'll Learn

  • Distinguish program capacity from the allocation rule that might create quasi-random offers.
  • Audit priority order, waitlist movement, and tie-breaking for selective assignment.
  • State the assumptions needed to use an offer as an instrument for treatment receipt.
  • Calculate an offer’s first stage, intention-to-treat effect, and Wald estimate.
  • Recognize how selective take-up limits an instrumental-variable estimate to compliers.
  • Diagnose sorting, direct effects, and interference that can undermine a rationing design.

When Scarcity Creates a Research Opportunity

A program with more eligible applicants than available places must ration access. Its capacity limit does not, by itself, create a natural experiment. The relevant question is how applicants are ordered and who receives an offer. A documented random tie-break among equally eligible applicants may create a credible comparison. A priority system based on urgency, application timing, or staff judgment may instead sort applicants in ways that also predict their outcomes.

The distinction between an offer and treatment receipt matters. Some people offered a place decline it, while some not initially offered may later enter from a waitlist. An offer can therefore serve as an instrument for actual participation only if its assignment has the properties needed for instrumental-variable analysis. The resulting estimate generally concerns applicants whose participation changes because of the offer, not every eligible person or every program applicant.

Definition: Let \(Z=1\) indicate that an applicant receives an offer or priority access under the rationing rule, and \(Z=0\) indicate no such offer. Let \(D=1\) indicate that the applicant receives the program, and \(D=0\) otherwise. Let \(Y\) be the outcome. The potential treatment \(D(z)\) is the treatment that would occur under offer status \(z\), and \(Y(d)\) is the outcome that would occur under treatment status \(d\). An offer is an instrument for treatment receipt when it changes the chance of \(D=1\), is assigned independently of relevant potential outcomes under the design, affects \(Y\) only through \(D\), and does not make anyone less likely to receive treatment when offered.

Audit the Allocation Rule Before Estimating an Effect

Start by reconstructing the actual allocation process, not simply the program’s written capacity. Identify the eligible applicant pool, the date at which eligibility and priority were determined, the ranking variables, the number of places, and the order in which offers were made. Then check how the process handled ties, refusals, missed deadlines, and later openings. Administrative records may reveal that a nominal lottery was preceded by discretionary screening, or that waitlist order changed after applicants’ circumstances were reviewed.

Different allocation mechanisms support different kinds of comparisons. A genuine lottery among eligible applicants can make offer assignment independent of potential outcomes within the lottery pool. A fixed priority score may leave a quasi-random comparison only among applicants tied at a boundary if the tie-break was genuinely random. By contrast, comparing people offered places with everyone not offered may be confounded when the first group had greater need, applied earlier, or received discretionary priority.

Even a randomized offer does not guarantee that treatment receipt is randomized. Take-up is selective: offered applicants may decline, and people without an initial offer may find another route into treatment. The offer can still be informative if it substantially changes treatment receipt and the other instrumental-variable assumptions are plausible. But the treatment effect inferred through that offer is not generally the average effect for all applicants.

Key assumptions for an offer-based instrumental-variable analysis: (1) Relevance: the offer changes the probability of treatment, so \(P(D=1\mid Z=1)\ne P(D=1\mid Z=0)\). (2) Independence: offer assignment is independent of potential outcomes and potential treatment receipt, either by design or within the stated allocation strata. (3) Exclusion: the offer affects the outcome only by changing treatment receipt. (4) Monotonicity: \(D(1)\ge D(0)\) for each applicant. (5) No interference: one applicant’s offer or treatment does not alter another applicant’s outcome in a way relevant to the analysis. The target population and any conditioning strata must also be specified.

These assumptions should be assessed against the institution’s process. Relevance can be checked by comparing treatment rates by offer status. Independence is supported by a credible random tie-break, not established merely because measured baseline variables look similar. Exclusion is questionable if an offer provides information, priority for other services, or financial support even when the applicant does not enroll. Monotonicity can fail if an offer causes some applicants to forgo treatment they otherwise would have obtained elsewhere. No interference is especially demanding when places are fixed: one applicant’s offer can displace another from a scarce slot.

Why the Wald Estimate Targets Compliers

With a binary offer and binary treatment, the Wald estimate is the difference in average outcomes by offer status divided by the difference in treatment rates by offer status. Under the assumptions above and randomized assignment within the target pool, it identifies the average treatment effect among compliers: applicants who receive the program if offered and do not receive it if not offered.

The logic can be shown by grouping applicants according to their pair of potential treatment statuses \((D(0),D(1))\). Under monotonicity, the possible groups are always-takers \((1,1)\), compliers \((0,1)\), and never-takers \((0,0)\). Defiers \((1,0)\) are ruled out. Independence makes the groups comparable across offer assignment. Exclusion means the offer does not directly change outcomes within a treatment status. Thus, the offer’s average outcome difference comes only from compliers, whose treatment changes from 0 to 1:

$$ E[Y\mid Z=1]-E[Y\mid Z=0] = P(\text{complier})E[Y(1)-Y(0)\mid \text{complier}] $$

The offer’s effect on the treatment rate is the proportion of compliers, because only compliers change treatment status when the offer changes:

$$ E[D\mid Z=1]-E[D\mid Z=0]=P(\text{complier}). $$

Dividing the first difference by the second cancels the complier proportion and gives the complier average causal effect. This derivation also shows why a weak difference in treatment rates is problematic: the estimate divides by a small first stage, so sampling uncertainty can be large. The offer’s effect on the outcome itself, without dividing by the treatment-rate difference, is the intention-to-treat effect of the offer.

Worked Example: A Randomized Offer With Selective Take-Up

Suppose 200 equally eligible applicants enter a documented lottery for a program. One hundred are offered places and 100 are not. By the outcome follow-up, 72 offered applicants and 28 applicants without an offer have received the program. The average outcome is a functional score, measured in points: 12.0 points in the offer group and 11.2 points in the no-offer group.

The treatment rate is \(72/100=0.72\) among those offered and \(28/100=0.28\) among those not offered. The first stage is therefore \(0.72-0.28=0.44\), or a 44-percentage-point increase in program receipt. This is a substantial observed difference, supporting relevance in this example.

The offer’s intention-to-treat effect on the outcome is \(12.0-11.2=0.8\) functional-score points. The Wald estimate is:

$$ \frac{12.0-11.2}{0.72-0.28} =\frac{0.8}{0.44} =1.818\text{ points}. $$

If the lottery was implemented as stated, the offer is plausibly independent of potential outcomes within this applicant pool. The interpretation of 1.818 points as a causal treatment effect additionally requires exclusion, monotonicity, and no relevant interference. If those assumptions hold, the estimate is the average effect of program receipt for compliers—applicants whose receipt changes because of the offer. It is not automatically the effect for all 200 applicants. The arithmetic alone cannot verify the assumptions.

Allocation Order and Tie-Breaking in Practice

A priority system can be reasonable for program administration and still be unsuitable for causal identification. For example, an agency may place applicants with the greatest measured need first. Comparing those offered places with lower-priority applicants then mixes the effect of treatment with differences in need. Application timing can pose a similar problem: people able to apply immediately may differ in employment, health, or access to information.

A tie-break is useful only if it is both consequential and credible. Establish what counted as a tie, whether all tied applicants had the same eligibility and priority, and how the winner was selected. A recorded random number generated before offers is different from a staff member choosing among tied applicants after reviewing their files. If the process was random only within a priority stratum, the comparison should respect that stratum; it should not be generalized to applicants with different priorities without additional assumptions.

Worked Example: Why First-Come, First-Served May Not Be Quasi-Random

A hypothetical clinic has 40 places and receives 100 applications. It offers places to the first 40 applicants. The first 40 have an average baseline urgency score of 8.1, while the remaining 60 have an average of 5.4; higher scores mean greater urgency. Their average follow-up health scores are 6.2 and 7.0 points, respectively.

The observed follow-up difference, expressed as first group minus second group, is \(6.2-7.0=-0.8\) points. But the groups differ by \(8.1-5.4=2.7\) baseline urgency points, and the allocation rule explicitly selects applicants by application time. The outcome difference cannot be attributed to program receipt from these figures: priority, urgency, and application timing may all relate to outcomes. It would be incorrect to call the first 40 a quasi-randomly treated group just because capacity limited access.

Suppose instead that the clinic had a group of 20 applicants tied at the last eligible priority rank, and a documented random tie-break offered places to 10 of them. A comparison within that tied group could be supported by the randomization, subject to the instrumental-variable assumptions if take-up differs from offers. The broader first-40-versus-last-60 comparison does not acquire the same justification merely because a random tie-break was used for one boundary group.

Selective Take-Up and the Scope of the Effect

The waitlist often changes over time. Some people decline offers, others fail to respond, and later applicants may be contacted as places open. For analysis, define the offer \(Z\) and treatment \(D\) over a clear period and population. If the instrument is the initial offer, later treatment receipt must be recorded for both initially offered and unoffered applicants. Treating everyone not offered initially as untreated can misclassify waitlist entrants and distort the first stage.

It is also important to distinguish the effect of being offered a place from the effect of receiving the program. The intention-to-treat contrast answers the first question and remains meaningful even if exclusion is implausible. The Wald ratio aims at a treatment effect for compliers, but only when the additional assumptions hold. If an offer itself changes behavior—for example, applicants obtain other support after learning they are waitlisted—then the outcome effect of the offer may not operate solely through the program.

Worked Example: A Random Tie-Break and a Local Complier Effect

At a priority boundary, a hypothetical agency identifies 24 applicants with identical eligibility and rank. It randomly offers places to 12. By follow-up, 9 of the offered group and 3 of the no-offer group receive the program. Mean outcomes are 10.5 points among those offered and 9.9 points among those not offered.

The first stage is \(9/12-3/12=0.75-0.25=0.50\). The intention-to-treat effect is \(10.5-9.9=0.6\) outcome points. The Wald estimate is:

$$ \frac{0.6}{0.50}=1.2\text{ outcome points}. $$

If the tie-break was genuinely random, the within-tie offer comparison supports independence for these 24 applicants. If exclusion, monotonicity, and no interference also hold, 1.2 points estimates the average treatment effect among compliers in this boundary group. It does not establish the effect for applicants ranked far above or below the boundary. A local allocation mechanism supports a correspondingly local conclusion.

Diagnostics, Alternatives, and Limits

Useful diagnostics begin with the assignment mechanism. Check whether the stated number of offers matches capacity, whether timestamps and ranks precede outcomes, whether tie-break records are complete, and whether offers follow the recorded rule. Compare treatment rates by offer status to assess the first stage. Examine baseline covariates and pre-offer outcomes within the allocation strata; substantial differences can reveal implementation problems, although balance cannot prove independence. Investigate missing outcomes, refusals, crossovers, and whether staff overrode the queue.

A weak first stage, extensive unrecorded waitlist movement, or treatment availability outside the program can make the offer a poor instrument. Repeated applicants or households may create dependence that requires appropriate uncertainty estimation. With fixed capacity, one person’s gain may be another person’s lost place, violating a simple no-interference interpretation. The result may then describe the effect of an offer under that particular rationing system, rather than an effect that would persist if capacity expanded.

A lottery-based design is the closest alternative when the allocation process actually randomizes offers; it directly supports comparison by assignment. A regression discontinuity design may be relevant when offers follow a score cutoff, but it requires its own cutoff-based assumptions and a defensible local comparison. Observational adjustment, including propensity score methods, can address measured differences only under their assumptions and does not repair unmeasured selection by urgency or staff discretion. The choice among these approaches follows from the allocation rule, not from the fact that the program was oversubscribed.

Common pitfall: “There were too few places, so the people who got them were effectively random.” Scarcity says only that access was limited. If offers were determined by need, application timing, or discretionary judgment, the offer groups may differ systematically. Identify and verify a random or otherwise defensible allocation feature before treating the offer as an instrument.

Check Your Understanding

Answer each question, then check the solutions.

  1. A waitlist offer raises program receipt from 35% to 65%. What is the first stage, and what assumption does it directly inform?
  2. Why can comparing everyone offered with everyone not offered be misleading when priority depends on clinical urgency?
  3. Under monotonicity, which applicants contribute to the first-stage difference in treatment rates?
  4. A random offer changes treatment receipt but also automatically gives applicants a travel stipend, whether or not they enroll. Which assumption is threatened?
  5. What is the main scope limitation of an estimate based only on a random tie-break among applicants at the capacity boundary?

Solutions. (1) The first stage is \(0.65-0.35=0.30\), a 30-percentage-point increase; it directly informs relevance. (2) Urgency may predict both offer priority and the outcome, so the groups need not be comparable. (3) Compliers change treatment status when the offer changes; always-takers and never-takers do not contribute to the first-stage difference. (4) Exclusion is threatened because the offer can affect outcomes through the stipend apart from program receipt. (5) The estimate applies to compliers in the tied boundary group under the assumptions, not automatically to applicants with other priority ranks.

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