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What does a pack of cigarettes cost a smoker, the smoker's family, and society? This longitudinal study on the private and social costs of smoking calculates that the cost of smoking to a 24-year-old woman smoker is $86,000 over a lifetime; for a 24-year-old male smoker the cost is $183,000. The total social cost of smoking over a lifetime—including both private costs to the smoker and costs imposed on others (including second-hand smoke and costs of Medicare, Medicaid, and Social Security)—comes to $106,000 for a woman and $220,000 for a man. The cost per pack over a lifetime of smoking: almost $40.00. The first study to quantify the cost of smoking in this way, or in such depth, this accessible book not only adds a weapon to the arsenal of antismoking messages but also provides a framework for assessment that can be applied to other health behaviors. The findings on the effects of smoking on Medicare and Medicaid will be surprising and perhaps controversial, for the authors estimate the costs to be much lower than the damage awards being paid to 46 states as a result of the 1998 Master Settlement Agreement.
This is the first book that analyzes tobacco control policies in China from the perspectives of economics and health. For readers interested in the economic aspects of tobacco control policy issues not only in China but also in other developing countries, this book provides a comprehensive analytical and empirical framework addressing key debated issues.This book covers a range of interesting topics from the prevalence of smoking in China, health and economic burden of smoking in China, demand for cigarettes and taxation in China, the role of tobacco on farming, the tobacco industry and the World Trade Organization, poverty and smoking in China, to future challenges of tobacco control for the Chinese government.
Economic costs attributable to smoking in China : update and an 8-year comparison, 2000-2008 / Lian Yang, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Keqin Rao -- Secondhand smoke exposure at home in rural China / Tingting Yao, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Wendy Max -- The healthcare costs of secondhand smoke exposure in rural China / Tingting Yao, Hai-Yen Sung, Zhengzhong Mao, Teh-wei Hu, and Wendy Max -- Quantity, quality, and spatial price variation of tobacco : demand analysis of household survey data in China / Yuyu Chen and Weibo Xing -- The effect of cigarette prices on brand-switching in China : a longitudinal analysis of data from the ITC China survey / Justin S White, Jing Li, Teh-wei Hu, Geoffrey T Fong, and Yuan Jiang -- The heterogeneous effects of cigarette prices on brand choice in China : implications for tobacco control policy / Jing Li, Justin S. White, Teh-wei Hu, Geoffrey T. Fong, and Yuan Jiang -- The epidemic of gift giving : a social barrier to tobacco control in China / Xiulan Zhang, Steve Lin and Teh-wei Hu -- The role of taxation in tobacco control and its potential economic impact in China / Teh-wei Hu, Zhengzhong Mao, Jian Shi, and Wendong Chen -- Recent tobacco tax rate adjustment and its potential impact on tobacco control in China / Teh-wei Hu, Zhengzhong Mao, and Jian Shi -- Can increases in the cigarette tax rate be linked to cigarette retail prices? : solving mysteries related to the cigarette pricing mechanism in china / Song Gao, Rong Zheng, and Teh-wei Hu -- The potential effects of tobacco control in China : projections from the China Simsmoke simulation model / David Levy, Ricardo L Rodríguez-Buño, Teh-Wei Hu, and Andrew E Moran -- The consequences of tobacco tax on household health and finances in rich and poor smokers in China : an extended cost-effectiveness analysis / Stéphane Verguet, Cindy L Gauvreau, Sujata Mishra, Mary MacLennan, Shane M Murphy, Elizabeth D Brouwer, Rachel A Nugent, Kun Zhao, Prabhat Jha, and Dean T Jamison -- WHO framework convention on tobacco control in China : barriers, challenges and recommendations / Teh-Wei Hu, Anita H. Lee, and Zhengzhong Mao -- Tobacco control in China : from policy research to practice and the way forward / Teh-wei Hu and Xiulan Zhang
Record of Discussion6 Economics of Need: The Experience of the British Health Service; 7 Private Patients in N.H.S. Hospitals: Waiting Lists and Subsidies; 8 Consumer Protection, Incentives and Externalities in the Drug Market; Summary Record of Discussion; 9 Price and Income Elasticities for Medical Care Services; 10 Supplier-Induced Demand: Some Empirical Evidence and Implications; 11 Some Economic Aspects of Mortality in Developed Countries; Summary Record of Discussion; PART THREE: THE IMPACT OF DEMAND FOR HEALTH SERVICES; 12 Health, Hours and Wages
There is no doubt that smoking is damaging global health on an unprecedented scale. However, there is continuing debate on the economics of tobacco control, including the costs and consequences of tobacco control policies. This book aims to fill the analytic gap around this debate. This book brings together a set of critical reviews of the current status of knowledge on tobacco control. While the focus is on the needs of low-income and middle-income countries, the analyses are relevant globally. The book examines tobacco use and its consequences including new analyses of welfare issues in tobacco consumption, poverty and tobacco, and the rationale for government involvement . It provides an evidence-based review of policies to reduce demand including taxation, information, and regulation. It critically reviews supply-side issues such as trade and industry and farming issues, including new analyses on smuggling. It also discusses the impact of tobacco control programs on economies, including issues such as employment, tax revenue and welfare losses. It provides new evidence on the effectivemess and international action, including future research directions. A statistica; annex will contain information on where the reader can find data on tobacco consumption, prices, trade, employment and other items. The book is directed at academic economists and epidemiologists as well as technical staff within governments and international agencies. Students of economics, epidemiology and public policy will find this an excellent comprehensive introduction to economics of tobacco control.
Tobacco is reported to be the second major cause of death in the world and there is ever-increasing interest in the costs of smoking, especially in the light of evidence of the health effects of second-hand smoke. This book brings together the findings of economists on the effectiveness of price and non-price policy initiatives to combat smoking and draws conclusions regarding the efficacy of the various policy measures. The authors evaluate the relative effectiveness of price-based smoking control policies (i.e. tax) in relation to non-price strategies (including advertising restrictions, sales restrictions, territorial restrictions and health warnings). They review evidence not only from the US but also from around the world, drawing important conclusions for developing countries where smoking is on the rise. The book will be essential reading for policy makers, health practitioners and researchers in health economics.
Annotation. Addresses important economic and social issues confronting policymakers when dealing with the issue of tobacco control and its impact on the social and economic resources of both developed and developing countries.
This new volume of the IARC Handbooks of Cancer Prevention in Tobacco Control presents a critical review and evaluation of the evidence by 25 international experts from twelve countries on the economics, epidemiology, public policy and tobacco control aspects of tax and price policies. The working group draws conclusions about the effectiveness of tax and price measures to control tobacco use in the population. The Handbook covers an overview of tobacco taxation; industry pricing strategies and other industry initiatives diluting the effects of taxes on consumption; tax, price and aggregated demand for tobacco, as well as demand at the individual level in adults, young people and the economically disadvantaged; tax avoidance and tax evasion and the economic and health impacts of tobacco taxation. This body of evidence and the consensus evaluation of 18 concluding statements on the impact of interventions to increase the price of tobacco products, can assist policy makers, government officials, evaluators and researchers working in tobacco control and disease prevention, to base their decisions on the latest scientific evidence.
States have banned smoking in workplaces, restaurants, and bars. They have increased tobacco tax rates, extended "clean air" laws, and mounted dramatic antismoking campaigns. Yet tobacco use remains high among Americans, prompting many health professionals to seek bolder measures to reduce smoking rates, which has raised concerns about the social and economic consequences of these measures. Retail and hospitality businesses worry smoking bans and excise taxes will reduce profit, and with tobacco farming and cigarette manufacturing concentrated in southeastern states, policymakers fear the decline of regional economies. Such concerns are not necessarily unfounded, though until now, no comprehensive survey has responded to these beliefs by capturing the impact of tobacco control across the nation. This book, the result of research commissioned by Legacy and Columbia University's Institute for Social and Economic Research and Policy, considers the economic impact of reducing smoking rates on tobacco farmers, cigarette-factory workers, the southeastern regional economy, state governments, tobacco retailers, the hospitality industry, and nonprofit organizations that might benefit from the industry's philanthropy. It also measures the effect of smoking reduction on mortality rates, medical costs, and Social Security. Concluding essays consider the implications of more vigorous tobacco control policy for law enforcement, smokers who face social stigma, the mentally ill who may cope through tobacco, and disparities in health by race, social class, and gender.
The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.