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Smoke Gets in Your Eyes: Medical Marijuana Laws and Tobacco Cigarette Use

Author

Listed:
  • Anna Choi

    (Organization for Economic Cooperation and Development)

  • Dhaval Dave

    (Department of Economics, Bentley University, NBER, and Institute of Labor Economics (IZA))

  • Joseph J. Sabia

    (Director of Center for Health Economics and Policy Studies, San Diego State University, University of New Hampshire, and Institute of Labor Economics (IZA))

Abstract

The public health costs of tobacco consumption have been documented to be substantially larger than those of marijuana use. This study is the first to investigate the impact of medical marijuana laws (MMLs) on tobacco cigarette consumption. First, using data from the National Survey of Drug Use and Health (NSDUH), we establish that MMLs induce a 2 to 3 percentage point increase in adult marijuana consumption, likely for both recreational and medicinal purposes. Then, using data from the NSDUH, the Behavioral Risk Factor Surveillance System (BRFSS), and the Current Population Survey Tobacco Use Supplements (CPS-TUS), we find that the enactment of MMLs leads to a 1 to 1.5 percentage point reduction in adult cigarette smoking. We also find that MMLs reduce the number of cigarettes consumed by smokers, suggesting effects on both the cessation and intensive margins of cigarette use. Our estimated effect sizes imply substantial MML-induced tobacco-related health-care cost savings, ranging from $4.6 to $6.9 billion per year.

Suggested Citation

  • Anna Choi & Dhaval Dave & Joseph J. Sabia, 2019. "Smoke Gets in Your Eyes: Medical Marijuana Laws and Tobacco Cigarette Use," American Journal of Health Economics, MIT Press, vol. 5(3), pages 303-333, Summer.
    • Handle: RePEc:tpr:amjhec:v:5:y:2019:i:3:p:303-333
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    Cited by:

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    2. D. Mark Anderson & Kyutaro Matsuzawa & Joseph J. Sabia, 2020. "Cigarette Taxes and Teen Marijuana Use," NBER Working Papers 26780, National Bureau of Economic Research, Inc.
    3. Rahi Abouk & Keshar M. Ghimire & Johanna Catherine Maclean & David Powell, 2023. "Pain Management and Work Capacity: Evidence From Workers’ Compensation and Marijuana Legalization," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(3), pages 737-770, June.
    4. Dave, Dhaval & Liang, Yang & Pesko, Michael F. & Phillips, Serena & Sabia, Joseph J., 2023. "Have recreational marijuana laws undermined public health progress on adult tobacco use?," Journal of Health Economics, Elsevier, vol. 90(C).
    5. Luis Rodrigo Arnabal, 2021. "Optimal design of sin taxes in the presence of nontaxable sin goods," Health Economics, John Wiley & Sons, Ltd., vol. 30(7), pages 1580-1599, July.
    6. Michele Baggio & Alberto Chong & Sungoh Kwon, 2020. "Marijuana and alcohol: Evidence using border analysis and retail sales data," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 53(2), pages 563-591, May.
    7. Meinhofer, Angélica & Witman, Allison E. & Hinde, Jesse M. & Simon, Kosali, 2021. "Marijuana liberalization policies and perinatal health," Journal of Health Economics, Elsevier, vol. 80(C).
    8. Chakraborty Avinandan & Doremus Jacqueline & Stith Sarah, 2021. "The effects of recreational cannabis access on labor markets: evidence from Colorado," IZA Journal of Labor Economics, Sciendo & Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 10(1), pages 1-86, January.
    9. Anderson, D. Mark & Rees, Daniel I., 2021. "The Public Health Effects of Legalizing Marijuana," IZA Discussion Papers 14292, Institute of Labor Economics (IZA).
    10. Cameron M. Ellis & Martin F. Grace & Rhet A. Smith & Juan Zhang, 2022. "Medical cannabis and automobile accidents: Evidence from auto insurance," Health Economics, John Wiley & Sons, Ltd., vol. 31(9), pages 1878-1897, September.
    11. Alex Hollingsworth & Coady Wing & Ashley C. Bradford, 2022. "Comparative Effects of Recreational and Medical Marijuana Laws on Drug Use among Adults and Adolescents," Journal of Law and Economics, University of Chicago Press, vol. 65(3), pages 515-554.
    12. Smart, Rosanna & Doremus, Jacqueline, 2023. "The kids aren’t alright: The effects of medical marijuana market size on adolescents," Journal of Health Economics, Elsevier, vol. 87(C).
    13. Raymond J. March & Veeshan Rayamajhee & Glenn L. Furton, 2022. "Cloudy with a chance of munchies: Assessing the impact of recreational marijuana legalization on obesity," Health Economics, John Wiley & Sons, Ltd., vol. 31(12), pages 2609-2629, December.
    14. Anderson, D. Mark & Matsuzawa, Kyutaro & Sabia, Joseph J., 2020. "Cigarette Taxes and Teen Marijuana Use," IZA Discussion Papers 12980, Institute of Labor Economics (IZA).
    15. Argys, Laura M. & Averett, Susan L. & Yang, Muzhe, 2020. "Residential noise exposure and health: Evidence from aviation noise and birth outcomes," Journal of Environmental Economics and Management, Elsevier, vol. 103(C).

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    More about this item

    Keywords

    medical marijuana laws; tobacco cigarette consumption; smoking;
    All these keywords.

    JEL classification:

    • D1 - Microeconomics - - Household Behavior
    • I1 - Health, Education, and Welfare - - Health

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