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How Good a Deal Was the Tobacco Settlement? Assessing Payments to Massachusetts

Author

Listed:
  • Cutler, David M
  • Epstein, Arnold M.
  • Frank, Richard G.
  • Hartman, Raymond
  • King, Charles III
  • Newhouse, Joseph P.
  • Rosenthal, Meredith B.
  • Vigdor, Elizabeth Richardson

Abstract

We estimate the increment in Massachusetts Medicaid program costs attributable to smoking from December 20, 1991 to 1998. We describe how our methods improve upon earlier estimates of analogous costs at the national level. Current costs to the Massachusetts Medicaid program approximate the payments to Massachusetts under the tobacco settlement of November 1998. Whether these payments are viewed as appropriate compensation for Medicaid costs over time depends upon the rate of increase in future health care costs, the rate of decline in smoking, the proportion of smoking that should be attributed to the actions of the tobacco companies and the likelihood the state would have prevailed at trial. The costs to the Medicaid program are dwarfed by the internal costs to smokers themselves. Copyright 2000 by Kluwer Academic Publishers

Suggested Citation

  • Cutler, David M & Epstein, Arnold M. & Frank, Richard G. & Hartman, Raymond & King, Charles III & Newhouse, Joseph P. & Rosenthal, Meredith B. & Vigdor, Elizabeth Richardson, 2000. "How Good a Deal Was the Tobacco Settlement? Assessing Payments to Massachusetts," Journal of Risk and Uncertainty, Springer, vol. 21(2-3), pages 235-261, November.
    • Handle: RePEc:kap:jrisku:v:21:y:2000:i:2-3:p:235-61
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    Cited by:

    1. Viscusi, W. Kip & Hersch, Joni, 2008. "The mortality cost to smokers," Journal of Health Economics, Elsevier, vol. 27(4), pages 943-958, July.
    2. W. Kip Viscusi & Joni Hersch, 2010. "Tobacco Regulation through Litigation: The Master Settlement Agreement," NBER Chapters, in: Regulation vs. Litigation: Perspectives from Economics and Law, pages 71-101, National Bureau of Economic Research, Inc.
    3. Michael E. Darden & Robert Kaestner, 2022. "Smoking, selection, and medical care expenditures," Journal of Risk and Uncertainty, Springer, vol. 64(3), pages 251-285, June.
    4. Liu, Yuanli & Rao, Keqin & Hu, Teh-wei & Sun, Qi & Mao, Zhenzhong, 2006. "Cigarette smoking and poverty in China," Social Science & Medicine, Elsevier, vol. 63(11), pages 2784-2790, December.

    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • K0 - Law and Economics - - General

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