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Tobacco Regulation and Cost-Benefit Analysis: How Should We Value Foregone Consumer Surplus?

Author

Listed:
  • Helen G. Levy

    (University of Michigan Institute for Social Research and NBER Author email: hlevy@umich.edu)

  • Edward C. Norton

    (University of Michigan School of Public Health and NBER)

  • Jeffrey A. Smith

    (University of Michigan, Department of Economics, NBER, and IZA)

Abstract

Recent tobacco regulations proposed by the Food and Drug Administration have raised a thorny question: how should the cost-benefit analysis accompanying such policies value foregone consumer surplus associated with regulation-induced reductions in smoking? In a model with rational and fully informed consumers, this question is straightforward. There is disagreement, however, about whether consumers are rational and fully informed, and the literature offers little practical guidance about what approach the FDA should use if they are not. In this paper, we outline the history of the FDA's recent attempts to regulate cigarettes and other tobacco products and how they have valued foregone consumer surplus in cost-benefit analyses. We advocate replacing the approach used in most of this literature, which first calculates health gains associated with regulation and then “offsets” them by some factor reflecting consumer surplus losses, with a more general behavioral public finance framework for welfare analysis. This framework applies standard tools of welfare analysis to consumer demand that may be “biased” (that is, not necessarily rational and fully informed) without requiring specific assumptions about the reason for the bias. This framework would require estimates of both biased and unbiased consumer demand; we sketch an agenda to help develop these in the context of smoking. The use of this framework would substantially reduce the confusion currently surrounding welfare analysis of tobacco regulation.

Suggested Citation

  • Helen G. Levy & Edward C. Norton & Jeffrey A. Smith, 2018. "Tobacco Regulation and Cost-Benefit Analysis: How Should We Value Foregone Consumer Surplus?," American Journal of Health Economics, University of Chicago Press, vol. 4(1), pages 1-25, Winter.
  • Handle: RePEc:ucp:amjhec:v:4:y:2018:i:1:p:1-25
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    File URL: https://www.journals.uchicago.edu/doi/pdf/10.1162/ajhe_a_00091
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    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Brent Gibbons’s journal round-up for 9th April 2018
      by brentgibbons in The Academic Health Economists' Blog on 2018-04-09 11:00:08

    Citations

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    Cited by:

    1. Sophie Massin & Maxence Miéra, 2020. "Measuring consumer surplus in the case of addiction: A re-examination of the rational benchmark algebra," Economics Bulletin, AccessEcon, vol. 40(4), pages 3171-3181.
    2. Cass R. Sunstein, 2019. "Ruining popcorn? The welfare effects of information," Journal of Risk and Uncertainty, Springer, vol. 58(2), pages 121-142, June.
    3. Philip DeCicca & Donald Kenkel & Feng Liu & Hua Wang, 2017. "Behavioral Welfare Economics and FDA Tobacco Regulations," Advances in Health Economics and Health Services Research, in: Human Capital and Health Behavior, volume 25, pages 143-179, Emerald Group Publishing Limited.
    4. Michael E. Darden, 2024. "Optimal e-cigarette policy when preferences and internalities are correlated," Journal of Risk and Uncertainty, Springer, vol. 68(2), pages 107-131, April.
    5. Yu‐Chun Elisa Cheng & Don Kenkel & Alan Mathios & Hua Wang, 2024. "Are menthol smokers different? An economic perspective," Southern Economic Journal, John Wiley & Sons, vol. 90(3), pages 577-611, January.
    6. Donald S. Kenkel & Sida Peng & Michael F. Pesko & Hua Wang, 2020. "Mostly harmless regulation? Electronic cigarettes, public policy, and consumer welfare," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1364-1377, November.
    7. Don Kenkel & Alan Mathios & Grace Phillips & Revathy Suryanarayana & Hua Wang & Sen Zeng, 2025. "Understanding the Demand‐Side of an Illegal Market: A Case Study of the Prohibition of Menthol Cigarettes," Health Economics, John Wiley & Sons, Ltd., vol. 34(5), pages 956-971, May.
    8. Powell, David & Pacula, Rosalie Liccardo & Taylor, Erin, 2020. "How increasing medical access to opioids contributes to the opioid epidemic: Evidence from Medicare Part D," Journal of Health Economics, Elsevier, vol. 71(C).
    9. Sunstein, Cass R., 2021. "Viewpoint: Are food labels good?," Food Policy, Elsevier, vol. 99(C).
    10. Eric Gao, 2024. "Quantity Limits on Addictive Goods," Papers 2407.16987, arXiv.org.
    11. Hunt Allcott & Charlie Rafkin, 2020. "Optimal Regulation of E-cigarettes: Theory and Evidence," NBER Working Papers 27000, National Bureau of Economic Research, Inc.
    12. Kotchen, Matthew J. & Levinson, Arik, 2023. "When Can Benefit–Cost Analyses Ignore Secondary Markets?," Journal of Benefit-Cost Analysis, Cambridge University Press, vol. 14(1), pages 114-140, March.

    More about this item

    Keywords

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    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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