The Health Care Consequences of Smoking and Its Regulation
In: Frontiers in Health Policy Research, Volume 4
The literature on the health economics of smoking presents two principal facts: that smoking increases health care costs, and that restrictions on smoking lead to reductions in smoking prevalence and intensity. Some researchers have hypothesized that these two facts, in combination, allow the inference that restricting smoking will lower health care costs. For a variety of reasons, however, observed associations between smoking and health care use on the one hand, and regulations and smoking on the other, do not imply a casual effect of the restrictions on health care. This paper extends the literature by examining whether cigarette tax increases lead to lower health care costs. Using data from the 1991 and 1993 National Heath Interview Surveys, it first reproduces the principal results in the literature on smoking, taxes, and health care utilization, and then estimates the effects of tobacco taxes on health care. The results indicate that once one controls for endogenous quits, the health care benefits of smoking cessation are greater than previously believed. There is weak evidence that tax increases lead to higher cessation rates. In combination, these results suggest that, in addition providing a source for funding excess health care costs, tax increases may lower health care costs (for given longevity) directly by inducing smokers to quit.
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- Philip J. Cook & George Tauchen, 1982. "The Effect of Liquor Taxes on Heavy Drinking," Bell Journal of Economics, The RAND Corporation, vol. 13(2), pages 379-390, Autumn.
- Evans, William N. & Ringel, Jeanne S., 1999.
"Can higher cigarette taxes improve birth outcomes?,"
Journal of Public Economics,
Elsevier, vol. 72(1), pages 135-154, April.
- William N. Evans & Jeanne S. Ringel, 1997. "Can Higher Cigarette Taxes Improve Birth Outcomes?," NBER Working Papers 5998, National Bureau of Economic Research, Inc.
- Kenkel, Donald S, 1991.
"Health Behavior, Health Knowledge, and Schooling,"
Journal of Political Economy,
University of Chicago Press, vol. 99(2), pages 287-305, April.
- Phillip Farrell & Victor R. Fuchs, 1981.
"Schooling and Health: The Cigarette Connection,"
NBER Working Papers
0768, National Bureau of Economic Research, Inc.
- Michael Grossman, 1989. "Health Benefits of Increases in Alcohol and Cigarette Taxes," NBER Working Papers 3082, National Bureau of Economic Research, Inc.
- Becker, Gary S & Grossman, Michael & Murphy, Kevin M, 1994.
"An Empirical Analysis of Cigarette Addiction,"
American Economic Review,
American Economic Association, vol. 84(3), pages 396-418, June.
- Gary S. Becker & Michael Grossman & Kevin M. Murphy, 1990. "An Empirical Analysis of Cigarette Addiction," NBER Working Papers 3322, National Bureau of Economic Research, Inc.
- Gary S. Becker & Michael Grossman & Kevin M. Murphy, 1990. "An Empirical Analysis of Cigarette Addiction," University of Chicago - George G. Stigler Center for Study of Economy and State 61, Chicago - Center for Study of Economy and State.
- Harris, Jeffrey E., 1982. "Increasing the federal excise tax on cigarettes," Journal of Health Economics, Elsevier, vol. 1(2), pages 117-120, August.
- Michael J. Moore, 1995. "Death and Tobacco Taxes," NBER Working Papers 5153, National Bureau of Economic Research, Inc.
- William N. Evans & Matthew C. Farrelly, 1998. "The Compensating Behavior of Smokers: Taxes, Tar, and Nicotine," RAND Journal of Economics, The RAND Corporation, vol. 29(3), pages 578-595, Autumn.
- Schneider, Lynne & Klein, Benjamin & Murphy, Kevin M, 1981.
"Governmental Regulation of Cigarette Health Information,"
Journal of Law and Economics,
University of Chicago Press, vol. 24(3), pages 575-612, December.
- Benjamin Klein & Kevin M. Murphy & Lynne Schneider, 1981. "Governmental REgualtion of Cigarette Health Information," UCLA Economics Working Papers 200, UCLA Department of Economics.
- Michael Grossman, 1993. "Policy Watch: Alcohol and Cigarette Taxes," Journal of Economic Perspectives, American Economic Association, vol. 7(4), pages 211-222, Fall.
- Michael J. Moore, 1996. "Death and Tobacco Taxes," RAND Journal of Economics, The RAND Corporation, vol. 27(2), pages 415-248, Summer.
- Viscusi, W Kip, 1984. "The Lulling Effect: The Impact of Child-Resistant Packaging on Aspirin and Analgesic Ingestions," American Economic Review, American Economic Association, vol. 74(2), pages 324-27, May.
- J.D. Angrist & Guido W. Imbens & D.B. Rubin, 1993. "Identification of Causal Effects Using Instrumental Variables," NBER Technical Working Papers 0136, National Bureau of Economic Research, Inc.
- Jeffrey E. Harris, 1994. "A Working Model for Predicting the Consumption and Revenue Impacts of Large Increases in the U.S. Federal Cigarette Excise Tax," NBER Working Papers 4803, National Bureau of Economic Research, Inc.
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