Abstract
Even though people may miss work because of illnesses or deaths that are attributed to smoking, the cost of any resulting lost production that results is borne by the smokers and not by the nonsmoking members of society. But can the same thing be said about the medical expenses that are associated with the treatment of illnesses some claim are smoking-related? Those expenses are also substantial; they were estimated in the report of the Office of Technology Assessment to be roughly half the size of the costs of lost production — ranging from $12 to $35 billion in 1985, and with a “best” estimate of $22 billion. This “best” estimate is about 70 cents per pack, which is about twice the present tax burden on cigarettes. The more recent study of Smoking and Health: A National Status Report by the U.S. Department of Health and Human Services estimated the health-care bill for smoking at $23.7 billion (in 1985 dollars) out of a grand total including lost production of $52.4 billion.
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Notes
It should be noted, as we shall discuss more fully below, that only a few health insurers have established different premiums for smokers and nonsmokers, and they have done so “with little supportive actuarial experience that nonsmokers incur fewer claims,” according to the 1989 Surgeon General’s Report Also, just because a smoker files a health insurance claim does not mean the claim is smoking-related. Consider the demographic studies which show that a great many smokers are employed in blue-collar occupations, exposing themselves to higher risks and accident rates. In addition, a large proportion of smokers are low-income people, who more often lack preventive health care, ultimately resulting in larger health-care costs.
Insurance is examined in the 1989 Report of the Surgeon General, pp. 539–51.
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© 1992 Springer Science+Business Media New York
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Tollison, R.D., Wagner, R.E. (1992). Markets, Insurance, And The Medical Costs Of Smokers. In: The Economics of Smoking. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3892-5_5
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DOI: https://doi.org/10.1007/978-94-011-3892-5_5
Publisher Name: Springer, Dordrecht
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