Skip to main content

Markets, Insurance, And The Medical Costs Of Smokers

  • Chapter
The Economics of Smoking

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes

  1. 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.

    Google Scholar 

  2. Insurance is examined in the 1989 Report of the Surgeon General, pp. 539–51.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1992 Springer Science+Business Media New York

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-3892-5_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5733-2

  • Online ISBN: 978-94-011-3892-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics