Canadian Cancer Society, “Compilation of Selected Evidence Regarding the Impact of Higher Tobacco Prices on Tobacco Use; A Submission Prepared for the House of Commons Standing Committee on Finance”

 

Société canadienne du cancer, « Compilation de divers documents traitant des effets de l’augmentation des prix des produits de tabac sur l’usage du tabac; Mémoire présenté au Comité permanent des finances, Chambre des communes »

 

 

September 2001

septembre 2001

 

 

Summary/Sommaire

 

 

Tab/onglet

 

 

1.         Introduction

 

2.         Summary/Sommaire

 

3.         Namgyal Goff, “Summary Listing of Estimates of Price Elasticity of Demand” September 2000.

 

 

Reports / Rapports

 

 

4.         By and large, demand for tobacco responds to price changes like any other commodity –when prices rise, consumption falls.  Younger smokers are the most price-sensitive, because they typically have little money.  Raising prices by raising taxes can prevent children and youth from smoking, or reduce the amount they smoke.  One analysis of Canadian data estimated that a 10 per cent increase in the price of cigarettes over and above inflation would likely result in a 17 per cent drop in cigarettes consumed per capita by 15-19-year-olds.

   Thus, tax cuts are a major step backward for public health.  To reduce smoking, federal and provincial taxes should be raised to their former peak levels, and increased regularly at or above the inflation rate. (p.4)

Addiction Research Foundation. “Preventing Smoking:  Tobacco Control Policies.  Best Advice From the Research Foundation” July 1995.

 

 

5.         The question of whether tobacco price increases affect younger people more than adults has not been addressed in many studies.  In order to gain some insight into the price sensitivity of younger Canadians, a simple analysis was carried out to determine how the proportion of smokers among teenagers and adults is affected by the real price of tobacco.  In all cases, the results showed that younger Canadians are, indeed, more sensitive to price changes than adults.  That is, recent tax increases have led to a reduction in the number of teenagers who start to smoke and this will have a long-term effect on total tobacco consumption. (p.iv).

. . .

Conclusion

. . . On balance, federal tax increases since 1985 have resulted in a net decline in overall tobacco consumption in Canada. (p.vi)

Canadian Department of Finance.  “Tobacco Taxes and Consumption”  Ottawa. Department of Finance.  June 1993.

 

 

6.         The Committee recommends such further increases to the excise tax on cigarettes as circumstances related to smuggling will permit.  An increase of $1 per carton (0.5 cents per cigarette) across all regions of Canada would increase government revenues by $150 million annually.  Such a tax increase would likely reduce tobacco consumption.  Recent surveys show that prevalence of smoking has increased in Canada.

In addition, the Committee recommends that the government, subject to smuggling considerations, consider tax measures to equalize federal tobacco taxes as much as possible across all provinces and territories.  Under the current regime, the tax level varies from $6.45 per 200 cigarettes to $10.85 per 200 cigarettes, depending upon the province of residence.

Subject again to smuggling considerations, the government should also consider introducing tax increases on “roll-your-own” tobacco (fine cut and tobacco sticks for example) to a level closer to the tax on manufactured cigarettes.

Finally, the Committee recommends that the surtax on the tobacco industry and the export tax on tobacco products be maintained. (p.21)

Canadian House of Commons Standing Committee on Finance. “The Next Steps to Fiscal Health After a Year of Historic Progress: Building the 1996 Budget through Consultation” Twenty-Fourth Report of the Standing Committee on Finance.  January 1996.

 

 

7.         In its last two reports, the Committee recommended tax increases on tobacco products as quickly as circumstances related to the containment of smuggling would permit.  The federal excise tax on cigarettes products was increased in February 1995 and again on November 28 of this year.

RECOMMENDATION

The Committee welcomes these increases and still recommends increasing further the excise tax on cigarettes by as much as circumstances related to smuggling permit.  An increase of $1 per carton (0.5 cents per cigarette) across all regions of Canada would increase annual government revenues by $150 million.

. . .

As it did last year, the Committee still recommends that the Government, subject to smuggling considerations, consider tax measures to equalize federal tobacco taxes as much as possible across all provinces and territories.  Under the current regime, the tax level varies from $7.15 per 200 cigarettes to $10.85 per 200 cigarettes, depending upon the province of residence.

As recommended last year, the Committee suggests that the Government consider increasing taxes on “roll-your-own” tobacco to a level closer to the tax on manufactured cigarettes.

. . .

Finally, the Committee recommends that the current manufacturers surtax, scheduled to end in March 1997, be extended indefinitely.

Increasing the taxes on tobacco products, while a revenue measure, is primarily to curb smoking, especially among the young for whom price is often the most effective deterrent. (p.27, ch. 3 of internet version)

Canadian House of Commons Standing Committee on Finance. “The 1997 Budget and Beyond: Finish the Job” Fifth Report of the Standing Committee on Finance. December 1996. http://www.parl.gc.ca/committees352/fine/reports/05_1996-12/fine-05-cov-e.html

 

 

 

 

8.         In the last three reports, the Committee recommended tax increases on tobacco products as much as possible without increasing smuggling.  The last time the federal excise tax on cigarettes was increased was on November 28, 1996.

Almost 29% of young Canadians aged between 15 and 24 are smokers.

Increasing taxes on tobacco products is designed primarily to curb smoking, especially among the young, for whom price is often the most effective deterrent.

RECOMMENDATION

The Committee endorses the government’s decision to double the resources of the Tobacco Demand Reduction Strategy.  The Committee further recommends that the excise tax on cigarettes be increased. (p.17, c.2 of internet version)

Canadian House of Commons Standing Committee on Finance. “Keeping the Balance: Security and Opportunity for Canadians” Report of the Standing Committee on Finance. December 1997. http://www.parl.gc.ca/InfoComDoc/36/1/FINA/Studies/Reports/FINARP02-E.htm

 

 

9.         Mesures en matière de lutte contre le tabagisme au niveau national

-          Que la taxation soit retenue comme une stratégie centrale en vue du contrôle du tabagisme.

-          Qu’une proportion des revenus engendrés par le prélèvement de cette taxe soit précisée et affectée au financement des activités de prévention du cancer.

-          Que des mesures supplémentaires soient prévues pour contrer les activités contrebande et que des représentations auprès des provinces et des États voisins soient faites afin que des mesures semblables puissent être adoptées. (p.73)

Comité consultatif sur le cancer. « Programme québécois de lutte contre le cancer; Pour lutter efficacement contre le cancer, formons équipe » Octobre 1997.

 

 

10.      Increasing the price of cigarettes is essential to reducing and preventing smoking among young people, and is supported by several decades of research.  Young people are much more price-sensitive than adults, that is, for a given price increase, they are much more likely to quit or not take up smoking, or to reduce their consumption.  (p.15)

Expert Panel on the Renewal of the Ontario Tobacco Strategy.  “Actions Will Speak Louder than Words: Getting Serious about Tobacco Control in Ontario.  A Report to the Minister of Health from her Expert Panel on the Renewal of the Ontario Tobacco Strategy” February 1999.

 

 

11.      “The Government of Canada and public health advocates believe that this rise (in youth smoking rates) is due, in large part, to the roll-back on cigarette taxes which was forced on us by the rise in smuggling in the 1990’s.” - Health Minister Allan Rock

. . .

Increasing tobacco taxes-

Tax increases on tobacco products are a key part of the Government of Canada’s overall strategy to reduce tobacco consumption.  It is widely recognized that raising the price of tobacco products contributes to reducing demand, especially among young people. (p.10)

Health Canada, Health Promotions and Programs Branch, Bureau of Tobacco Control.  “Report on Tobacco Control” Ottawa, Ontario.  January 2000.

 

 

12.      The Committee considers that what is required is a National Anti-Smoking Strategy which includes the following: --

. . .

Annual increases in tobacco taxes in excess of cost of living increases. (p.2 of ch.8 of internet version) (p.2 of internet version)

. . .

Action required:

It is the view of the Committee that tobacco taxes should be increased by 5% per annum in excess of inflation in each of the budgets from December 1999 to December 2005 when the impact of increased tobacco taxes should be reviewed. (p.15 of ch.8 of internet version)

Ireland Oireachtas [Parliament], Joint Committee on Health and Children, “A National Anti-Smoking Strategy: A Report on Health and Smoking” November 1999.  http://www.irlgov.ie/committees-99/c-health/reports.htm  Accessed March 27, 2001.

 

 

13.      Conclusions and Recommendations

. . .

Evidence from Canada, New Zealand and the United Kingdom lead the Committee to the conclusion that pricing policy is perhaps the single most important element of an overall comprehensive strategy to reduce tobacco use, and particularly to reduce use among children and youths.  This evidence leads the Committee to make the following five recommendations for changing how tobacco products are taxed in the United States:

1.       Tobacco tax policies at the federal and state levels should be linked to the national objectives for reducing tobacco use.  In other words, government policymakers should use tobacco taxes as an intervention to accomplish these health goals. (p.192)

2.       The excise tax on cigarettes should be increased to a level comparable with that in other major industrialized countries.  A reasonable target would be to increase the federal cigarette tax by $2 by 1995.  . . .

3.       All tobacco products should be taxed on an equivalent basis.  For example, when cigarette taxes are increased, taxes on non-cigarette tobacco products should also be increased on an equivalent basis to discourage substitution of one harmful form of tobacco for another (such as smokeless tobacco).

4.       The real value of tobacco taxes should be maintained to account for inflation over time.  Optimally, tobacco tax policy should take into consideration the affordability of tobacco products to prevent tobacco from becoming more affordable.

5.       Tobacco products in U.S. military stores should be priced at the same rate that exists in the surrounding community. (p.193)

Lynch, B.S., Bonnie, R.J., eds., Committee on Preventing Nicotine Addiction in Children and Youths, Institute of Medicine [U.S.]  Growing Up Tobacco Free: Preventing Nicotine Addiction in Children and Youths. (Washington, D.C.: National Academy Press, 1994).

 

 

14.      Expert Panel Conclusions

1. Increases in Tobacco Excise Taxes Will Decrease Tobacco Consumption by Youth and Adults.

As with almost all other products, the demand for cigarettes decreases as price is increased.  A variety of studies have examined the relationship of cigarette prices to consumption and have documented an inverse relationship.  The price elasticity of demand for cigarettes has usually been found to be in the range of 0.3 to 0.5 (minus signs deleted here and throughout this report).  Defined simply, price elasticity refers to the percentage change in the quantity of cigarettes demanded divided by the percentage change in price.  For example, a price elasticity of 0.4 indicates that, when the price of cigarettes is increased by 10 percent, the quantity of cigarettes demanded will fall by about 4 percent (again, recall that the minus sign is being suppressed here). (p.6)

When the price of cigarettes increases, decreases in consumption occur, both because some people choose not to smoke and because some smokers choose to smoke fewer cigarettes.  Approximately two-thirds of the decrease in consumption is estimated to be the result of people choosing not to smoke at all.  This refers both to current smokers who choose to stop and to non-smokers (especially children) who choose not to start smoking.  The Coalition on Smoking OR Health has calculated that an increase of $2 per pack in cigarette taxes, tied thereafter to inflation, will result in 7.6 million fewer smokers; this, in turn, ultimately will prevent 1.9 million premature deaths. (p.7)

2. An Excise Tax Increase Reduces Tobacco Consumption by Children and Teenagers at Least as Much as It Reduces Consumption by Adults.

. . .

3. Raising the Excise Tax on Cigarettes Deters Smoking in Lower Income Populations, Who Currently Are Most Harmed by Smoking.

. . .

4. The Price Elasticity of Demand for Large Price Increases is Expected to Be at Least as Large as for Small Price Increases.

. . .

5. To Maintain the Public Health Effect of the Tobacco Excise Tax, It Must Be Increased Regularly.

. . .

6. A Substantial Increase in Tobacco Excise Taxes May Be the Single Most Effective Measure for Decreasing Tobacco Consumption”

Manley M., Glynn T.J., Shopland, D. “The Impact of Cigarette Excise Taxes on Smoking Among Children and Adults, Summary Report of a National Cancer Institute Expert Panel” National Cancer Institute [U.S.]. August 1993.

 

 

15.      In recent years, there has been an increasing trend at the state level to impose taxes on tobacco products other than cigarettes.  In 1970, 21 states taxed cigars and the number remained virtually constant up until 1995 (22 states).  However, by 1990, the number of states rose to 33 and by 1996 was 41 states. (p.228)

National Cancer Institute [U.S.], Cigars: Health Effects and Trends. Smoking and Tobacco Control Monograph 9, 1998.

 

 

16.      RAISE PRICES TO REDUCE USE

The price of tobacco products must be increased substantially.

Raising the prices of tobacco products is a proven way of reducing tobacco use in the short and medium terms. Price hikes both encourage cessation and thwart initiation.  Higher prices have the added benefit of reducing use among people not yet addicted to nicotine, including young people, whose level of tobacco consumption may be more sensitive to price. (p.4)

. . .

The single most direct and reliable method for reducing consumption is to increase the price of tobacco products, thus encouraging the cessation and reducing the level of initiation of tobacco use. (p.26)

National Cancer Policy Board [U.S.] Taking Action to Reduce Tobacco Use. (Washington, D.C.: National Academy Press, 1998). 

 

 

17.      Given the proven efficacy of taxation as a tobacco control strategy, the Task Force is very concerned about the recent reductions in tobaccco taxation at both the federal and provincial levels.  . . . (pp.12-13)

The Task Force is especially concerned about the impact of the recent tax policy changes on children and youth, whose buying habits are far more price-senstive than adult.  . . . (p.13)

Decreases in the price of tobacco products may also deter adult smokers from quitting.  In particular, the recent tax reductions may have a significant impact on the cessation efforts of low-income smokers, who are more sensitive to cost than the general population.  The most reliable projections of the impact of tobacco tax reductions point to an increase in the proportion of smokers in the population.

To minimize increases in tobacco-related cancer mortality arising from the reductions on tobacco taxes, the Task Force strongly urges the Ontario government to work with its federal and provincial counterparts to restore tobacco taxation rates to their former peak levels.  Subsequent tobacco tax increases should be set above the rate of inflation. (p.13)

Ontario Task Force on the Primary Prevention of Cancer, “Recommendations for the Primary Prevention of Cancer; Report of the Ontario Task Force on the Primary Prevention of Cancer” March 1995 [Report to Ontario Minister of Health].

 

 

18.      New Zealand studies all show that price rises decrease sales, the effect of a 10 percent price rise being to lower sales by 0.7 to 5 percent, and in New Zealand supermarkets by 4 percent, falling within a week to the new level in 60 supermarkets monitored weekly on electronic checkout data.  In the United Kingdom tobacco tax particularly reduces smoking among the lowest social classes and among women.  (p.3)

Public Health Commission [New Zealand]. Tobacco Taxation as a Health Issue: Discussion Document. Wellington, New Zealand.  March 1995.

 

 

19.      Tobacco use is strongly influenced by the cost of the product.  This is particularly true among young people.  Typically teenagers do not have much money, so the higher the price, the less tobacco they can afford.  Also, because many teenagers are only experimenting with tobacco and are not yet addicted, they can easily cut down if the price rises.  Adult smoking rates change with price too, but usually to a lesser extent than rates for young people.  (p.10)

. . .

Recommendations (p.12)

. . .

FEDERAL GOVERNMENT

1. Put the taxes back on cigarettes.

Price is a very important determinant of smoking behaviour, especially among young people.  Raising taxes is the best way of using pricing to discourage tobacco use.  (p.14)

Schabas, R. “Tobacco.  Sounding the Alarm.  Report of the Chief Medical Officer of Health.” Ontario Ministry of Health. 1996.

 

 

20.      Conclusions

3.9 Price, advertising and promotion influence cigarette consumption.

. . .

Recommendations

3.11 The real price of tobacco products should continue to be increased each year to reduce consumption. (p.31)

Scientific Committee on Tobacco and Health [U.K.] Report of the Scientific Committee on Tobacco and Health. (London: H.M.S.O., February 1998).

 

 

21.      Recommendation 4:

Increases in Tobacco Taxation

It is recommended that the Government of Ontario take action to ensure that the retail price of cigarettes be doubled within a 12-month period by means of three phased increases in basic taxation on tobacco products, and ensure through taxation that the price of cigarettes keeps up with inflation thereafter.

It has been well documented that cigarette consumption goes down when the price of cigarettes relative to inflation goes up, and vice versa.  (p.13)

Task Force on Smoking. “Smoking and Health in Ontario:  A Need for Balance.  Report of the Task Force on Smoking Submitted to the Ontario Council of Health.”  May 1982.

 

 

22.      While success in reducing smoking depends on a range of inter-related factors, raising the price of tobacco is one of the most effective ways of reducing consumption.  Studies show that a price increase of 10 per cent generally leads to a drop of between 3 per cent and 6 per cent in tobacco consumption.  Since levels of taxation can be used to raise prices, or to keep them high, taxation is an important part of any effective strategy to reduce smoking.  (p.2)

United Kingdom Department of Health. “The Importance of Price in Reducing Tobacco Consumption” London, United Kingdom. September 1994.

 

 

23.      Tax

Why action is needed

2.12 Research shows that the demand for tobacco products is related to their price.  As price rises, demand falls.  So high tax levels are one important means of reducing tobacco consumption.  High tobacco prices are also a deterrent to children tempted to take up smoking.  The real price of tobacco – that is, after allowing for inflation – has increased significantly in recent decades.  But people’s real incomes have also risen.

2.13 When people’s incomes increase faster than the price of cigarettes, people can afford to buy more cigarettes – that is, the ‘affordability’ of cigarettes goes up.  This can reduce the incentive to give up smoking presented by rising tobacco tax. (p.16)

United Kingdom Department of Health, “Smoking Kills: A White Paper on Tobacco” December, 1998.

 

 

24.      Considerable research supports the proposition that increasing the price of cigarettes would be the most effective way to reduce their use. . . . A 63-cent increase in price would lead to significant reductions in smoking; a larger price increase would be even more effective. (p.3)

. . .

Most analysts agree that higher prices are the single most effective way to discourage consumption of cigarettes. (p.5).

U.S. Congressional Budget Office.  “The Proposed Tobacco Settlement:  Issues from a Federal Perspective”  Washington, D.C., April 1998.

 

 

25.      Studies demonstrate that increases in the price of cigarettes decrease smoking, particularly by adolescents.  It has been estimated that an additional 100,000 or more persons will live to age 65 as a result of the price increases induced by the 1983 doubling of the Federal excise tax on cigarettes.  (p.27)

U.S. Department of Health and Human Service. Reducing the Health Consequences of Smoking: 25 Years of Progress. A Report of the Surgeon General. U.S. Department of Health and Human Service, Public Health Service, Centres for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Rockville, MD. 1989.  DHHS Publication No. (CDC) 89-8411.

 

 

26.      Conclusions

. . .

7. Increases in the price of cigarettes, which are a price-elastic commodity, cause decreases in smoking, particularly among adolescents.  Excise taxes may thus be viewed as a public health measure to diminish morbidity and mortality, although the precise impact of taxes on smoking will be influenced by local economic factors.  (p.136)

U.S. Department of Health and Human Service. Smoking and Health in the Americas.  Atlanta, Georgia: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1992. Publication No. (CDC) 92-8419.

 

 

27.      Conclusions

. . .

Econometric and other studies indicate that increases in the real price of cigarettes significantly reduce cigarette smoking; young people are at least as responsive as adults to such price changes.  Maintaining higher real prices of cigarettes depends on further tax increases to offset the effects of inflation.  (p.275)

U.S. Department of Health and Human Service. Preventing Tobacco Use Among Young People: A Report of the Surgeon General.  Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1994.

 

 

28.      Numerous efforts have been made to reduce the use of cigarettes through excise and sales taxes.  Because these taxes increase the price of cigarettes, higher tax rates generally curb the demand for cigarettes, and ultimately, tobacco consumption.

. . .

The actual effects of excise tax initiatives on members of racial/ethnic minority groups are difficult to ascertain.  Nevertheless, reductions in the consumption of tobacco products resulting from increases in excise taxes should ultimately benefit members of U.S. racial/ethnic groups by lowering their prevalence of cigarette smoking and by limiting or lowering their exposure to ETS.  (p.292)

U.S. Department of Health and Human Service.  Tobacco Use Among U.S. Racial/Ethnic Minority Groups – African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, Hispanics.  A Report of the Surgeon General.  Atlanta, Georgia: US.  Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 1998. 

 

 

29.      A few general conclusions can be drawn from these studies of the effects of cigarette prices on smoking.  First, increases in cigarette prices lead to significant reductions in cigarette smoking; most studies, using a wide variety of data and methods with various strengths and weakness, predict that a 10-percent increase in price will reduce overall cigarette consumption by 3-5 percent.  Second, the effects of increases in cigarette prices are not limited to reductions in average cigarette consumption among smokers but include significant reductions in smoking prevalence.  These effects on smoking prevalence constitute both an increase in smoking cessation among smokers and a reduction in smoking initiation among potential young smokers.  Third, although evidence concerning the effects of prices on adolescent smoking is mixed, the majority of the evidence from recent studies indicates that adolescents and young adults are significantly more responsive than adults to changes in cigarette prices.  Most recent studies found that adolescents and young adults were two to three times more sensitive than adults to price.  Ongoing research, particularly that based on longitudinal data, will help clarify this issue.  Finally, the limited number of studies of smokeless tobacco use suggest that increases in smokeless tobacco price would reduce the prevalence of smokeless tobacco use.  (p.337)

. . .

Conclusions

1.   The price of tobacco has an important influence on the demand for tobacco products, particularly among young people.

2.   Substantial increases in the excise taxes on cigarettes would have a considerable impact on the prevalence of smoking and, in the long term, reduce the adverse health effects caused by tobacco.  (p. 359)

U.S. Department of Health and Human Services.  Reducing Tobacco Use: A Report of the Surgeon General.  Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2000.

 

 

30.      Cigarette price is a major determinant of cigarette consumption and one that can be influenced by tobacco tax policy. (p.594)

. . .

The effect of pricing on cigarette consumption is likely to be greatest among those with fewer economic resources, including adolescents and persons with low income.  Several studies have found that cigarette pricing has larger effects among young people than among adults and that pricing changes are more likely to affect adolescents’ decisions to smoke than the amount they smoke.  Other investigators have reported that smokers of low SES [socioeconomic status] are especially responsive to price changes. (pp.594-595)

U.S. Department of Health and Human Services. Women and Smoking: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2001.

 

 

31.      Estimates of the elasticity of demand for cigarettes, a measure of price sensitivity, are commonly reported to be in the vicinity of –0.4.  A demand elasticity of –0.4 indicates that a 1 percent increase in the price of cigarettes will be associated with at 0.4 percent decrease in the number of cigarettes sold.  The –0.4 adult demand elasticity estimate is consistent with estimates derived from a variety of studies.  Studies of per capita consumption report elasticity estimates in the range of –0.2 to –0.8.  This figure also represents the midpoint of the consensus range of elasticity estimates arrived at by a gathering of economists and other experts convened by the National Cancer Institute (-0.3 to –0.5).  Other studies allow for the possibility that smokers consider the future costs of developing a smoking habit when making current decisions to buy cigarettes.  Studies based on this approach generally imply price elasticities that are higher over a relatively long period because consumer response to a permanent increase in the price of cigarettes grows over time, until it reaches a final equilibrium.  These models, nonetheless, still find that demand is inelastic even in the long run.  Applying this future-cost approach to state data, one study reports a short run price elasticity of –0.45 and a long run estimate of -0.75.  (p.4-5)

U.S. Federal Trade Commission, Bureaus of Economics, Competition, and Consumer Protection.  “Competition and the Financial Impact of the Proposed Tobacco Industry Settlement”  Requested by the Congressional Task Force on Tobacco and Health.  September 1997.

 

 

32.      Our assessment of the economic literature supports the prediction that increasing the federal excise tax on cigarettes should reduce the number of teenage smokers significantly.  Although the size of the reduction is uncertain, we believe that a reasonable estimate can be made.  If, for example, excise taxes were raised by about 20 cents per pack in 1989, all other factors remaining unchanged, the likely result would be over 500,000 fewer smokers.  This would lead, according to one estimate, to about 125,000 fewer premature deaths.  (p.1)

U.S. General Accounting Office.  “Teenage Smoking:  Higher Excise Tax Should Significantly Reduce the Number of Smokers.  Report to the Honorable Michael A. Andrews, House of Representatives” Washington, D.C.  1989.  Publication No. GAO/HRD-89-119. 

 

 

33.      In reality, the most effective way to deter children from taking up smoking is to increase taxes on tobacco. High prices prevent some children and adolescents from starting and encourage those who already smoke to reduce their consumption.(p.5)

. . .

Evidence from countries of all income levels shows that price increases on cigarettes are highly effective in reducing demand.  Higher taxes induce some smokers to quit and prevent other individuals from starting.  They also reduce the number of ex-smokers who return to cigarettes and reduce consumption among continuing smokers.  On average, a price rise of 10 percent on a pack of cigarettes would be expected to reduce demand for cigarettes about 4 percent in high-income countries and by about 8 percent in low-and middle- income countries, where lower incomes tend to make people more responsive to price changes.  Children and adolescents are more responsive to price rises than older adults, so this intervention would have a significant impact on them.  (p.6)

World Bank.  Curbing the Epidemic: Governments and the Economics of Tobacco Control.  (Washington, D.C.: World Bank, 1999).

 

 

34.      Financial measures to discourage tobacco consumption

A number of studies in several countries have shown that, for every 10% increase in the price of tobacco products, consumption can be expected to decline by 2-8%.  Price has been found to have an even stronger effect in reducing tobacco consumption among two key target groups- adolescents and people of lower socio-economic status.  While the size of the effect may vary, it has been clearly demonstrated that raising the price of tobacco products does reduce tobacco consumption.  Therefore, regular increases in the price of tobacco products are of critical importance in a comprehensive tobacco control strategy.  (p.55)

World Health Organization, Tobacco or Health:  A Global Status Report. (Geneva:  World Health Organization, 1997).

 

 

Conference Proceedings / Conférence

 

 

35.      Tobacco Taxation

All African countries should examine the pricing of tobacco products to determine whether the price of tobacco has kept pace with the rate of inflation and, if not, that the tax on tobacco is adjusted to reduce affordability of tobacco products. (p.176)

All-Africa Conference on Tobacco or Health, “Final Conference Recommendations for Tobacco Control in Africa” In: Yach, D., Harrison, S., eds., Proceedings of the All-Africa Conference on Tobacco or Health, Harare, Zimbabwe, 14-17 November 1993.

 

 

36.      Ten strategies for a smoke-free Europe

. . .

7 Institute progressive financial disincentives (p.14)

First European Conference on Tobacco Policy, “It Can Be Done: A Smoke-free Europe; Report of the First European Conference on Tobacco Policy” Madrid, Spain, 7-11 November 1988.  WHO Regional Publications, European Series, No. 30.

 

 

37.      Conclusions of the conference (p.iii)

. . .

Increase the Federal excise tax on cigarettes by two dollars per pack

. . .

. . . it was estimated that a $2 tax increase will save 2 million lives over time.  The tax would deter youth from starting to smoke, perhaps more effectively than any other single health promotion tactic.  Adults would also have an increased incentive to quit smoking.  (p.iv)

Houston, T., ed.  “Tobacco Use:  An American Crisis.  Final Conference Report and Recommendations From America’s Health Community”  Washington, D.C., 9-12 January 1993 (Chicago: American Medical Association, 1993).

 

 

38.      In order to help achieve its goal of eliminating lung cancer, the IASLC: 1. Requests governments to:  . . . 4) Increase taxes on tobacco in order to prevent its use.

Ninth World Conference on Lung Cancer, “IASLC 2000 Tokyo Declaration on Tobacco”,  [International Association for the Study of Lung Cancer] Tokyo, Japan, 2000.     

 

 

39.      This conference resolves that:

1. All nations implement the International Strategy for Tobacco Control

. . .

4. This conference further resolves that:

 a. Duty-free sales of tobacco products be prohibited. (p.1017)

. . .

AN INTERNATIONAL STRATEGY FOR TOBACCO CONTROL

Since measures to deal with the tobacco problem must be comprehensive and long term, the following individual actions should form the basis of such a strategy.

. . .

4. Economic policies to discourage production and use of all tobacco products, including: progressive significant increases in taxation above inflation (and the growth of  disposable income), and the allocation of a specific proportion of such taxes for tobacco control purposes; (p.1018)

Ninth World Conference on Tobacco and Health, “Resolutions of the Ninth World Conference on Tobacco and Health” In: Slama, K. ed.  Tobacco and Health:  Proceedings from the 9th World Conference on Tobacco and Health.  (New York:  Plenum Press, 1995), pp.1017-1018.

 

 

40.      The Regional Committee,

. . .

2. URGES Members States

(b) to adopt and strengthen policies which will reduce tobacco consumption, particularly among children, women and the poor, including, . . . increasing taxes on tobacco products; (p.14)

Regional Committee, Southeast Asia Region. “Resolution” In: “Tobacco or Health:  Actions for the 21st Century.  Report and Documentation of the Technical Discussions held in Conjunction with the 36th Meeting of CCPDM [Consultative Committee for Programme Development and Management]”   Dhaka, September 2, 1999. World Health Organization, Regional Office for South-East Asia.  New Delhi.  February 2000. 

 

 

41.      The European Union, the European region, Latin America and the other countries represented at this conference call for governments, international organizations, and NGOs to:

. . .

2) Increase the price of all tobacco products by more than the rate of inflation and the rate of increase in incomes; exclude tobacco products from price indices; and dedicate at least one percent of tobacco tax revenues to tobacco control activities.

Second European Conference on Tobacco or Health and First Iberoamerican Conference on Tobacco or Health, “Canarias Declaration” Las Palmas de Gran Canaria, Spain, 23-27 February 1999.

 

 

42.      The following resolutions were accepted unanimously by participants in the Conference at the closing session. (p.965)

. . .

TAXATION

  1. All countries are to be encouraged to use tobacco tax as an instrument to reduce tobacco consumption as part of a comprehensive tobacco control programme including enhanced health promotional activities and continually increasing tobacco prices.
  2. Recognising that the inclusion of tobacco products in cost of living indices is inappropriate, given the uniquely dangerous nature of tobacco and the patterns of its use, it is recommended that all countries remove tobacco from their cost of living calculations. (p.966)

Seventh World Conference on Tobacco and Health. “Conference Resolutions” In: Durston, B., Jamrozik, K., ed.  Tobacco & Health 1990: The Global War.  Proceedings of the Seventh World Conference on Tobacco and Health, 1st-5th April 1990, Perth, Western Australia, Australia. 1990. pp.965-966.

 

 

43.      Finally, the Conference recognises that the key issues are: (p.239)

. . .

· Increasing tobacco taxation significantly (p.240)

Smokefree Europe: Conference on Tobacco or Health, “Smokefree Europe Conference Resolution on the European Tobacco Strategy” In: Waller, M., Lipponen, S., eds. Smokefree Europe: A Forum for Networks, Smokefree Europe:  Conference on Tobacco or Health, Helsinki, Finland, 2-4 October 1996, pp.238-240.

 

 

44.      The Conference recommends:

i.   WHO and governments formulate an international framework convention to include protocols for comprehensive tobacco control programmes and the recommendations from previous world conferences, which could be made broader and more restrictive over time; (p.117)

Tenth World Conference on Tobacco or Health, “Resolutions of the Ninth World Conference on Tobacco and Health” Paris, France, 1994. In: Slama, K. Tobacco Control and Prevention:  A Guide for Low Income Countries Tenth World Conference on Tobacco or Health (Paris:  International Union Against Tuberculosis and Lung Disease, 1998), pp.117-120.

 

 

 

Tobacco Industry Documents and Statements

 

45.      In particular, excise taxation determines the level of retail prices, the price structure and therefore the overall pattern of smoker demand for our products. (p.1)

. . .

Strategies

This policy will be achieved by focusing upon the following main strategies:

1.       Seek to reduce excise taxation, or to ensure that its level does not increase at a rate greater than inflation.

2.       To secure smaller and more frequent increases in preference to larger and only occasional increases in excise taxation. (p.2)

         . . .

Although a reduction in excise levels is not a realistic objective for most companies, the opportunity to lobby for it should always be considered, particularly if current revenue yields are falling.  However, a more realistic objective for most companies is to contain the increase in taxation to a level below the rate of inflation, or at worst in line with it.  Arguments supporting this include:

. . .

- the normal economic arguments that tax increases result in falling demand, employment, profitability and investment, both directly upon the company and indirectly upon suppliers.

         . . .

- increases in taxation may result in a decline in consumption sufficient to bring a fall in revenue yield to the Government.  Because of the inelasticity of demand for cigarettes over the longer term, this result rarely occurs.  However, it is not uncommon to see a short term decline in the revenue yield which can be pointed out to Government when opposing increases.

- increases in taxation which reduce consumption may mean the destruction of the vitality of the tobacco industry and thus the erosion of the tax base which the Government may wish to protect over the longer term. (p.3)

Bingham, P.M. (Marketing Department. British American Tobacco Company). “Key Area Paper: Excise Taxation of Tobacco Products” April 1991. Bates No. 303561888-909.

 

 

46.      The method of taxation applied will always have an effect upon the cigarette industry and the level of taxation raised.  It influences the amount collected, the quality of the product, the range and level of retail prices, the overall level of demand, and even the product choices of consumers. (p.1)

. . .

No indirect taxation, including cigarette taxation, is totally neutral.  The cigarette market can be shaped to a significant extent by the tax system and structure under which the manufacturer operates.  The method of taxation and the tax rates directly affect the product, its quality, price, while consumer demand and export opportunities can also be influenced. (p.18)

. . .

The psychology of smokers is such that it is better, for the maintenance of demand, to present them with a number of small tax/price increases over a period of time, rather than one large increase.  (p.19)

British-American Tobacco Company Limited.  Tobacco Taxation Guide:  A Guide to Alternative Methods of Taxing Cigarettes and Other Tobacco Products.  December 1994.

 

 

47.      On a trend basis, excluding price effects, we would expect these new smokers to start in 1983.  However, based on the National Bureau of Economic Research elasticities and an estimated 15.1% increase in the real price of cigarettes during 1983, the number will be lower.

. . .

If these new smokers had averaged only ten cigarettes a day, they would have accounted for 605 million cigarettes in 1983 or about .1% of Industry.

Some of these people may later choose to start smoking.  However, for those 17-25, the odds are against it.  (p.3)

Burrows, D.S. (R. J. Reynolds Tobacco Co). “Estimated Change in Industry Trend Following Federal Excise Tax Increase” Memorandum to P.E. Galyan.  .  September 20, 1982.

 

 

48.      Escalating taxes on tobacco products are affecting our livelihood.

As the price of tobacco products is pushed ever higher by taxes, sales go down. (p.1)

Fennell, P.J. (President & CEO, Rothmans, Benson & Hedges Inc.), Mercier, J.-L. (Chairman & CEO, Imperial Tobacco Limited), Fitzgerald, C.W. (President and CEO, RJR-Macdonald Inc.). Letter to G.E. Morehouse (Morehouse G E Limited), March 14, 1989.

 

 

49.      The problem with tax increases is that it does decrease consumption, just as desired by the social engineers posing these increases want to see.(p.3)

Ferguson, R.N. and Waugh, M. (Philip Morris), “Social-Political Context of Cigarette Sales and Use in the U.S. – 1987” Memorandum to Strategic Planning Committee. Philip Morris U.S.A. Interoffice Correspondence. May 27, 1987.

 

 

50.      A negative correlation exists between industry volume and retail price of cigarettes relative to inflation.  Higher price relative to inflation could be expected to produce negative effects on industry volume. (p.1)

Frydman, U. (R.J. Reynolds Tobacco Co.). “Re:  Analysis of Cigarette Price”  Memorandum to R.E. Anderson, W.D. Hobbs, M.V. Hunter.  March 13, 1979.

 

 

51.      Excessive cigarette taxation continued to be the industry’s major problem in fiscal 1986. Substantial increases in taxes at both the federal and provincial levels resulted in a further slowing of unit sales.  (p.2)

Imasco Ltd., Annual Report 1986. 1986.

 

 

52.      As in past years, changing social attitudes towards smoking and escalating taxes resulted in a decline in industry volume and the continued shrinkage of the industry. (p.8)

. . .

Cigarette taxes increased moderately in 1987.  With the exception of Alberta and Nova Scotia, consumers were not faced with the levels of federal and provincial tax increases that characterized previous years.  As a result, the tailor-made cigarette industry slowed its rate of decline to 5.3%, with shipments totalling some 52.4 billion cigarettes. (p.10)

Imasco Ltd., Annual Report 1987 for the nine months ended December 31, 1987. 1988.

 

 

53.      The past year was a difficult one for the tobacco industry in Canada as it strove to overcome the burden of excessive taxation on cigarettes.

Cigarette consumption in Canada has declined in the last five years form 65.5 billion units to 54.7 billion units. (p.6)

. . .

In January 1987, Imperial Tobacco announced plans to close its Quebec City plant.  This plant was opened in 1949 and has a production capacity in excess of eight billion cigarettes a year.  This closure is the result of excessive taxation and its negative impact on sales. (p.6)

. . .

Without further excessive tax increases, the industry should see a slowdown of the decline in sales of cigarettes. (p.8)

Imasco Ltd., Annual Report 1987. 1988.

 

 

54.      The slowdown in the rate of decline was the result of virtually unchanged consumer cigarette prices.

As the year progressed, five provinces increased taxes, the most notable being Ontario where taxes increased by 35%.  As a result, industry volume declined further.  (p.10)

Imasco Ltd., Annual Report 1988. 1989.

 

 

55.      Canadian cigarette manufacturers were expecting a modest decline in consumption in 1989.  However, the April federal budget struck a major blow to industry forecasts.  The excise duty on manufactured cigarettes increased by an incredible 161% and on fine cut tobacco, by 654%.  Seven provinces also raised tobacco taxes and Canadian smokers faced overall price increases of up to 35% on manufactured cigarettes and 89% on fine cut tobacco.  Industry volume of manufactured cigarettes fell 7% to 47.6 billion units and Imperial’s volume dropped 4% to 27.5 billion units.  (p.8)

Imasco Ltd., Annual Report 1989. 1990.

 

 

56.      The rationale for these taxes is that they discourage smoking while generating substantial government revenues.  However, there is no evidence that the policy has had a measurable effect on the incidence of smoking by Canadians and, with smuggling, tax revenues are much less than expected.  (p.4)

Imasco Ltd., Annual Report 1992. 1993.

 

 

57.      Sharply higher prices and diminishing social acceptance of smoking have led to smaller percentages of regular smokers in all age/sex cohorts through the 1980s. (p.1)

CONCLUSIONS

Even a cursory comparison of price and volume data in the 1980s compared with the 1970s shows that prevalence of cigarette smoking has plunged with the price increases of the 1980s.  A large measure of the price jump is due to tax increases, by both federal and provincial governments.

This study has found that average long-run price elasticities for the period 1973-88 are around 0.7, either from the intensity/prevalence route or from using shipments data.  Pooling the provincial data gives a long-term price elasticity for this period of about 0.8 (the higher elasticity provinces where population is smaller get equal weight with the more populous regions). (p.14)

Jacobsen, P.M., Rodway, P.  “Tobacco Demand Elasticity Study,” Prepared by Informetrica for Canadian Tobacco Manufacturers’ Council.  January 17, 1990.

 

 

 

58.      But even though Canadian tax hikes caused a dramatic decline in the sale of legal, tax-paid cigarettes because of smuggling, actual cigarette consumption didn’t decline.  So the government learned a painful lesson – higher taxes did not discourage smoking.  But they did encourage crime.

Johnston, J. (Chief Executive Officer, RJ Reynolds Worldwide), “Commit Now” Presentation to Tabexpo 94 Congress. Vienna, Austria. In: Tobacco Reporter, December 1994, pp. 44, 46, 48, 50, 52.

 

 

59.      I have just finished studying a National Bureau of Economic Research (NBER) working paper entitled “The Effect of Government Regulation on Teenage Smoking.” . . .This is by far the best study I have read concerning the effects of the anti-smoking commercials, and the only study I know of that attempts to determine the price elasticity of cigarettes among different groups.

Because of the quality of the work, the prestige (and objectivity) of the NBER, and the fact that the excise tax on cigarettes has not changed in nearly 30 years, I think we need to take seriously their statement that “. . .if future reductions in youth smoking are desired, an increase in the Federal excise tax is a potent policy to accomplish this goal.” (p.1)

. . .

In any event, and for whatever reason, it is clear that price has a pronounced effect on the smoking prevalence of teenagers, and that the goals of reducing teenage smoking and balancing the budget would both be served by increasing the Federal excise tax on cigarettes.  (p.3)

. . .

Given a price elasticity of –0.4 for total cigarette sales and –1.2 for teenage smoking participation, a 25 percent increase in the excise tax could be expected to reduce industry sales to about 1.2 percent below what would be expected in the absence of such an increase, and to reduce the number of teenage smokers to 3.5 to 4.0 percent below the number that would otherwise be expected.  (p.4)

Johnston, M.,  “Teenage Smoking and the Federal Excise Tax on Cigarettes”  Memorandum to Harry G. Daniel.  Philip Morris U.S.A. Inter-Office Correspondence.  September 17, 1981. Bates No.2001255224-227.

 

 

60.      Thus, price clearly is important. (p.2)

. . .

The effect of a price increase is to cause sales to increase more slowly than would have been the case without a price increase.  This means that if the elasticity is –0.42, a ten percent increase in price would cause sales to be 4.2 percent lower than would have been the case if there had not been a price increase.

In a period of relative price stability, a price increase would be followed by an absolute decline in sales, but in a period of sustained inflation, when price increases of one good are masked by the general increase in prices, the effect of a price increase should, theoretically, be relatively transitory.  (p.3)

Johnston, M.E.,  “Still More on the Price Elasticity of Cigarettes”  Memorandum to H.G. Daniel.  Philip Morris U.S.A. Inter-Office Correspondence.  March 25, 1982.  Bates No.2043565313-328.

 

 

61.      Price elasticity works in two ways.  A price increase can cause a decline in the number of people who use the product or in the amount of the product its users consume.  Usually it works both ways.  In the case of cigarettes, about three-fourths of the elasticity is accounted for the by smoker participation rate.  Thus, if we accept an elasticity of –0.2, an 11 percent price increase would lower the consumption of current smokers by only about 0.6 percent and cause the number of smokers to fall to about 1.7 percent below what it would otherwise have been, both by increasing the number of smokers who quit and decreasing the number of young people who begin to smoke.  Many of the quitters would, of course, subsequently resume smoking, but those who are dissuaded from beginning to smoke would probably never become smokers. (p.1)

. . .

As noted, a price increase may also be an added inducement for older smokers, particularly older males, to quit smoking.  Since there are more potential quitters than potential starters, the sharpest decline in the number of smokers would be among males over 50. (p.2)

Johnston, M., “The Effect of an Excise Tax Increase on Philip Morris Sales”  Memorandum to Harry G. Daniel. Philip Morris U.S.A., Inter-Office Correspondence.  July 12, 1982. Bates No.2045259373-374.

 

 

62.      You may recall from the article I sent you that Jeffery Harris of MIT calculated, on the basis of the Lewit and Coate data, that the 1982-83 round of price increases caused two million adults to quit smoking and prevented 600,00 teenagers from starting to smoke.  Those teenagers are now 18-21 years old, and since about 70 percent of 18-21 year-olds and 35 percent of older smokers smoke a PM brand, this means that 700,000 of those adult quitters had been PM smokers and 420,000 of the non-starters would have been PM smokers.  Thus, if Harris is right, we were hit disproportionately hard. We don’t need to have that happen again. (p.1)

Johnston, M.,  “Handling an Excise Tax Increase”  Memorandum to Jon Zoler.  Philip Morris U.S.A. Inter-Office Correspondence.  September 3, 1987.  Bates No.2058122240-241.

 

 

63.      The elasticity estimate of 0.60 produced by the standard models using the most recent time series data is somewhat higher than the previous estimates.  Based on this estimate, increases in excise taxes would reduce demand more than is typically expected, and therefore not increase revenue as much.  (p.4)

KPMG Peat Marwick, Policy Economic Group.  “Analysis of Cigarette Price Elasticities”, Prepared for the internal use of: Philip Morris, U.S.A.  February 1990. Bates No.2044982672-689.

 

 

64.      The retail price of cigarettes relative to the inflation rate has a strong influence on industry volume.  For every 1% increase in the retail price of cigarettes relative to other prices, there is approximately a 0.3% decline in volume.  It appears that the June, 1978 price increase of 85 cents/1,000 may have resulted in a loss of approximately 1.75 billion cigarettes in industry volume. (p.2)

McCann, J., “Analysis of Cigarette Price Changes: 1964-1978”  Prepared for R.J. Reynolds Tobacco Co.  March 13, 1979.

 

 

65.      Cigarette sales in Canada have fallen considerably, from a peak of 66.5 billion units in 1981 to a forecasted level of 47.4 billion units in 1989, with most of this decrease taking place in the last five years. Although lifestyles are changing and the debate on tobacco use and health explains part of this decrease, there is no doubt that taxation of tobacco products is principally responsible. (p.2) [translation]

Neville, W.H. (President, Canadian Tobacco Manufacturers’ Council). “Taxation of Tobacco Products” Memorandum to Michael Wilson (Minister of Finance), January 8, 1990; LaRivière, J. (Vice-President, Public Affairs). Letter to Gilles Loiselle (MP), February 1, 1990.

 

 

66.      The 3 cent a cigarette/$6 a carton increase announced in your budget, together with comparable increases in taxes on other tobacco products, was simply the latest step in an apparent effort to tax an industry out of business and to use tax policy to effectively dictate the personal lifestyle decisions of Canadians. (p.1)

. . .

As for the impact on our industry and related sectors, as we noted in our pre-budget submission to you, the large tax increases imposed by federal and provincial governments in the 1980’s were primarily responsible for the loss of 5,000 tobacco-related jobs and the closure of four manufacturing plants. (p.2)

. . .

If you are indeed using tax policy to effectively  force Canadians to stop smoking, then you are creating a dangerous precedent and, in our view, abusing the purposes of the tax system.  Taken at your word in wanting to discourage Canadians from smoking, you are saying, in effect, that you will use sheer economic power, as represented by your power to tax, to deprive Canadians of their right to choose for themselves whether or not they wish to consume a legal consumer product. . . .

We have never disputed, Mr. Minister, the government’s right to express its views on the alleged health risks of smoking and even to encourage Canadians to stop—or not to start—smoking.  But that is a far cry from using the tax system to effectively make that lifestyle decision for them by trying to price the product beyond the practical economic reach of those of limited financial means in particular. (p.3)

Neville, W., (President, Canadian Tobacco Manufacturers’ Council), Letter to Michael Wilson, Minister of Finance.  March 13, 1991.

 

 

67.      The finance department’s second announced objective has been to reduce consumption.  Let me make it clear—there is no kidding anyone on this—it works.  That is, taxes do impact on consumption . . . (p.3:5)

there is no question that consumption is down measurably over the last five years and there is no question in our minds that taxes have been a significant factor in that. (p.3:6).

Neville, W. (President, Canadian Tobacco Manufacturers’ Council), Testimony before the House of Commons Legislative Committee F on Bill C-10, An Act to amend the Excise Tax Act and the Excise Act.  September 26, 1991.

 

 

68.      Our Forecasting Group has determined that younger adult smokers, particularly younger adult male smokers, tend to be very price sensitive.  The effect of a price increase on younger adult male smokers could be three to four times greater than on smokers in general, in terms of negative impact on volume.

Novak, G. (R. J. Reynolds Tobacco Co.) “Price Elasticity Among Younger Adult Smokers” Memorandum to J.W. Johnston, H.J. Lees.  September 20, 1982.

 

 

69.      In the opinion of PM Inc. and PMI , increases in excise and similar taxes have had an adverse impact on sales of cigarettes.  Any future increases, the extent of which cannot be predicted, could result in volume declines for the cigarette industry, including PM Inc. and PMI, and might cause sales to shift from the premium segment to the discount segment. (p.29)

Philip Morris Companies Inc., 10-Q filing with the U.S. Securities Exchange Commission, August 13, 1999.

 

 

70.      However, they [adult NBER price elasticities] probably give a reasonable idea of the groups most affected by price and the orders of magnitude of the effects… (p.4)

THE TEENAGE MODEL (p.4)

. . .

Large, negative price elasticities were found. (p.5)

R.J. Reynolds Tobacco Co. document, “Attachment A. Importance of Price Impact by Age/Sex to Total Industry” (10/6/82). 1982.  

 

 

71.      The success of the C.T.M.C. in influencing the Federal Government to modify its tobacco taxation policy has been identified as the key factor in arresting the market decline. (p.3)

. . .

The Company will be affected by the volume and profit pressures generated by the continued decline of the market.  The industry, by the end of 1984, will have experienced two consecutive years of losses in excess of 5%.  This severe decline is attributed to:

a) the depressing effect on consumer demand of the increases in the price of cigarettes, principally because of governmental taxation policies. (p.6)

RJR-Macdonald Inc., “Strategic Business Unit. RJR-Macdonald Inc. Canada. 1985 Operating Plan.” September 19, 1984.

 

 

72.      Punitive levels of taxation on tobacco products continued to proliferate during the fiscal year.  More than 6 million Canadian smokers contributed more than $4.1 billion in taxes to various levels of government, up from 1986, in spite of a 5% decrease in sales of manufactured cigarettes.  We view excessive tobacco taxes as regressive and unfair, discriminating against those socio-economic groups least able to afford such taxes, jeopardizing jobs and investment in the industry and ultimately leading to declines in the absolute revenues raised by governments. (p.4)

Rothmans Inc. Annual Report 1988. 1988.

 

 

73.      Taxation

In the fiscal year, industry cigarette sales declined 2%.  This represents a significant improvement over the previous three years, where the decline has averaged 5% in an environment where tobacco taxes have increased substantially. 

. . .

The government taxation policy is inappropriate because:

. . .

·    It is expected to result in a decline in the consumer’s ability to afford this legal product, and will serve to cause a further reduction of several thousand jobs associated with the tobacco industry; (p.6)

Rothmans Inc. Annual Report 1989. 1989.

 

 

74.      Since 1982, tax increases at far above the inflation rate have made it increasingly difficult for consumers to afford the enjoyment of our products, resulting in a downward trend in tobacco sales. (p.5)

. . .

The Corporation expects that future earnings performance will be affected by two major factors: declines in the total market caused by continued excessive taxation; and, constraints on reversing negative market share trends due to increasingly stringent government controls over the marketing and sale of tobacco products. (p.7)

Rothmans Inc. Annual Report 1990. 1990.

 

 

75.      The tax-engineered decrease in consumption of tobacco products was partially offset by increased industry selling prices.

. . .

The Corporation continues to expect that future earnings performance may be adversely affected by two major factors: declines in industry volumes caused by continued excessive taxation; and, constraints on market share imposed by increasingly stringent government controls over the marketing and sale of tobacco products.   (p.11)

Rothmans Inc. Annual Report 1991. 1991.

 

 

76.      Excessive taxation continues to be a major factor that could adversely affect our operating performance in future years.  (p.9)

Rothmans Inc. Annual Report 1992. 1992.

 

 

77.      No credible evidence exists that anti-tobacco initiatives promulgated by the federal and provincial governments have had any material effect on the smoking behaviour of Canadians. (p.3)

Rothmans Inc. Annual Report 1995. 1995.

 

 

78.      The federal and provincial governments may be considering restoring sales and excise taxes imposed on the manufacture and sale of tobacco products to levels similar to those which existed prior to February 1994. . . . Restoring such taxes or imposing additional taxes, levies or fees could adversely affect RBH’s sales and operating income.  In addition, changes in federal or provincial taxation policies that result in fine cut and pre-portioned tobacco stick products being taxed at higher levels would make those products unattractive to consumers and also have an adverse effect on RBH’s sales and operating income.  (p.39)

Rothmans Inc. Annual Report 2000. 2000.

 

 

79.      A high cigarette price, more than any other cigarette attribute, has the most dramatic impact on the share of the quitting population.

Schwab, C., “Cigarette Attributes and Quitting”  Memorandum to John Heironimus.  Philip Morris USA Inter-Office Correspondence. April 3, 1993. Bates No.2045447810.

 

 

Studies and Literature / Études et littérature

 

 

80.      Tobacco taxation has proven to be one of the most effective means of reducing tobacco use.  As tobacco becomes more expensive, many users will either quit or cut down.  Many children who would have otherwise started smoking will stay out of the market entirely.  Estimates made from data compiled in the United States and Canada indicate that for every 10% increase in the price of tobacco, consumption will fall by about 4%.  Given the number of smokers and the health consequences of smoking, the relationship between price and consumption demonstrates that tobacco tax increases could prevent tremendous numbers of tobacco-related deaths. (p.1)

Action on Smoking and Health [Canada]. “Tobacco Taxation in Alberta”.  ASH Position Paper #1. Edmonton, Alberta.  April 1993.

 

 

81.      Recommendation 1

1.1     Excise duty on tobacco should be raised substantially.

. . .

1.2     Rationale

1.2.1          Studies all over the world, and notably in the UK, have shown that increasing the real price of tobacco leads to reduced consumption (see figures 2 and 3).  Figure 2 shows that successive UK Governments have increased the real price of cigarettes and this has contributed to a fall in consumption from 127 billion cigarettes in 1979/80 to 88 billion cigarettes in 1992/3. (p.7)

Action on Smoking and Health [U.K.] et al [57 organizations].  “Tobacco Taxation: A Submission to the Chancellor of the Exchequer by Health and Welfare Organizations. November 1994 Budget” 1994. 

 

 

82.      However, since taxes have been raised a lot in recent years [in Venezuela], I believe that factor has had an important influence on the decrease of cigarette consumption. (p.51)

Adrianza, M., “Public Policy Issues,” In: 8th World Conference on Tobacco or Health, Building a Tobacco-Free World.  March 30-April 3, 1992.  Buenos Aires, Argentina. (American Cancer Society, 1994). pp.51-53.

 

 

83.      Considerable evidence shows that higher tobacco prices can lead to a drop in consumption – particularly among young people.  Now that smuggling is no longer a concern (due to higher tobacco prices in the US), the reasons to support tobacco tax increases are more compelling than ever. (p.1)

Alberta Tobacco Reduction Alliance, “Tobacco Tax Brief” August 2001.

 

 

84.      Since price increases have been shown to depress the demand for cigarettes, tobacco taxation increases are strongly recommended as a component of a comprehensive smoking control program.  Especially if the price increases are substantial, the Federal Government could use excise tax rates more as a sumptuary tax.  (p.958)

Alchin, T.M.  “Future Tobacco Taxation in Australia,” In: Slama, K., ed. Tobacco and Health:  Proceedings from the 9th World Conference on Tobacco and Health.  (New York:  Plenum Press, 1995), pp.955-58.

 

 

85.      New Zealand has introduced a comprehensive tobacco control programme, involving a number of initiatives under four categories of intervention: tobacco legislation and enforcement, smoking cessation services, health promotion, and tobacco taxation.  However, of all initiatives, tobacco taxation is the one that has been most closely evaluated.  A recent tax increase (May 1998), for example, saw national tobacco consumption fall by six percent just about overnight. (p.599)

Allen, M.J., “Tobacco Tax - The New Zealand Experience,” In: American Cancer Society, American Medical Association, The Robert Wood Johnson Foundation.  11th World Conference on Tobacco OR Health.  Promoting a Future Without Tobacco.  Abstracts. Vol. 3.   August, 6-11, 2000.  Chicago, Illinois, USA, p.599.

 

 

86.      Conclusion

This report has reviewed the impact of tobacco control policies on tobacco production and on employment.  The report studied the record of the 1980s and possible future scenarios that include a 50% reduction in tobacco consumption as well as retaliatory actions on the part of tobacco manufacturers, like terminating production in Canada and supplying the Canadian market from abroad.  Whatever question was investigated, it was found that there were only small losses in jobs linked to tobacco production, particularly when seen in the context of the Canadian economy as a whole.

Moreover, many of these jobs losses met by attrition and retirement rather than layoffs.  Furthermore, in most cases, new jobs were created to offset the losses as consumers shifted their spending to non-tobacco products and as governments spent the proceeds of their enlarged tax revenues.

These findings point to one overall conclusion: The choice between “lives” and “jobs” is a false dilemma.  Canadians can have a progressive health policy without causing substantial economic dislocation. (p.30)

Allen, R.C. (Professor of Economics, Department of Economics, University of British Columbia). “The False Dilemma: The Impact of Tobacco Control Policies on Employment in Canada” February 1993, and accompanying news release and highlights.

 

 

87.      Since 1980, Canada has had tremendous success in reducing the consumption of tobacco and thereby saving the lives of thousands of Canadians who would otherwise have died form tobacco related illnesses.  Increased taxation of tobacco products has been the central weapon in this fight.  High prices have cut consumption of people already addicted to tobacco and, more dramatically, dissuaded thousands of teenagers from starting to smoke. (p.1)

Allen, R.C. (Visiting Professor of Economics, Department of Economics, Harvard University)  “The Health and Economic Impact of Tobacco Tax Rollback.” Harvard University, Department of Economics. Cambridge, Massachusetts.  January 1994.

 

 

88.      The increase in tobacco use and the resulting increase in premature death is directly attributable to the policy followed by the federal government and certain provincial governments of cutting tobacco taxes to combat smuggling in 1993.  These policies lowered the average price of cigarettes (including contraband) in Canada by almost 35%.  Teenage cigarette use is very price sensitive.  The result of the price decline is a marked increase in the number of smokers.  Most of these new cigarette users will become addicted to tobacco and consume cigarettes for the rest of their lives. (p.4)

Allen, R.C.  (Professor of Economics, University of British Columbia) “Rising Tobacco Consumption in Canada, 1994”. January 29, 1995.

 

 

89.      The results also support previous conclusions that cigarette consumption is negatively related to changes in price (e.g., U.S. Department of Health and Human Services 1989).   The value of the estimated price elasticity varies across countries, time periods, and other factors, but the overall conclusion is that demand is inelastic.  Thus, a price increase tends to reduce consumption while increasing revenues.  (p.96)

Andrews, R.L., Franke G.R.  “The Determinants of Cigarette Consumption: A Meta-Analysis,” Journal of Public Policy & Marketing 1991; 10(1): 81-100.

 

 

90.      When the national sub-group of smokers were asked whether they had reduced the amount smoked due to price increases during the past few years, approximately one in three stated that they had (34%).  Of the respondents who had recently quit smoking (within the past three years), 22% stated that price was a major factor in their decision to quit. (p.6)

The smoking habits of younger smokers were more likely to be affected by price increases (36% of 18 to 34 year-olds, and 37% of 35 to 54 year olds had reduced smoking due to price), than those in the 55 and older group.  Of the smokers in this latter classification, a majority (76%) stated that they have not reduced their smoking due to price increases.  . . . (pp.6-7)

Female smokers appear to be more sensitive to price increases than male smokers.  Thirty-eight percent of female smokers surveyed smoke less as a result of the increased price of tobacco, compared to thirty percent of male smokers.  Among those who have quit recently, males and females were virtually equal in reporting that price was a major motivating factor (22% of males and 21% of females).

University graduates and upper income groups ($50,000 and over), are understandably less responsive to price increases.  Expectedly, for former smokers in the under $30,000 household income group, price was a major factor in quitting (38%).  Twenty-seven percent of ex-smokers with some high school education identified price as a major factor in the decision to quit. (p.7)

Angus Reid Group, Inc.  “Study on Smoking and Taxation Issues”.  Prepared for: Canadian Heart and Stroke Foundation.  Ottawa, Ontario. January 1992.

 

 

91.      An analysis of the demand for tobacco in Britain in the period 1951-1970 suggests the following conclusions: (p.435)

The price elasticity is low, in line with earlier studies.  It is around 0.4 for women and not significantly different from zero for men. (p.436)

Atkinson, A.B., “Smoking and the Economics of Government Intervention,”  In:  Perlman, M. (ed.), The Economics of Health and Medical Care, Proceedings of a Conference held by the International Economic Association at Tokyo.  Macmillion.  1974. 

 

 

92.      the overall price elasticity is low, as was found by earlier writers, and there appear to be clear differences between men (for whom it appears not to be significantly different from zero) and for women (for whom it is about 0.35).  (p.279)

Atkinson, A.B., Skegg, J.L., “Anti-Smoking Publicity and the Demand for Tobacco in the U.K.,”  The Manchester School 1973;41:265-282.

 

 

93.      Summary of recommendations

. . . An estimated 102,500 or 40% fewer children would be likely to take up smoking if the government adopted the recommendations contained in this proposal.  Health and medical organizations throughout Australia call on the government to:

1. Increase and reform excise and customs duty on tobacco so that, by the Year 2000, Australian cigarettes cost at least 30 cents per stick or on average $10 per packet. (p.5)

. . .

Reducing the affordability of cigarettes is the simplest, most inexpensive and single most effective step that the federal government can take to reduce uptake of smoking by Australian children.  (p.9)

Australian Cancer Society, National Heart Foundation.  “Federal Excise Duty on Tobacco: A Proposal to the Federal Parliament; May 1998 Budget.” 1998.

 

 

94.      For the first period, the median price elasticity of –0.556 (for the “no bootlegging correction” group) is consistent with the Lyon-Simon result of –0.511 for their period of study (1951-64).  However, as clear from the table, this median price elasticity drops to        –0.433 between 1965 and 1971 and to –0.173 after 1972.  Similarly, the mean price elasticity drops from –0.783 to –0.418 to –0.377 in the respective periods.  (p.752)

Baltagi, B.H., Goel, R.K., “Quasi-Experimental Price Elasticities of Cigarette Demand and the Bootlegging Effect,”  American Journal of Agricultural Economics  1987;69(4):750-754.

 

 

95.      These results indicate …a significant price elasticity (-0.2) ... (p.150)

Baltagi, B.H., Levin, D.  “Estimating Dynamic Demand for Cigarettes Using Panel Data:  The Effects of Bootlegging, Taxation and Advertising Reconsidered,” Review of Economics and Statistics 1986; 68: 148-155.

 

 

96.      The mean price elasticity of demand is –0.71.  The model indicates that competition among manufacturers has been decreasing since 1980.  A simulation shows that an increase in the federal excise tax causes a greater increase in price, and a greater decrease in consumption, than does the same increase in the average of state and local tax rates. (p.457)

Barnett, P.G., Keeler, T.E., Hu, T.-W.  “Oligopoly Structure and the Incidence of Cigarette Excise Taxes,” Journal of Public Economics 1995; 57: 457-470.

 

 

97.      For example, we find that a 10 percent permanent increase in the price of cigarettes reduces current consumption by 4 percent in the short run and by 7.5 percent in the long run.  In contrast, a 10 percent increase in price for only one period decreases consumption by only 3 percent.  In addition, a one period price increase of 10 percent decreases consumption in the previous period by approximately 0.7 percent and consumption in the subsequent period by 1.5 percent.  These estimates illustrate the importance of the intertemporal linkages in cigarette demand implied by addictive behavior. (p.2)

Becker, G.S., Grossman, M., Murphy, K.M.  “An Empirical Analysis of Cigarette Addiction.”   National Bureau of Economic Research, Working Paper No.3322.  Cambridge, MA.  April 1990.

 

 

98.      The evidence from smoking, heavy drinking, and gambling rather strongly supports our model of rational addiction.  In particular, long-run price elasticities are sizable and much bigger than short-run elasticities, higher future as well as past prices reduce current consumption, lower-income persons respond more to changes in prices of addiction goods than do higher-income persons, whereas the latter respond more to changes in future harmful effects, and younger persons respond more to price changes than older persons.  (p.240)

Becker, G.S., Grossman, M., Murphy, K.M.  “Rational Addiction and the Effect of Price on Consumption,” AEA Papers and Proceedings 1991; 81(2): 237-241.

 

 

99.      Permanent changes in prices of addictive goods may have a modest short-run effect on the consumption of addictive goods.  This could be the source of a general perception that addicts do not respond much to changes in price.  However, we show that the long-run demand for addictive goods tends to be more elastic than the demand for nonaddictive goods.  (p.695)

Becker, G.S., Murphy, K.M.  “A Theory of Rational Addiction,” Journal of Political Economy 1988; 96(4): 675-700.

 

 

100.  Results. Among adult smokers, 3.5% reported that they had stopped smoking, owing in part to the price increase; 35% had considered quitting and 19% had attempted to cut the cost of smoking by switching to cheaper brands or cutting down.  Among teenagers, 21% had considered quitting and 26% had cut costs.  Low-income smokers were more responsive to the price increase than more affluent smokers.

Conclusions. A modest and temporary price increase promoted quitting among adult smokers and reduced cigarette consumption among low-income teenagers. (p.1389)

. . .

In conclusion, these results suggest that taxes on cigarettes, even if they are countered by tobacco industry price wars, serve to promote smoking reduction among both adults and teenagers, especially those from low-income households.  Even a temporary price increase apparently reinforces latent intentions to quit among adults.  A tax provided economic incentives to quit and may also send a potent message of societal disapproval that may affect smokers’ behavior.  Indeed, coupled with appropriate cessation, prevention, and educational initiatives, a cigarette excise tax may become, for many smokers, the last straw on the camel’s back.  (p.1391)

Biener, L., Aseltine, R.H. JR, Cohen B., Anderka, M.  “Reactions of Adult and Teenaged Smokers to the Massachusetts Tobacco Tax” American Journal of Public Health 1998; 88(9): 1389-91.

 

 

101.  It is also interesting to note that the tax coefficient in equation (7) is substantially larger than the health scare (D64) or advertising ban (D71) coefficients.  These values suggest that cigarette excise taxes had more effect on reducing consumption during the period studied (1954-80) than either the health scare or the advertising ban.  (p.408)

Bishop, J.A., Yoo, J.H.  “ ‘Health Scare’, Excise Taxes and Advertising Ban in the Cigarette Demand and Supply,” Southern Economic Journal 1985; 52(2): 402-411.

 

 

102.  Although increasing excise taxes on cigarettes has been suggested as one of the most cost-effective short-term strategies to reduce tobacco consumption among adults and prevent youth initiation of tobacco use, a tax increase combined with an anti-smoking campaign can be more effective in sustaining the reduction in per capita consumption than a tax increase alone. (p.248)

Bjornson, W., Sahr, R.C., Moore, J., Balshem, H., Fleming, D., Strouse, R., Hall, J., Steel, B.S.  “Tobacco Tax Initiative - Oregon 1996,” Morbidity and Mortality Weekly Report 1997; 46(11): 246-248. [note: quotation is from an Editorial Note accompanying the article]

 

 

103.  A rise of at least 5 per cent in real prices is required as a minimum in face of the upward pressure of income on consumption. (p.215)

Bosanquet, N., “Have Higher Tax Rates Reduced the European Smoking Rate?”  In: Slama, K., ed. Tobacco and Health:  Proceedings from the 9th World Conference on Tobacco and Health.  (New York:  Plenum Press, 1995), pp.213-216.

 

 

104.  An increase in smoking restrictions so that the index increases by 0.5 will decrease the quantity of cigarettes sold domestically by 4%, whereas a $0.75 per pack tax increase will decrease the quantity of cigarettes sold domestically by nearly 19%.  (p.950)

Brown, A.B. “Cigarette Taxes and Smoking Restrictions:  Impacts and Policy Implications,” American Journal of Agricultural Economics 1995; 77: 946-951.

 

 

105.  - Numerous economic studies give estimates of the price elasticity of demand for cigarettes based on various statistical methods and historical data.

- There is a wide range of estimates from these studies.

- The estimates range from –0.2 to -0.75.  In other words, some studies indicate that a 10 percent increase in the price of cigarettes will result in a decline in overall cigarette consumption of 2 percent while other studies indicate a decline of 7.5 percent. (p.1)

. . .

Becker (University of Chicago and winner of the 1992 Nobel Prize in Economics), Grossman, and Murphy have conducted one of the most recent and widely respected studies on the effects of price on cigarette consumption.  This work utilizes a very sophisticated economic model that accounts for the dynamic effects of addiction to products such as cigarettes.  Their study indicates that in the short-run a 10 percent increase in the price of cigarettes will cause a 4 percent decline in cigarette consumption.  However, their work indicates that in the long run a permanent 10 percent increase in the price of cigarettes will lead to a 7.5 percent decline in cigarette consumption.  (p.2)

Brown, A.B. (Hugh C. Kiger Associate Professor of Agricultural and Resource Economics, North Carolina State University) “The Effect of Cigarette Price on Cigarette Consumption:  A Partial Summary of Research Findings.”  North Carolina State University.  February 26, 1998.

 

 

106.  Long run effects of cigarette tax increase of $1.50 per pack on US cigarette consumption

·    Using parameter estimates (demand elasticities) from some of the most widely published studies of the relationship between cigarette consumption and price yield forecasts of a long term decline in total US cigarette consumption of between 19 and 49 percent.

Brown, A.B.  (North Carolina State University).  “Long Run Effects of a $1.50 per Pack Increase in Cigarette Taxes.”  March 20, 1998.

 

 

107.  A study was conducted to assess the impact of the February 1994 tobacco tax decrease on smoking among grade 10 youth who were participating in a longitudinal smoking prevention study. . . . Forty-eight percent of all smokers reported that they had increased the amount they smoked after the tax decrease, while only 16% reported decreased smoking over this period.  Findings were similar for both males and females.   These findings suggest that many underage youth found it easy to purchase cigarettes, and that almost half of grade 10 youth who were smoking reported an increase in their smoking after the tax decrease. (p.1)

Brown, K.S., Taylor, T.E., Madill, C.L., Cameron, R.  “The Relationship Between the Tobacco Tax Decrease and Smoking Among Youth:  Results of a Survey in South-Western Ontario.” Ontario Tobacco Research Unit, Working Paper Series #14, Toronto, 1996.

 

 

108.  The cigarette companies have opposed tobacco tax increases by arguing that raising cigarette prices would not reduce youth smoking.  But the companies’ internal documents, disclosed in the tobacco lawsuits, show that they know very well that raising cigarette taxes is one of the most effective ways to prevent and reduce smoking among kids.

. . .

Numerous economic studies in peer-reviewed journals have documented the impact of cigarette tax increases and other price hikes on both adult and underage smoking.  The general consensus is that every 10 percent increase in the real price of cigarettes will reduce the number of kids who smoke by about seven percent.  This research indicates that raising federal cigarette taxes to produce a 10 percent increase in cigarette prices would reduce the number of current youth smokers by more than 300,000.  (p.1)

Campaign for Tobacco-Free Kids [U.S.]. “Increasing Cigarette Taxes Reduces Smoking Among Youth (And the Cigarette Companies Know It),” [Fact Sheet].  The National Center for Tobacco-Free Kids.  November 1, 1999.

 

 

109.  The final recommendation is the simplest:  to continue the proven formula of using fiscal policy to serve health objectives by implementing a further increase in the taxation of cigarettes in the 1992 Federal Budget.  Failure to increase these taxes will result in increasing the affordability of this harmful product, and inevitably its consumption will rise.  (p.9)

Canadian Association of Optometrists, Canadian Cancer Society, Canadian Centre for Substance Abuse, Canadian Council on Smoking and Health, Canadian Medical Association, Heart and Stroke Foundation of Canada, The Lung Association, Non-Smokers’ Rights Association, Physicians for a Smoke-Free Canada.  “Closing the Loopholes:  The Treatment of  Tobacco Taxation in the 1992 Federal Budget.  A Submission to the Minister of Finance, The Honourable Donald Mazankowski”  Ottawa, Ontario. December 1991.

 

 

110.  In Canada it is clear that in recent years tobacco tax increases have been the most reliable tobacco control tool used by federal and provincial governments.   The large tobacco tax increases by federal and provincial governments during the 1980’s and in 1990-91 made tobacco products less affordable which dramatically decreased consumption, especially among children and adolescents.  (p. ii)

. . .

The retail price of tobacco increased dramatically in the 1980’s as federal and provincial governments increased tobacco tax rates.  This led to unprecedented declines in consumption, even factoring in contraband sales. Figure 3 illustrates the striking relationship.

The decline has been even more dramatic among teenagers.  Between 1979 and 1991, the percentage of Canadians aged 15-19 who reported they were smokers declined from 46.5% to 22%.  Among daily smokers, the percentage declined from 42% to 16% (Figure 4).  The proportion of smokers who were occasional smokers as opposed to daily smokers increased.  This has implications for public health.  A decrease in tobacco taxes could result in more occasional smokers being able to afford to be daily smokers.  It could also reduce the likelihood of occasional smokers quitting smoking altogether. (p.8)

Canadian Cancer Society.  “Protecting Health and Revenue: An Action Plan to Control Contraband and Tax-Exempt Tobacco”  Ottawa, Ontario. January 1994.

 

 

111.  Cigarette taxes should increase by at least $10.00 per carton ($5.00 federal, $5.00 provincial) in Ontario, Quebec, New Brunswick, Nova Scotia and P.E.I.  Taxes on other types of tobacco products should be equalized with those on cigarettes.

. . .

The recommended increase will result in a significant reduction in smoking, particularly among youth.

The recommended increase will generate about a $1.5 billion in incremental revenue for government.  The federal government should use a portion of the new revenue to fund a greatly enhanced tobacco control program. (p.1)

Canadian Cancer Society. “Advancing Public Health: Recommendations for a Major Tobacco Tax Increase” January 12, 1999.

 

 

112.  While there is no serious disagreement with the fact that price affects consumption, there are varying estimates of the extent of this relationship and the price-elasticities of specific demographic groups. (p.1)

. . .

Based on the best available information on the relationship between tobacco product price and consumption, we can expect a price-elasticity of something in the range of –0.4 to –0.7 overall.  A significantly greater price effect can be anticipated among certain groups, such as young people.  (p.2)

Canadian Cancer Society, Canadian Council on Smoking and Health, Canadian Dental Association, Canadian Medical Association, Canadian Oncology Society, Heart and Stroke Foundation of Canada, The Lung Association, Non-Smokers’ Rights Association, Physicians for a Smoke-Free Canada “Tobacco Taxation in Canada: New Directions.  A Submission to the Honourable Paul Martin, Minister of Finance” Ottawa, Ontario. February 1995.

 

 

113.  We were very supportive of the 2 cents a cigarette increase brought forward in the 1989 Budget and wish to reiterate our strong position in favour of tobacco tax increases.  We are thereby submitting our proposal for the up-coming 1990 federal budget.  This submission highlights the following points:

·         An increase of 2.5 cents a cigarette and 4.5 cents per gram on manufactured tobacco would generate a net gain of $1.2 billion to the Federal Treasury.

·         Such an increase in tobacco tax would continue supporting the government’s overall policy to reduce tobacco consumption.  On the other hand, failure to increase tobacco prices would undermine progress to date.  Our suggested tobacco tax increase in conjunction with other federal health measures would diminish consumption by 8%, thus reducing death, disease and economic losses caused by tobacco use. (p.ii)

. . .

Perhaps the most important reason for a further significant increase in tobacco taxes is the reinforcement such a measure will give to the overall federal message with respect to tobacco use.  To effectively protect non-smokers, control tobacco use, and prevent the death, injury and economic losses it causes requires a comprehensive effort.  The federal government used this approach in 1989 and it worked.  (p.18)

Canadian Cancer Society, Canadian Council on Smoking and Health, Canadian Lung Association, Canadian Medical Association, Heart and Stroke Foundation of Canada, Non-Smokers’ Rights Association, Physicians for a Smoke-Free Canada.  “Tobacco Tax Policy in Canada, A Health Perspective. A Submission to the Minister of Finance, The Honourable Michael Wilson”  Ottawa, Ontario.  January 1990.

 

 

114.  The 1991 federal budget should build on the tobacco tax changes announced in the 1989 budget.  Increases in taxation should reduce the affordability of tobacco products and thus reduce their consumption by existing smokers and deter non-smokers – especially the young  -- from becoming addicted.  (p.3)

. . .

Perhaps the best assessment of the relationship between the price and demand for tobacco products in Canada is simply to examine the experience of Canadian taxation and consumption of tobacco products over the past few years.  From 1980 to 1989 the real price of tobacco increased by 101%, while total cigarette consumption declined by 20.2% or about 30% in per capita terms.  . . .

The price of tobacco in Canada has played a key role in reducing tobacco consumption.  This is shown when Canadian sales data is compared to that from the United States where price has been less of a factor.  U.S. consumption in the 1980’s has fallen less than in Canada, and since the implementation of our Tobacco Products Control Act and the 1989 tax adjustments, Canadian tobacco consumption has fallen twice as rapidly as in the United States.  (p.23)

Canadian Cancer Society, Canadian Council on Smoking and Health, Canadian Medical Association, Physicians for a Smoke-Free Canada.  “Sustaining a Successful Policy: The Treatment of Tobacco Taxation in the 1991 Federal Budget.  A Submission to the Minister of Finance, The Honourable Michael Wilson” Ottawa, Ontario.  December 1990.

 

 

115.  Increasing tobacco taxes is a proven tool in combating youth smoking and reducing the death toll from the tobacco epidemic. (p.1)

Canadian Cancer Society, Coalition québécoise pour le contrôle du tabac, Non-Smokers’ Rights Association, Ontario Campaign for Action on Tobacco, Physicians for a Smoke-Free Canada, “Tobacco Taxes in Canada” 2000.

 

 

116.  Tobacco taxation is an essential policy tool to prevent nicotine addiction among teenagers and to reduce the death toll among people who are already addicted.  This is the consensus view of health groups in Canada and in other industrialized countries.  International organizations such as the World Bank recommend increased tobacco taxes.  Despite its varying public comments, the tobacco industry itself, in its internal documents, acknowledges the effectiveness of cigarette taxes in reducing consumption and preventing tobacco use among teenagers.  Indeed, the enormous energy that the industry devoted to obtaining a tax rollback in 1994 provides a clear indication of how it views this issue.  (p.5)

Canadian Cancer Society, Non-Smokers’ Rights Association, Physicians for a Smoke-Free Canada, Quebec Coalition on Tobacco Control.  “Surveying the Damage:  Cut-rate Tobacco Products and Public Health in the 1990’s” Ottawa, Ontario.  October 1999.

 

 

117.  These measures [tobacco tax increases], besides increasing revenues, complement the government’s comprehensive strategy of reducing tobacco smoking in Canada, including legislation to ban tobacco advertising, and increasing public knowledge of the health hazards of smoking. (p.56)

Canadian Department of Finance. “Budget Papers. Tabled in the House of Commons by the Honourable Michael H. Wilson, Minister of Finance” April 27, 1989.

 

 

118.  Allan Rock, the Minister of Health, added, “This tax increase is part of our efforts to improve the health of Canadians, particularly youth, by encouraging them to stop smoking or remain non-smokers.” (p.1 of internet version)

Canadian Department of Finance. “Tobacco Taxes Increased” February 13, 1998 [news release]. Downloaded September 23, 2001,

 www.fin.gc.ca/news98/98-019e.html

 

 

119.   “The measures introduced today reaffirm the Government’s determination to reduce tobacco consumption in Canada,” Minister Martin said.

Health Minister Allan Rock added, “Tax increases are one part of our overall strategy to reduce smoking rates, particularly among younger Canadians.  We must also intensify our efforts to reduce this leading cause of preventable death through means such as tough anti-tobacco advertising, upcoming labelling and information reporting regulations, and other measures.” (p.2 of internet version)

Canadian Department of Finance. “Tobacco Tax Increases Announced” November 5, 1999 [news release]. Downloaded September 23, 2001, www.fin.gc.ca/news99/99-096e.html

 

 

120.  Current cigarette price is always found to have a negative and, in most models, statistically significant impact on average cigarette consumption.  (p.201)

. . .

Estimated long-run price elasticities of demand are in the range –0.27 to –0.36 for the full sample of ever smokers.  These estimates imply that the recent doubling of the Federal excise tax on cigarettes will be effective in reducing cigarette consumption, with average consumption falling approximately 4-6% as a result of the 15% increase in average cigarette prices.  This impact may be larger if the increase in the excise tax results in a greater increase in cigarette prices.  (p.201)

. . .

Finally, increased cigarette prices, which would result from increased cigarette excise taxes, are also found to have a significant negative impact on average cigarette consumption. (pp.202-203)

Chaloupka, F., “Clean Indoor Air Laws, Addiction and Cigarette Smoking,” Applied Economics 1992;24:193-205.

 

 

121.  Conclusions

The review of the literature clearly shows that the answer to the question posed in the title of this chapter is ‘very effective.’ Increasing cigarette and other tobacco taxes will lead to significant reductions in the use of these products, resulting from reductions in the frequency of use by continuing users, as well as reductions in the prevalence of use.  Given this evidence, higher tobacco taxes are likely to be the single most effective policy option for reducing the public health toll from tobacco.  When combined with other tobacco control activities, which could be funded by earmarked tobacco taxes, even larger reductions in youth and adult tobacco use could be achieved. (p.7)

Chaloupka, F.J.  (Professor of Economics, University of Illinois at Chicago; Research Associate, National Bureau of Economic Research) “How Effective are Taxes in Reducing Tobacco Consumption?”  March 1999. 

 

 

122.  Conclusions

A large literature from economics clearly indicates that large cigarette price increases will lead to substantial reductions in cigarette smoking, particularly in the prevalence of cigarette smoking among youth.  When combined with other tobacco control activities, including prevention and cessation programs, counter-advertising, comprehensive and aggressive enforcement of limits on youth access, and more, even larger reductions in youth and adult smoking could be achieved. (p.14)

Chaloupka, F.J.  “The Impact of Proposed Cigarette Price Increases,” Health Science Analysis Project (The Advocacy Institute).  Washington, D.C.  May 1998.  Policy Analysis No. 9.

 

 

123.  Conclusions

Economists have contributed much to our understanding of the impact of prices and tobacco control policies on cigarette smoking and other tobacco use.  Most notably, they have clearly demonstrated the importance of price as a determinant of tobacco use, helping to change the once conventional wisdom that the demands for cigarettes and other tobacco products, because of the addictive nature of these products, are exceptions to the basic laws of economics. (p.S109)

Chaloupka, F.J.  “Macro-Social Influences:  The Effects of Prices and Tobacco Control Policies on the Demand for Tobacco Products,” Nicotine & Tobacco Research, 1999; 1 (Supp. 1): S105-S109.

 

 

124.  The estimates presented above support the hypothesis that increasing the price of cigarettes by increasing excise taxes on them would effectively reduce smoking.  Doubling the federal excise tax to $0.32 (proposed as part of a deficit reduction program), increasing price by approximately 15 percent (assuming a competitive market), would lead, in the long run, to a 4-6 percent fall in consumption even more if cigarette producers use the tax increase as a coordinating mechanism for an oligopolistic price increase.  (p.740)

Chaloupka, F.J.  “Rational Addictive Behavior and Cigarette Smoking,” Journal of Political Economy 1991; 99(4): 722-742.

 

 

125.  The data employed in this research are taken from the 1992, 1993 and 1994 surveys of eighth, tenth, and twelfth grade students conducted by the University of Michigan’s Institute for Social Research as part of the Monitoring the Future Project. . . . The average overall estimated price elasticity of youth cigarette demand of –1.313 indicates that large increases in cigarette excise taxes would lead to sharp reductions in youth smoking. (p.i)

Chaloupka, F.J., Grossman, M.  “Price, Tobacco Control Policies and Youth Smoking,” National Bureau of Economic Research.  Cambridge, MA. September 1996.  Working Paper No. 5740.

 

 

126.  Young men are much more responsive to changes in the price of cigarettes than young women.  The prevalence elasticity for young men is almost twice as large as that for young women.  Smoking rates of young black men are significantly more responsive to changes in price than young white men. (p.373)

Chaloupka, F.J., Pacula, R.L.  “Sex and Race Differences in Young People’s Responsiveness to Price and Tobacco Control Policies,” Tobacco Control 1999; 8: 373-377.

 

 

127.  Every major national tobacco legislation proposed in the past two years has called for significant increases in the price of cigarettes as a way to discourage youths from smoking.  One argument used to oppose these bills is that increases in the price of cigarettes would cause youths to substitute marijuana for cigarettes.  . . .

. . . Examination of the cross-price effects clearly shows that higher cigarette prices will not increase marijuana use among youths.  In addition to reducing youth smoking, we find that higher cigarette prices significantly reduce the average level of marijuana used by current users.  Cigarette prices also have a negative effect on the probability of using marijuana, but these findings are not significant at conventional levels. (p.i)

. . .

Conclusions

Based on the estimates described above, the answer to the question posed in the title of this paper is clearly “No” – higher cigarette prices will not increase youth marijuana use.  Instead, these estimates indicate that higher cigarette prices, in addition to reducing youth cigarette smoking, would certainly lower the average frequency of marijuana use among youth users and would likely lower the probability of using marijuana. According to these estimates, a ten-percent increase in cigarette price is predicted to lower the prevalence of youth marijuana use between 3.4% - 7.3% and decrease the average level of marijuana use by regular users between 3.6% - 8.4%. (pp.15-16)

Chaloupka, F.J., Pacula, R.L., Farrelly, M.C., Johnston, L.D., O’Malley, P.M., Bray, J.W. “Do Higher Cigarette Prices Encourage Youth to Use Marijuana?” Working Paper 6939.  National Bureau of Economic Research, Cambridge, MA. February 1999.

 

 

128.  The real cigarette price and clean indoor air laws are negative and statistically significant. . . . The own-price elasticity of demand implied by models 2, 3, and 4 is about –0.24, an estimate consistent with other recent studies of the demand for cigarettes.  (p.79)

Chaloupka, F.J, Saffer, H., “Clean Indoor Air Laws and the Demand for Cigarettes,”  Contemporary Policy Issues 1992; 10: 72-83.

 

 

129.  The estimates indicate that higher smokeless tobacco taxes would significantly reduce the number of young men using smokeless tobacco and the frequency of smokeless tobacco use.  (p.503) 

. . .

The average overall price elasticity of smokeless tobacco demand for male youths was –0.59.  This implies that large increases in smokeless tobacco excise taxes, by significantly raising price, would lead to sharp reductions in smokeless tobacco use among young males, with much of the reduction coming from a drop in the number of young male smokeless tobacco users. (p.515)

Chaloupka, F.J., Tauras, J.A., Grossman, M.  “Public Policy and Youth Smokeless Tobacco Use,” Southern Economic Journal 1997; 64(2): 503-516.

 

 

130.  The results described above indicate that higher cigarette excise taxes, which would raise cigarette prices, would result in substantial reductions in both smoking participation and average daily cigarette consumption among US college students.  The overall estimated price elasticity of cigarette demand for college students fell in the range from –0.906 to –1.309.  Approximately half of the drop in consumption resulting from increased cigarette prices would be the result of reduced smoking participation, while the remaining half would come from reductions in the number of cigarettes consumed by smokers.  (p.369)

. . .

Thus, these estimates confirm what had been the conventional wisdom: that cigarette smoking among young adults is relatively more responsive to price than is smoking among adults.  The average overall price elasticity of demand for college students of –1.11 is almost three times the consensus estimate of –0.4 for adults.  This suggests that increases in cigarette excise taxes, which would increase cigarette prices, are a very effective means of reducing cigarette smoking among young adults.  Given that this is the age at which smoking habits are becoming firmly established, discouraging smoking in this age group is likely to lead to permanent reductions in cigarette smoking in all age groups. (p.370)

Chaloupka, F.J., Wechsler, H.  “Price, Tobacco Control Policies and Smoking Among Young Adults,” Journal of Health Economics 1997; 16(3): 359-73.

 

 

131.  Excise elasticities of demand for non-cigarette tobacco and cigarettes were calculated for Papua New Guinea for the 14 years 1973-86.  Respectively, these were –0.50 and –0.71.  This means that 10 percent increases in cigarette and non-cigarette tobacco excise are associated with an estimated 7.1 percent fall in demand for cigarettes and a 5 percent decrease in the demand for tobacco. As tax (excise) elasticities would normally be significantly smaller than price elasticities, these results imply that the consumption of cigarettes and tobacco in Papua New Guinea is much more responsive to prices than in the USA and other Western countries.  The level of excise is therefore an important and practical instrument for the control of consumption.  These elasticities appear to be the first reported for a developing country.  It is suggested that if they are indicative of behaviour in lower income countries then increasing tobacco and cigarette excise should be considered an important strategy for the control of smoking in these countries which because of their large populations, are huge markets for tobacco products and thus major targets for tobacco control measures. (p.537)

Chapman, S., Richardson, J. “Tobacco Excise and Declining Tobacco Consumption: The Case of Papua New Guinea” American Journal of Public Health 1990; 80(5): 537-540.

 

 

132.  Results shown in Table 1 suggest the potential of cigarette pricing as an incentive to improve health behaviour and reduce the number of smokers.  The consumption of cigarettes is more elastic among young people than among adults, because young people have less money and are more sensitive to price changes.  Therefore, tax increases will especially affect the smoking behaviour of young people.  (p.8)

Choi, B.C.K., Ferrence, R.G., Pak, A.W.P.   “Evaluating the Effects of Price on the Demand for Tobacco Products:  Review of Methodologies and Studies.”  Ontario Tobacco Research Unit, Literature Review Series No. 11, Toronto, April 1997.

 

 

133.  Raising tobacco taxes is the most effective way to rapidly and significantly reduce tobacco use by young people.  Youth tobacco consumption is influenced by prices at least as much as adult consumption.  For every 10 percent increase in cigarette prices, demand among children and teenagers declines by as much as 14 percent.  (p.7)

Coalition on Smoking OR Health [U.S.].  “Saving Lives and Raising Revenue: The Case for a $2 Federal Tobacco Tax Increase.”  Washington, DC.  July 1994.

 

 

134.  Myth: An increase of one to two dollars in the tax on tobacco products will result in the loss of hundreds of thousands of jobs in the US economy.

Reality: An increase in the tobacco tax will significantly affect only a fraction of the jobs the Tobacco Institute says are at risk and will create many new jobs.  Few jobs will be lost and many lives will be saved.

. . .

Tobacco causes death and disease, which seriously harms the economy.  A reduction in tobacco use will improve productivity, reduce health care costs, and guarantee additional economic activity. (p.10)

Coalition on Smoking OR Health [U.S.]. “Tobacco, Health, and Jobs: Myths and Realities” World Smoking and Health 1994; 19(1): 9-10.

 

 

135.  Canadian studies that examined the relationship of cigarette prices to consumption for the periods 1950-1973, 1949-1980 and 1971-1981 reported elasticities of –0.75, –0.73 and –0.71 repectively. (p.8)

Collishaw, N. (Bureau of Tobacco Control and Biometrics, Laboratory Centre for Disease Control, Department of National Health and Welfare [Canada]. “Tobacco Pricing” Working Paper 12/84. October 1984.

 

 

136.  Canada’s tobacco control policies became progressively more comprehensive and effective from 1981 to the present.  In addition to the advertising ban, there are strong warnings on cigarette packages, effective protection from involuntary exposure to tobacco smoke in many enclosed public places and workplaces, high tobacco taxes, and effective promotional and educational campaigns in favour of a smoke-free life.  From 1981 to 1992, cigarette consumption per adult declined by over 37%.  Prevalence of smoking among adolescents 15 to 19 years of age declined by over half, from 47% in 1979 to 23% in 1991. (p.i)

Collishaw, N.E. (Tobacco or Health Programme, World Health Organization) “Canada: Dealing with Further Attacks After the Main Victory; Background notes for a presentation to the Special Symposium: Case histories – Successes and failures in developing national tobacco control programmes” Third International Conference on Preventive Cardiology.  Oslo, Norway. June 30, 1993.

 

 

137.  In 1983, however, cigarette sales declined by 4%, the first appreciable decline since 1949.  The real price of cigarettes increased by 14% in 1983, reversing a long-term trend of a declining real price. (p.148)

Collishaw, N.E., Rogers, B., “Tobacco in Canada,”  Canadian Pharmaceutical Journal; 1984; 117(4): 147-150.

 

 

138.  If the Administration’s proposed increase in the tax on smokeless tobacco products is enacted, we can expect 1.3 million current users of these products to quit.  The estimate of fewer users is based on a 2.6% decrease in the number of smokeless users for every 10% increase in the price, a formula taken from research on cigarette smokers.  Should manufacturers lower their prices as they recently have on cigarettes, fewer users will quit.

And, the tax would bring in $750 million in new revenue. (p.14)

Connolly, G.N. “Taxing Other Tobacco Products” World Smoking and Health 1994; 19(1): 13-14.

 

 

139.  The introduction of cigarette taxes, a limited health promotion programme, and the absence of massive promotional campaigns by the sole tobacco company on Mauritius have led to a striking and continued decrease in smoking prevalence and cigarette consumption on the island. (p.345)

Cox, H.S., Williams, J.W., de Courten, M.P., Chitson, P., Tuomilehto, J., Zimmet, P.Z., “Decreasing Prevalence of Cigarette Smoking in the Middle Income Country of Mauritius: Questionnaire Survey,”  British Medical Journal 2000; 321: 345-349.

 

 

140.  When the price of something goes up, people buy less of it.  That’s basic logic and basic economics. That’s also the principle behind the most important factor in Canada’s tobacco-control strategy: higher tobacco taxes. (p.119)

. . .

Higher prices can work in a number of ways.  Smokers may feel that the price is too high and decide to quit or smoke less.  Higher prices might combine with other factors and finally push a smoker into quitting.  Even if a smoker only decides to cut down, this produces health benefits.  Fewer cigarettes a day may reduce the risk that a smoker will contract a tobacco-caused disease.  As previously noted, people who smoke fewer cigarettes a day are more likely to attempt to quit and to quit successfully than people who smoke more cigarettes per day.  For teenagers, higher prices may push cigarettes beyond the level of affordability or may delay the age when smoking begins, thus decreasing the long-term risk to health.  Decreasing the amount smoked may reduce the risk that addiction will set in. (pp.119-120)

. . .

High tobacco taxes are a critical component of a comprehensive strategy.  All forms of tobacco products should be taxed at a rate equivalent to that for cigarettes to discourage cigarette smokers from switching to cheaper alternatives. (p.249)

. . .

There should be an end to duty-free sales.  Lower duty-free prices encourage consumption and may result in large quantities of tax-exempt tobacco entering the market illegally.  As well, governments lose revenue. (p.250)

Cunningham, R. Smoke & Mirrors: The Canadian Tobacco War (Ottawa: International Development Research Centre, 1996).

 

 

141.  Higher tobacco taxes will lead to a decrease in consumption, including among price sensitive teenagers.  In the U.S., analysts estimate that the recent price increase will lead to a decrease in U.S. consumption of 8-10%. (p.2)

Cunningham, R. (Senior Policy Analyst, Canadian Cancer Society).  “Re: Tobacco Taxes and Draft Report on Pre-Budget Consultations” Letter to Chair and Members, Standing Committee on Finance, House of Commons. November 30, 1998.

 

 

142.  Thus policy predictions from our cross-sectional models appear to lend support to the claim that tax or price increases can substantially reduce youth smoking.  (p.18)

DeCicca, P., Kendkel, D., Mathios, A.  “Putting Out the Fires:  Will Higher Taxes Reduce Youth Smoking?” Department of Policy Analysis & Management, Cornell University.  December 1997.

 

 

143.  In general, the results here indicate a somewhat higher sensitivity of quitting hazards than starting hazards to cigarette prices, regulation and information. (p.63)

Douglas, S. “The Duration of the Smoking Habit” Economic Inquiry 1998; 36: 49-64.

 

 

144.  In the models of experimentation, price was not an important variable, and therefore, we do not report the elasticity estimates for experimentation among either the 10-13-year olds or the >= 14-year-olds.  As expected, price was negatively associated with current and established smoking participation and conditional demand.  Current smoking participation elasticity was –0.83.  Among current smokers, conditional demand elasticity was –0.87, and total elasticity was –1.70.  Among established smokers, the participation elasticity was –1.56, conditional demand –0.68, and total elasticity was –2.24. (p.266)

. . .

Despite these limitations, our findings represent a unique contribution to the literature on the role of prices in deterring adolescent smoking.  Not just younger smokers, but all experimenters appear unaffected by cigarette prices.  . . .At the same time, our relatively large conditional demand elasticity estimates for current smokers and the relatively large participation elasticity estimates for established smokers suggest that higher cigarette prices may indeed slow down progression from higher levels of experimentation to established smoking patterns that are likely to persist as a lifelong addiction.  Therefore, far from suggesting that price is not important, our research supports the conclusion that cigarette prices are a critically important policy tool in reducing adolescent smoking beyond experimentation. (p.269)

Emery, S., White, M.M., Pierce, J.P. “Does Cigarette Price Influence Adolescent Experimentation?” Journal of Health Economics 2001; 20: 261-270.

 

 

145.  Using data for over 250,000 high school seniors from the Monitoring the Future Project over the 1977-92 time period, we estimate the impact of higher cigarette taxes on smoking participation.  Unlike all previous papers on this topic, we use the time series variations in cigarette taxes within a state to identify the impact of cost on smoking participation.  Using the full sample, we calculate a smoking participation elasticity of 0.20, a value substantially smaller than previous estimates.  The elasticity has however increased over time.  Data for the 1985-92 time period suggests the elasticity has risen in magnitude to –0.50.  We find no difference in the elasticities for males and females, but a much larger elasticity for nonwhites than for white, non-Hispanic teens (p.i).

. . .

To put these results into perspective, consider the impact on teen smoking from a recent bill proposed by Senator John McCain of Arizona that would raise cigarette taxes by $1.10 over a period of years.  To simplify the problem, we will assume the tax hike happens in one year.  In 1982-4 dollars, the $1.10 tax hike would increase taxes by (1.10/1.622)=$0.678 per pack.  Using the estimates for the 1985-1992 time period . . . this tax hike will reduce teen smoking by 9.8 percentage points (0.678*-0.144).  Given the current teen smoking among high school seniors of 36.5 percent, this represents about a 27 percent drop in teen smoking rates. (p.20)

Evans, W.N. (Department of Economics, University of Maryland), Huang, L.X.  (NORC) “Cigarette Taxes and Teen Smoking:  New Evidence from Panels of Repeated Cross-Sections”.  April 15, 1998.

 

 

146.  In this paper, we estimate the causal relationships between cigarette taxes, maternal smoking behaviour, and birth outcomes.  We are the first to show that pregnant women are responsive to changes in cigarette tax rates.  The smoking participation price elasticity is roughly –0.50.  This estimate appears to be robust to the inclusion of detailed controls for mother’s characteristics as well as health habits, plus controls for cross-border shopping and state clean indoor air restrictions.  We are also able to show that increases in cigarette tax rates have a beneficial impact on mean birth weight.

. . .

To put these results into perspective, consider the impact on maternal smoking from a recent bill proposed by Senator John McCain of Arizona that would raise cigarette taxes by $1.10 over a period of years.  To simplify the problem, we will assume the tax hike happens in 1 year.  In 1982-4 dollars, the $1.10 tax hike would increase taxes by (1.10/1.622)=67.8 cents per pack.  Using the results from model (3) from the smoking participation probit, a 67.8 cent tax hike would reduce maternal smoking by about 5.5 percentage points, which is a 32% reduction in smoking.  Using the results from model (3) in the low birth weight probits from Table 3, the tax hike will reduce low birth rates by .32 percentage points which is a 5% reduction.  The smaller size of the impact of taxes on birth outcomes is not surprising given the fact that taxes can only alter the behavior of the 17% of pregnant women who smoke. (p.152)

Evans, W.N., Ringel, J.S.  “Can Higher Cigarette Taxes Improve Birth Outcomes?” Journal of Public Economics 1999; 72: 135-154.

 

 

147.  Nearly every study finds smoking declines in the face of higher taxes and/or prices but the results do vary across surveys. (p.11)

. . .

Our best estimate is that the elasticity of demand in the short run is around –0.30 to –0.50, with roughly half of any demand change coming from a drop in smoking participation.  Long-term elasticities may however be 1.75 times short-run values. (p.18)

Evans, W.N. (Department of Economics, University of Maryland), Ringel, J.S. (Jeanne S. Ringel, Department of Economics, Louisiana State University), Stech, D. (Department of Economics, University of Maryland)  "Tobacco Taxes and Public Policy to Discourage Smoking," November 6, 1998.

 

 

148.  For all respondents, the models estimated a prevalence price elasticity of –0.15 and a consumption price elasticity of –0.10, yielding a total price elasticity estimate of –0.25.  Therefore, a 50% price increase could cause a 12.5% reduction in the total U.S. cigarette consumption, or approximately 60 billion fewer cigarettes smoked per year.  In the age-specific model, younger smokers were more likely than older smokers to quit smoking, and after controlling for income, education, and other nonprice variables, Hispanic smokers and non-Hispanic black smokers were more likely than white smokers to reduce or quit smoking in response to a price increase.  This pattern was consistent for all age groups.  Among both non-Hispanic blacks and Hispanics, smokers aged 18-24 years were substantially more price-responsive than smokers aged greater than or equal to 40 years.  Lower-income populations also were more likely to reduce or quit smoking than those with higher incomes.  The total price elasticity was –0.29 for lower-income persons compared with –0.17 for higher income persons.

Farrelly, M.C, Bray, J.W.  “Response to Increases in Cigarette Prices by Race/Ethnicity, Income, and Age Groups – United States, 1976-1993,” Morbidity and Mortality Weekly Report 1998; 47(29): 605-609.

 

 

149.  Based on these findings, a ten per cent increase in the relative price of cigarettes (over and above inflation) would likely result in a seventeen per cent decrease in cigarettes consumed per capita by 15-19 year olds, a fourteen per cent decrease in smoking, and a six per cent decrease in consumption per smoker.  (p.6)

Ferrence, R.G., Garcia, J.M., Sykora, K., Collishaw, N.E., Farinon, L.  “Effects of Pricing on Cigarette Use Among Teenagers and Adults in Canada 1980-1989.”  Addiction Research Foundation, February 1991.

 

 

150.  Trend data indicated a sharp drop in California cigarette consumption coincident with the tax increase.  Time-series regression analyses support this observation, and suggest that a 5% to 7% decline in consumption is attributable to the tax increase.  (p.867)

Flewelling, R.L., Kenney, E., Elder, J.P., Pierce, J., Johnson, M., Bal, D.G. “First-Year Impact of the 1989 California Cigarette Tax Increase on Cigarette Consumption,” American Journal of Public Health 1992; 82(6): 867-869.

 

 

151.  Taxation, however, could have more substantial effects.  Estimates of the price elasticity of demand (@ -0.45) indicate that a 10% increase in the price of cigarettes will lower consumption by 4.5%.  This effect becomes more pronounced in the long run.  (p.487)

Fujii, E.T.  “The Demand for Cigarettes:  Further Empirical Evidence and its Implications for Public Policy,” Applied Economics 1980; 12: 479-489.

 

 

152.  With respect to price we find evidence of a phenomenon first noted, to our knowledge, by Douglas (1998): higher current price is a predictor of lower smoking prevalence, but a higher previous-period price shows up as a strong positive predictor of prevalence.  (p.12)

Galbraith, J.W., Kaiserman, M. “The Response of Youth Smoking Prevalence to Price:  Evidence from the Youth Smoking Survey.” 1999.

 

 

153.  Full sample estimates of the short-run elasticities of taxed and total consumption with respect to the legal price are –1.01 and 0.40 respectively. (p.288)

Galbraith, J.W., Kaiserman, M. “Taxation, Smuggling and Demand for Cigarettes in Canada:  Evidence from Time-Series Data,” Journal of Health Economics 1997; 16: 287-301.

 

 

154.  Manipulation of the price of tobacco products has proven to be one of the most effective tools in tobacco control.  (p.95)

Goodyear, M.D.E. “Death or Taxes? An Examination of Recent Changes in Tobacco Taxation Policy in Canada,” Canadian Respiratory Journal 1994; 1(2): 95-103.

 

 

155.  The benefits of quitting in terms of extra length and quality of life are very significant and are in addition to the utility gained from goods and services that can be bought with the money that quitters save.  With a fifty per cent increase in excise about 34,000 discounted life years would be saved.  The money saved would be about $800 per quitter per year.  It is quite clear that the benefits overwhelmingly exceed the cost. (p.790)

Goss, J., “An Economist’s Rationale for Government Intervention to Reduce the Consumption of Cigarettes,” In: Durston, B., Jamrozik, K., ed.  Tobacco & Health 1990: The Global War.  Proceedings of the Seventh World Conference on Tobacco and Health.  1st-5th April 1990. Perth, Western Australia, Australia.  1990. pp.789-793.

 

 

156.  “The Government’s anti-tobacco strategy will help improve the health of Canadians by discouraging smoking,” said Minister Martin [Finance Minister Paul Martin].  “By increasing taxes sharply and introducing a new tax structure for tobacco, we are taking important steps now and positioning ourselves to take further steps as need be.” (pp.1-2 of internet version)

Government of Canada “Government Announces Comprehensive Strategy to Discourage Smoking” [news release] April 5, 2001. Downloaded September 23, 2001, www.fin.gc.ca/news01/01-039e.html

 

 

157.  The long-run impacts of an increase in the excise tax rate should, however, be considerably more substantial.  Given the evidence that individuals are unlikely to initiate smoking after age 21, it is quite possible that the cohort of young persons who do not begin to smoke as a result of the tax increase would never become regular smokers.  If the tax increase is maintained in real terms, it would continue to discourage smoking participation by successive generations of youths.  Thus, it would gradually impact the smoking levels of older age groups as the smoking-discouraged cohorts move through the age spectrum.  As a consequence, over a period of several decades, aggregate smoking and its associated detrimental health effects would decline substantially. (p.486-487).

Grossman, M., “Taxation and Cigarette Smoking in the United States,” In: Forbes, Frecker, Nostbakken, ed., Proceedings of the Fifth World Conference on Smoking and Health.  Canadian Council on Smoking and Health.  Ottawa. Volume 1. 1983. pp.483-487.

 

 

158.  [O]ver 800,000 premature deaths in the cohort of Americans 12 years and older in 1984 would be averted if the Federal excise tax on cigarettes were restored to its real value in 1951. (p.1193)

. . .

The principal message of the above findings is that an increase in the Federal excise tax rate on cigarettes is a potent policy to curtail smoking.  This is because teenagers are more responsive to changes in the price of cigarettes than adults and because the price elasticity of smoking participation is much larger than the price elasticity of the quantity smoked by smokers.  These factors mean that tendencies for smokers to compensate for reduction in the number of cigarettes consumed by switching to higher tar and nicotine brands, inhaling more deeply, or reducing idle burn can be ignored in evaluating the impact of excise tax changes.  More importantly, the large teenage smoking participation elasticity implies that excise tax increases are very effective tools to prevent the onset of an habitual behaviour.  (p.1199)

Grossman, M.  “Health Benefits of Increases in Alcohol and Cigarette Taxes,” British Journal of Addiction 1989; 84: 1193-1204.

 

 

159.  Teenage cigarette smoking is sensitive to the price of cigarettes.  The most recent research would reduce the number of teenagers who smoke by 7%.  If the proposed 43-cent hike in the Federal excise tax rate on cigarettes contained in the Hatch-Kennedy Bill were enacted, the number of teenage smokers would fall by approximately 16%.  This translates into more than 2.6 million fewer smokers and more than 850,000 fewer smoking-related premature deaths in the current cohort of 0 to 17-year olds.  Adjusted for inflation, the current 24 cent-a-pack tax costs the buyer about half of the original cigarette tax of 8 cents imposed in 1951.  A substantial tax hike would curb youth smoking; this strategy should move to the forefront of the antismoking campaign. (p.291)

We found that a 10% increase in price would lower the number of youthful smokers by 7%, a somewhat smaller effect than the 12% projected in the 1981 study.  Consumption among smokers, however, would decline by 6%, which is three times larger than the decline projected in the 1981 study. (p.295)

Grossman, M., Chaloupka, F.J. “Cigarette Taxes: The Straw to Break the Camel’s Back,” Public Health Reports 1997; 112(4): 290-97.

 

 

160.  We examine the effectiveness of several cigarette control policies in discouraging smoking among people aged 12-17 in the United States.

. . .

We found large price effects: a 10% increase in price would lower the number of young smokers by 7% and would lower consumption among smokers by 6%. (p.697)

. . .

If this 15-cent tax increase is fully passed on to consumers, the price of a pack of cigarettes would rise by approximately 8%.  According to our estimates, this would result in almost 1 million fewer smokers in the current cohort of 0 to 17-year olds and over 300 000 fewer smoking-related premature deaths in this cohort.  Larger price increases would result in even larger reductions in the number of young smokers and the number of premature deaths.  . . .

These are short-run effects.  A tax or price increase would, if it were maintained in real terms or adjusted for inflation, continue to discourage smoking by successive generations of young people and would gradually affect the smoking rates of older cohorts as those discouraged from smoking move through the age spectrum.  Accordingly, the effect would be much greater in the long run. (p.698)

Grossman, M., Chaloupka, F.J., “Price, Tobacco Control Policies and Smoking Among Young People in the United States,” In: Lu, R., Mackay, J, Niu, S., Peto, R. ed., Tobacco: The Growing Epidemic.  Proceedings of the Tenth World Conference on Tobacco or health.  24-28 August 1997, Beijing, China.

 

 

161.  The demand elasticities for youth participating in smoking are larger than adult smoking participation elasticities.  The relevant figures are –1.20 for youths aged 12-17, 1.74 for 20-25 years olds, -.44 for 26-35 year olds, and -.15 for persons above the age of 35.  Because of its effect in discouraging teenage smoking participation, a tax increase that is maintained in real terms over a period of several decades could decrease aggregate smoking substantially.  (p.216)

Grossman, M., Sindelar, J.L., Mullahy, J., Anderson, R.  “Alcohol and Cigarette Taxes,” Journal of Economic Perspectives 1993; 7(4): 211-222.

 

 

162.  I find that the most important policy determinant of youth smoking, particularly among older teens, is prices.  Prices are a significant and sizeable determinant of smoking by older teens in all three data sets, although the estimated price elasticity varies significantly.  On the other hand, price does not appear to be an important determinant of smoking by younger teens. (p.i)

Gruber, J. “Youth Smoking in the U.S.: Prices and Policies” Working Paper 7506. National Bureau of Economic Research, Cambridge, MA.  January 2000.

 

 

163.  [W]e document that price is a powerful determinant of smoking for high school seniors; using state fixed effects models on data for the 1991-1997 period we estimate an elasticity of smoking participation of –0.67, which suggests that the drop in cigarette prices in the early 1990s can explain 26% of the subsequent upwards smoking trend for seniors. (p.i)

Gruber, J., Zinman, J. “Youth Smoking in the U.S.: Evidence and Implications” Working Paper 7780.  National Bureau of Economic Research.  Cambridge, Massachusetts. July 2000.

 

 

164.  However, the prevalence of smoking was greater in the provinces where tobacco taxes had been cut than in those where they had not, and this difference increased from 2.0% at the beginning of the survey to 3.4%, by the end.  In addition, rates of starting cigarette smoking were higher and smoking quit rates were lower in the provinces where taxes had been cut than in those where taxes had not been cut.

Conclusion: Although smoking rates are declining in Canada, tobacco tax cuts appear to have slowed the rate of decline by inducing more nonsmokers to take up smoking and leading fewer smokers to quit.(p.187)

Hamilton, V.H., Levinton, C., St-Pierre, Y., Grimard, F. “The Effect of Tobacco Tax Cuts on Cigarette Smoking in Canada,” The Canadian Medical Association Journal 1997; 156: 187-191.

 

 

165.  3. An immediate doubling of the current U.S. federal excise tax on cigarettes would deter approximately 1.5 million adults and 0.7 million teenagers from cigarette smoking.

When total cigarette consumption declines in response to an increase in retail cigarette prices, two different phenomena are taking place.  First, continuing cigarette smokers may reduce the number of cigarettes consumed.  Second, the number of cigarette smokers may decline.  The latter phenomenon reflects quitting by adult smokers and, most importantly, deterrence of new smoking by teenagers.  (p.118)

. . .

4. An increase in the federal cigarette tax would not have unduly regressive consequences

An increase in cigarette taxes, it had been argued, is regressive because cigarette smokers come predominantly from lower income groups.  The argument is incorrect for many reasons.  First, the very poorest groups in the U.S. have lower smoking rates than the middle income groups.  Second, although higher income men have lower smoking rates than middle income men, the prevalence of smoking actually increases with income among women.  Third, many of the supposedly low income smokers are teenagers and young adults, who may be only temporarily poor.  The younger age group, moreover, has the most to gain, with respect to the health consequences of smoking, from an increase in federal excise taxes. 

Harris, J.E.  “Increasing the Federal Excise Tax on Cigarettes,” Journal of Health Economics 1982; 1: 117-120.

 

 

166.  My main conclusions are as follows:

. . .

7. During the 1981-1986, per capita consumption of cigarettes declined 15 percent.  The increase in cigarette prices was probably the main cause of the decline.

8. The decline in cigarette use reflected mostly a decrease in the number of cigarette smokers rather than in the amount smoked by continuing users.  The evidence supports the hypothesis that price increase do not induce smokers to cut down on the number of cigarettes.  Instead, they either induce existing smokers to quit or prevent potential smokers from starting.

. . .

10. Who cuts down on cigarettes, who quits, and who fails to start are critical questions in assessing the quantitative effects of a cigarette tax increase on the health of the population.  It is likely that, as a result of the price-induced decline in cigarette consumption during 1982-1985, about 100,000 additional persons will survive to age sixty-five.  (p.88)

Harris, J.E., “The 1983 Increase in the Federal Cigarette Excise Tax,”  In: Tax Policy and the Economy.  Vol. 1. Cambridge (MA): MIT Press, 1987: 87-111.

 

 

167.  Figure 3 predicts that, with no Federal excise tax increase, the percentage of adults who smoke will drift downward from its 1993 level of 25.6 percent to a 1999 level of 22.0 percent.  With a $1.76/pack tax increase, by contrast, the prevalence of smoking will fall to 18.6 percent by 1999.  The lower prevalence in the tax-hike scenario translates into 6.7 million fewer adult cigarette smokers by 1999.  (p.7 of internet printout)

. . .

The dashed lines compare the predicted effects of two different scenarios: a baseline scenario with no further Federal tax hikes; and an alternative scenario in which the Federal tax rises from $0.24 to $2.00 per pack on January 1, 1995.  Under the baseline no-tax scenario, consumption per smoker will drift slightly downward toward 28.1 cigarettes per day in 1999.  Under the tax-hike scenario, consumption per smoker will fall to 23.9 cigarettes per day in 1999. (p.8 of internet printout)

. . .

With no further Federal tax increase, per capita consumption will drift downward to 2,257 per adult in calendar 1999.  With a $1.76/pack one time tax in 1995, per capita consumption will fall to 1,623 cigarette per adult – a level not seen in the United States since the mid 1930s. (p.9 of internet printout)

Harris, J.E.  “A Working Model for Predicting the Consumption and Revenue Impacts of Large Increases in the U.S. Federal Cigarette Excise Tax.”  Massachusetts Institute of Technology and Massachusetts General Hospital.  July 1, 1994. Downloaded July 27, 2000, http://www.mit.edu/people/jeffrey/workingmodel.html

 

 

168.  We studied the relationship between current cigarette smoking and price among 34145 respondents, aged 15-29 years, to the 1992-1993 Tobacco Use Supplements to the Current Population Survey.  The price elasticity of current smoking varied inversely with age: -0.831 (S.E. 0.402) for ages 15-17; -0.524 (S.E. 0.256) for ages 18-20; -0.370 (S.E. 0.188) for ages 21-23; -0.202 (S.E. 0.175) for ages 24-26; and –0.095 (S.E. 0.157) for ages 27-29.  In response to higher prices, older youth were more likely to reduce the number of cigarettes smoked per day than to quit entirely.  Among 15-17 year olds, smoking cigarettes ‘some days’ was more sensitive to price than smoking ‘every day’.  Cigarette smoking was inversely related to the prices of premium brands, but not discount brands. (p.81)

. . .

Our findings suggest that nicotine addiction is acquired and reinforced over an extended time period, starting in the teenage years and continuing at least through the mid-to-late 20s.  Each successive age group in our cross-sectional analysis gives us a different snapshot along this continuum of increasing addiction.  In a young experimenter, whose ‘stock of addictive capital’ is relatively low, an increase in price can result in an abrupt, permanent shift to a new, non-smoking lifetime trajectory.  As the smoker’s addictive stock grows, however, an increase in price is more likely to cause only a marginal reduction in the number smoked.  At the youngest ages, the impact of a change in price may also be amplified by bandwagon effects. (pp.83-84)

Harris, J.E., Chan, S.W.  “The Continuum-of-Addiction:  Cigarette Smoking in Relation to Price Among Americans Aged 15-29,” Health Economics 1999; 8(1): 81-86.

 

 

169.  During 1990-1992, taxable per capita consumption of cigarettes by adults declined 6.4% in Massachusetts, 11.0% in California, and 5.8% in the 48 remaining states and the District of Columbia combined (Table 1).  In Massachusetts, from 1992 (the year before implementation of the petition) to 1996, taxable per capita consumption declined by 19.7% (from 117 packs to 94 packs) (Table 1); in California and the remaining states, per capita consumption declined by 15.8% and 6.1%, respectively. (p.967)

. . .

Increases in the price of cigarettes can reduce per capita consumption and the prevalence of smoking.  In Massachusetts, however, the tax-induced increase in cigarette price was soon offset b coincidental national, industrywide price reductions that began during the spring of 1993.  While real cigarette prices returned to pre-1993 levels, per capita consumption in Massachusetts continued to decline.  This finding suggests that a tax increase combined with an antismoking campaign can be more effective in reducing per capita consumption than a tax increase alone (p.970; this quotation from p.970 is from an Editorial Note accompanying the article)

Harris, J.E., Connolly, G.N., Brooks, D., Davis, B.  “Cigarette Smoking Before and After an Excise Tax Increase and an Antismoking Campaign: Massachusetts, 1990-1996,” Morbidity and Mortality Weekly Report 1996; 45(44): 966-970.

 

 

170.  Action Step:

Increase the cost of tobacco.

Tax policy is the most effective way to address tobacco consumption. (p.24)

. . .

Recommendation 2:

i) Increase provincial cigarette taxes (especially on Roll Your Own).

ii) Lobby the federal government to improve the Federal Export Tax on tobacco. (p.26)

Heart and Stroke Foundation of B.C. & Yukon; Canadian Cancer Society, B.C. and Yukon Division; B.C. Lung Association. “B.C. – Leading the Pack on Tobacco: A Plan to Put B.C. at the forefront of tobacco control in Canada; A Submission to the Government of British Columbia” 1996.

 

 

171.  Another part of the coalition’s strategy highlighted California’s Proposition 99, which led to a drop in smoking by twice the national average since its 25-cent cigarette tax had gone into effect in 1989.  A similar drop in Massachusetts was projected to result in 80 000 fewer smokers in the first year alone.  (p.970)

Heiser, P.F., Begay, M.E.  “The Campaign to Raise the Tobacco Tax in Massachusetts,” American Journal of Public Health 1997; 87(6): 968-973.

 

 

172.  The findings from this study show that Proposition 99 was effective in reducing cigarette consumption. (p.32)

. . .

To sustain the effect of cigarette taxes, it would be appropriate to increase the cigarette tax periodically, or to assess them on an ad valorem basis. (p.33)

. . .

To achieve greater results in reducing cigarette consumption, the Federal government  should take a more aggressive role to impose additional Federal tax on cigarettes. (p.33)

. . .

In 1988, California voters enacted Proposition 99, increasing the tax on cigarettes by 25 cents per pack, effective January 1989.  Monthly sales data reported by the California State Board of Equalization between 1984 and 1991, adjusted for seasonal variation and time trend, show that consumption of cigarettes in January 1989 was about 25 percent less than would have been expected in the absence of the tax.  By December 1989 consumption was reduced to 9.5 percent below the pre-Proposition trend, and amount sustained throughout 1991.  Additional taxation and a different form of taxation on cigarettes may further be considered.  (p.36)

Hu, T.-W., Bai, J., Keeler, T.E., Barnett, P.G., Sung, H.-Y., “The Impact of California Proposition 99, A Major Anti-Smoking Law, on Cigarette Consumption,” Journal of Public Health Policy; 1994; 15(1): 26-36.

 

 

173.  The higher prices from Proposition 99 reduced cigarette consumption by 8-10% in the short run and 10-13% in the long run.  The media campaign had a significant effect in further reducing cigarette consumption, though the effects of that campaign are substantially weaker than those of the tax increase.  (p.S34)

Hu, T.-W., Keeler, T.E., Sung, H.-Y., Barnett, P.G.  “The Impact of California Anti-Smoking Legislation on Cigarette Sales, Consumption, and Prices,” Tobacco Control 1995; 4 (suppl 1): S34-S38.

 

 

174.  Conclusions. Both taxation and anti-smoking media campaigns are effective means of reducing cigarette consumption.  The strength of those effects, however, is influenced by the magnitude of the taxes and the amount of media campaign expenditures. (p.1218)

. . .

The time-series analysis, based on cigarette sales data in California between 1989 and 1992, indicates that both the 25-cent-per-pack state tax increase and the anti-smoking media campaign were statistically significant in reducing cigarette consumption.  As measured by both relative elasticities and absolute effects, the increase in the state tax reduced cigarette consumption more than the media campaign did.  (p.1222)

Hu, T.-W., Sung, H.-Y., Keller, T.E.  “Reducing Cigarette Consumption in California:  Tobacco Taxes vs. an Anti-Smoking Media Campaign,” American Journal of Public Health 1995; 85(9): 1218-22.

 

 

175.  The price of tobacco is perhaps the single largest factor in influencing short term consumption patterns.  Even more important, price has been shown to play a very large role in determining how many young people will start smoking, thus profoundly influencing long-term consumption trends.  The decisions governments make with respect to tobacco taxation are never “neutral”, as anything that increases or decreases the affordability of tobacco will be reflected in total consumption.  The UICC recommends that taxes on all tobacco products be increased regularly and significantly. (p.1)

International Union Against Cancer, “Tobacco Taxation and Price Policies” UICC Tobacco Control Fact Sheet 4. March 1993.

 

 

176.  Based on the review of New Zealand tobacco taxation and control measures, the most important determinants of tobacco consumption are the price of tobacco products relative to other products and the average disposable income of consumers.  If consumer purchasing power increases, either because of the price of tobacco falls relative to other goods and services or because of an increase in real earnings, then tobacco consumption will increase.  The evidence of this relationship is strong.  (p.42)

James, D.  “A Review of Tobacco Taxation” Prepared for the Public Health Commission.  New Zealand Institute of Economic Research (inc.).  February 28, 1995.  Wellington, New Zealand.

 

 

177.  Tax increases are the single most effective intervention to reduce demand for tobacco.  Our review of numerous studies from high income countries and several studies from low income and middle income countries indicates that higher tobacco prices significantly and consistently reduce tobacco use.  A price increase of 10% would reduce smoking by about 4% in high income countries and by about 8% in low income and middle income countries.  The evidence indicates that young people, people on low incomes, and those with less education are more responsive to price changes. (p.359)

. . .

It is important to note the experience of Canada, which reduced its tax rates as an attempt to counter smuggling.  The result was that consumption rose, especially among youths, and revenues fell.  (p.361)

Jha, P., Chaloupka, F.J., “The Economics of Global Tobacco Control,” British Medical Journal 2000; 321: 358-61.

 

 

178.  Evidence from countries at all income levels shows that price increases on cigarettes are highly effective in reducing demand.  Higher taxes induce some smokers to quit and deter others from starting.  They also reduce the number of ex-smokers who return to cigarettes and reduce consumption among continuing smokers.  On average, a price rise of 10 percent on a pack of cigarettes would be expected to reduce demand for cigarettes in the short term by about 4 percent in high-income countries and by about 8 percent in low-and middle-income countries, where lower incomes tend to make people more responsive to price changes.  Long-run price responsiveness is estimated to be twice as high.  Tax increases that would raise the real price of cigarettes by 10 percent worldwide would cause at least 40 million smokers alive in 1995 to quit, thus preventing a minimum of 10 million tobacco-related deaths.  The modeling assumptions on which this result is based are deliberately conservative, and these figures are therefore minimum estimates. (p.5 of internet version)

Jha, P., de Beyer, J., Heller, P.S.  “Tobacco Control - Death and Taxes: Economics of Tobacco Control,” Finance and Development 1999; 36(4), downloaded August 21, 2000, http://www.img.org/external/pubs/ft/fandd/1999/12/jha.htm.

 

 

179.  At 1986 values the estimated price elasticity of per capita demand is –0.562.  This figure is towards the upper end of estimates from previous studies. . . .  However these studies are based on samples which do not include the years 1981 to 1986, a period which, as a result of large tax increases, has seen an unusual degree of volatility in cigarette prices. 

. . .

On the basis of these estimates, it appears that participation may be less sensitive to price changes than smokers’ demand, with an estimated elasticity of participation of –0.192 and of demand of –0.370.  In other words a 10 percent increases in the price of cigarettes would be expected to reduce per capita demand by around 5.6 percent, and of this 1.9 percent would be a reduction in participation while 3.7 percent would be due to the fall in smokers’ demand.  (pp.138-139)

Jones, A., “The UK Demand for Cigarettes 1954-1986, A Double-Hurdle Approach,”  Journal of Health Economics 1989;8:133-141.

 

 

180.  To give some idea of the orders of magnitude involved, with a price elasticity of –0.18, a 10p increase in duty fully passed on to the consumer would reduce consumption by 1.8%, or by 2.5 cigarettes per week for a smoker on 20-a-day.  Even on the higher official estimate the reduction in consumption would be around 4.%, or 6 cigarettes per week. (p.1231)

Jones, A., Posnett, J., “The Revenue and Welfare Effects of Cigarette Taxes,”  Applied Economics 1988;20:1223-1232.

 

 

181.  Conclusions

It is clear from existing studies, that price has a significant impact on the consumption of tobacco products, in particular amongst young people.

A coherent tobacco price policy which would ensure a programme of regular price increases (superior to the rate of inflation), should therefore be a major component of any tobacco control policy. (p.7)

Joossens, L., Naett, C., Howie, C. “Taxes on Tobacco Products: A Health Issue” Brussels:  European Bureau for Action on Smoking Prevention, December 1992. 

 

 

182.  Results. In California, a $0.50 tax increase and price elasticity of –0.40 would result in about 8389 QALYs [quality adjusted life years] (95% confidence interval [CI]=4629, 12113) saved the first year.  Greater benefits would accrue each year until a steady state was reached after 75 years, when 52136 QALYs (95% CI=38297, 66262) would accrue each year.  Higher taxes would produce even greater health benefits.

Conclusions. A tobacco excise tax may be among a few policy options that will enhance a population’s health status while making revenues available to government.(p.239)

Kaplan, R.M., Ake, C.F., Emery, S.L., Navarro, A.M. “Simulated Effect of Tobacco Tax Variation on Population Health in California” American Journal of Public Health 2001; 91(2): 239-244.

 

 

183.  This work analyses the effects of prices, taxes, income, and anti-smoking regulations on the consumption of cigarettes (a 25-cent-per-pack state increase in 1989 enhances the usefulness of the exercise).  Analysis is based on monthly time-series data for 1980 through 1990.  Results show a price elasticity of demand for cigarettes in the short run of –0.3 to –0.5 at mean data values, and -0.5 to -0.6 in the long run.  We find at least some support for two further hypotheses: that antismoking regulations reduce cigarette consumption, and that consumers behave consistently with the model of rational addiction. (p.1)

Keeler, T.E., Hu, T.-W., Barnett, P.G., Manning, W.G.  “Taxation, Regulation, and Addiction: A Demand Function for Cigarettes Based on Time-Series Evidence,” Journal of Health Economics 1993; 12: 1-18.

 

 

184.  This study analyzes the interactive effects of oligopoly pricing, state taxation, and anti-smoking regulations on retail cigarette prices by state, using panel data for the 50 US states between 1960 and 1990.  The results indicate that cigarette producers do price-discriminate by state, though the effect is not large relative to the final retail price.  There are two further results: (1) state taxes are more than passed on – a 1-cent state tax increase results in a price increase of 1.11 cents, and (2) sellers offset state and local anti-smoking laws with lower prices, thereby blunting effects of the regulations. (p.499)

Keeler, T.E., Hu, T.-W., Barnett, P.G., Manning, W.G., Sung, H.  “Do Cigarette Producers Price-Discriminate by State?  An Empirical Analysis of Local Cigarette Pricing and Taxation,” Journal of Health Economics 1996; 15: 499-512.

 

 

185.  With these lessons in mind, the ACS [American Cancer Society] Tobacco Control Task Force favoured a tax initiative for three reasons.

(1) Economic analyses have documented price elasticity, that is, increasing the price of cigarettes led to decreased cigarette consumption (a sales drop of 0.75 packs per capita for each 1-cent increase in cigarette taxes).  Some studies indicate that teenagers are at least as cost sensitive as adults, and perhaps more so.

(2) The tax would generate more than $100 million dollars annually for a new Health Protection Fund to create statewide tobacco control programmes (including an anti-smoking media campaign and health education for schoolchildren).

(3) Over the years, the traditional state legislative process had rejected proposals to raise the cigarette excise tax.  In Massachusetts, stable excise taxes for almost a decade left room for upward movement. (p.221)

Koh, H.K.  “An Analysis of the Successful 1992 Massachusetts Tobacco Tax Initiative,” Tobacco Control 1996; 5: 220-225.

 

 

186.  A cigarette tax is different because it helps almost everyone.  A substantial cigarette tax would benefit not only the entire nation by helping to provide more accessible health care at a lower cost, but it would also benefit particular groups; smokers would benefit because it would help them to quit; nonsmokers would benefit because the air they breathe would have less harmful smoke; children would benefit because fewer kids would get hooked on cigarettes; and – if the tax is done right – even tobacco farmers could benefit.  The only real losers would be the tobacco industry, which has made its profits by lying to the American people about the dangers of smoking. (p.3)

Koop, C.E. “A Tax That’s Good for You” World Smoking and Health 1994; 19(1): 3.

 

 

187.  It’s well-known that though price hikes can reduce cigarette use, the impact is less than proportionate:  Economists say the price elasticity of demand is about 0.4, which means a 10% rise in the real price of smokers induces a 4% drop in consumption.

. . .

In the early 1980s, Canada’s federal and provincial governments launched an assault on smoking with outsize tax increases that boosted retail prices by 152% in real terms from 1982 to 1992.

The results were gratifying:  In that 10-year period, as cigarette-tax revenues nationwide nearly quadrupled, per capita consumption fell precipitously- 38% overall and nearly 60% among teenagers.

Koretz, G.  “Big U.S. Tax Hike Should Hasten Smoking’s Decline. . .and Might Stiffen Canadian Puffers’ Resolve to Quit, Too” Business Week, May 30, 1994, p.26.

 

 

188.  In 1989, we had success not only with the federal government but with many provincial governments.  The net result is that there will be about 8% fewer smokers in Canada than would otherwise have been the case.  This represents about 400,000 fewer people smoking and will eventually translate into about 100,000 fewer tobacco-related deaths.

The project cost is less than one dollar per tobacco-related death prevented.  In numbers of future cancer cases alone, this is clearly a breakthrough in prevention. (p.15)

Kyle, K. “Tax Increases Make Good Preventive Medicine” World Smoking and Health 1990; 15(3): 14-16.

 

 

189.  This paper has investigated the relative ability of two anti-smoking policies, taxes and regulation, in inducing cigarette demand reductions and in providing incentives to stop smoking (or not to start to).  The analysis was based on Canadian data at the provincial level for the period 1980-1995.  Our results showed that cigarette demand responds to taxes (elasticity of –0.28), but not to regulation, while the converse is true for the proportion of smokers in the population.  This suggests that both policies are acting in a complementary fashion to influence the incidence of smoking.  (p.88)

Lanoie, P., Leclair, P.  “Taxation or Regulation:  Looking for a Good Anti-Smoking Policy,” Economic Letters 1998; 58: 85-89.

 

 

190.  Price on these results appears to be the most powerful variable which governments can influence.  The long-run price elasticity of –0.41 is close to the elasticities reported from many annual studies and means that when price rises 10 percent, sales fall by 4 percent, other factors being equal. (pp.10-11)

Laugesen, M., Meads, C.  “Advertising, Price, Income and Publicity Effects on Weekly Sales in New Zealand Supermarkets,” Wellington, New Zealand. 1990.

 

 

191.  Newspaper publicity about smoking and real cigarette price were negatively associated, and real disposable income positively associated with the amount smoked by those 25 and over. (p. 775)

Laugesen, M., Meads, C., “Cigarette Advertising, Price, Income, Publicity and Smoking Prevalence in Youth Versus Older Age Groups, New Zealand, 1982-89,” In: Durston, B., Jamrozik, K., eds.  Tobacco & Health 1990: The Global War.  Proceedings of the Seventh World Conference on Tobacco and Health. 1st-5th April 1990, Perth, Western Australia, Australia. 1990. pp.775-777.

 

 

192.  The central point emerging from this study is that both Federal and State governments can use the price variable as a control measure for reducing cigarette consumption.  With an estimated price elasticity of -.81, cigarette demand is sufficiently elastic to respond to sharp price increases.  For example, if the average price of cigarettes is increased by 20 per cent, per capita consumption will decline by approximately 41 packs - a significant response by any standard. (p.33)

Laughhunn, D.J., Lyon, H.L., “The Feasibility of Tax Induced Price Increases as a Deterrent to Cigarette Consumption,”  Journal of Business Administration 1971;3(1):27-35.

 

 

193.  Tobacco taxes are a key policy tool in government strategies to reduce the demand for tobacco products.  (p.600)

LeClair, K., “Taxing Tobacco: Canada’s Recent Experience,” In:  American Cancer Society, American Medical Association, The Robert Wood Johnson Foundation.  11th World Conference on Tobacco OR Health.  Promoting a Future Without Tobacco.  Abstracts. Vol. 3.   August, 6-11, 2000.  Chicago, Illinois, USA, p.600.

 

 

194.  The price elasticity works out at –0.8, i.e. an increase in the (nominal) cigarette price of one percent leads to an 0.8 p. cent reduction in consumption and vice versa, other things being equal. (pp.360-361)

. . .

Conclusions

Our study suggests that cigarette consumption can effectively be influenced by tobacco tax and, above all, by anti-smoking campaigns. (p.361)

Leu, R. “The Effects of Cigarette Price and Anti-Smoking Publicity on Cigarette Consumption in Switzerland” Revue d’Épidemiologie et de Santé Publique 1979; 27: 359-362.

 

 

195.  Results. The model predicts that sustained tax increases have the potential to substantially reduce the number of smokers and the number of premature deaths, with the effects growing over time.  Indexing taxes to inflation stems erosion of the tax effect.

Conclusions. Tax hikes have the ability to substantially affect smoking rates in the near term.  These effects grow over time and lead to substantial savings in lives and health care costs. (p.279)

Levy, D.T., Cummings, K.M., Hyland, A. “Increasing Taxes as a Strategy to Reduce Cigarette Use and Deaths: Results of a Simulation Model” Preventive Medicine 2000; 31: 279-286.

 

 

196.  A primary benefit of tobacco taxes is that their administrative cost is low relative to the revenues they generate.  They are easy to collect because during manufacturing most tobacco passes through a limited number of physical locations.

. . .

However, in more developed countries it appears that teenagers seen to be most sensitive to a rise in price of tobacco products.  This sensitivity is probably due to the fact that teenagers are not usually habitual smokers and that they generally have less disposable income than older smokers. Accordingly, it is possible that price elasticities in developing countries where income is low and there are fewer established smokers would be better approximated by the estimates for teenagers rather than those for adults in developed countries. (p.787)

Lewit, E.M., “Economics of Tobacco in Developing Countries: Telling It Like It Is,” In: Durston, B., Jamrozik, K., eds.  Tobacco & Health 1990: The Global War.  Proceedings of the Seventh World Conference on Tobacco and Health. 1st-5th April 1990, Perth, Western Australia, Australia.  1990. pp.785-787.

 

 

197.  An estimated 100,000 additional persons may live to the age of 65 as a result of doubling the Federal cigarette tax in 1983. (p.1217)

. . .

Since excise taxes will tend to increase the price of cigarettes, fluctuations in excise tax rates should influence the demand for cigarettes and excise taxes increases should reduce smoking.  . . . Numerous attempts have been made over the years to measure the price elasticity of demand for cigarettes, with estimates ranging from –0.4 to –1.3.  Miller (1982) suggested that –0.7 was the midpoint of recent studies and noted that the Tobacco Institute used that figure for its analyses of cigarette tax effects.  (p.1221)

. . .

In addition, the Omnibus Budget Reconciliation Act of 1985 imposed taxes of $0.24 per pound on snuff and $0.08 per pound on chewing tobacco.  States als