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Treasury has tried to put a price on the Government's anti-smoking campaign but admits it can't really be sure

Public Policy / news
Treasury has tried to put a price on the Government's anti-smoking campaign but admits it can't really be sure
cigarette

The cost of a cigarette is an easy calculation for the smoker to make - an early grave.  

But it is proving a drag for Treasury, which has been trying to work out how much it will cost the Government to stamp out this bad habit.

Treasury experts took a stab at the problem, and came up with a figure of about $800 million a year by 2027, but then admitted that they could not really be sure.  

The whole problem stems from the fact that tobacco is one of the most highly taxed products on the market. The Government made $1.886 billion from duty on tobacco in the most recent year of completed annual accounts. 

Since this money constitutes ill-gotten gains by any definition, successive governments have had no qualms about putting it at risk with health campaigns aimed at getting smokers to quit.

The problem has now intensified with the Government's latest campaign against tobacco. Not only are people born from 2009 banned from buying tobacco at all, but the number of retail outlets will be limited. In addition, lower nicotine levels will mean people who try tobacco are less likely to get hooked.  

If this campaign works, the numbers of smokers would plummet, and bring Crown income from excise tax crashing down in its wake. 

Treasury officials set out to quantify this, and predicted state revenue to fall from $1.886 billion in 2022 to $1.036 in 2027. There would be a graded drop-off in the intervening years. 

But then, Treasury took a second look at its own calculations, consulted overseas experience and promptly hedged its own conclusions. 

"A number of these interventions have been trialled extensively in other jurisdictions," Treasury says.

"There is incomplete international evidence to indicate to what degree these collective actions will impact smoked tobacco consumption." 

Despite this uncertainty, Treasury officials say the analysis is still worthwhile and will continue. 

The paper does not make clear why its own research would carry such a lack of clarity. It could be that determined smokers will go out of their way to get tobacco and put up with its lower quality, no matter what the Government says. They might also acquire smuggled or home-grown tobacco.  

Meanwhile, there is even less certainty about the impact of anti-smoking measures on superannuation costs.

On the face of it, it would seem certain that less smoking would mean more old people, which would mean higher pension costs. 

But a Treasury official says it will take decades before the impact of this becomes obvious.  

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20 Comments

The true cost of eliminating smoking will be massive. The average smoker dies at 65, so increasing our population of over 65s by getting rid of it comes with a large number of additional aged costs.

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An increase in obesity and its attendant metabolic disorders may counter that.

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And now that 'big is beautiful', can we tell people not to be fatties?

It's a toughie.

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This comment is spot on. The cost of metabolic diseases will far outweigh those of smoking.

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Do you have a reference for this figure? It sounds very low. 
 

NZ is now the 3rd ‘fattest’ nation on the planet after the USA and Mexico. Much of our appalling statistics are driven by Pasifica people who lead the incident rates of type 2 diabetes closely followed by Indian then Maori. The tsunami of chronic kidney disease is just hitting with renal dialysis units running at 100% and not enough kidney donors. T2D alone will cripple our health system. Tobacco is a sideshow to this issue.

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Yes, the medical profession have not been shy about coming forward with this T2D crisis warning - but so far, no policy modelling done on it to inform the population just how bad this future is looking for our health system.  I think the Labour government relaxed the rules on bariatric surgery to make it easier for young adults with morbid obesity to get that surgery (effectively a dialysis prevention measure) - but that initiative needs to be expanded and with a health PR campaign to accompany it.

Obesity is a chronic condition and many, many people have a predisposition to it.

Sugar tax is another way to deal with it (just like tobacco tax) but not a single political party that I know of is considering that.

We could prohibit the sale of fizzy drinks in supermarkets tomorrow if only someone would take this seriously.

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bariatric surgery

That seems consistent with level of thinking that's leads to us putting people up in Motels.  Does surgery improve their T2D health if the diet doesn't move away from carbs/sugar?

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I think it's extremely difficult to return to your original diet after bariatric surgery. I know there's a moralistic barrier to helping people who have 'done it to themselves' or whatever, but I suspect the societal benefits of offering the surgery more widely will be enormous. I know people who have had dramatic changes in body shape and general health following this surgery. 

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Cheers mfd, I don't know anyone that's had it.

I was thinking in terms of you could still drink a lot of fizz and eat a lot of mars bars that might keep T2D on the table.  But losing the weight would always help in other ways for sure.

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I know of one person who had it and has been very successful for a few years so far. I also know through family of another who had ti and worked for maybe a decade before they balooned out again. It treats the physical side of things but not the root psychological cause of the eating in the 1st place.

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Get out there and do your bit for the economy!

"Smokers, drinkers and those who are obese actually provide a net benefit to the public finances, so vilifying them is futile in the quest to make savings for the NHS.

...The free market Institute of Economic Affairs (IEA) calculated the cost of smoking at £4.6 billion, including treating diseases, tidying up dropped cigarette butts and putting out house fires.

But tobacco duties brought in £9.5 billion a year and the Government saves £9.8 billion in pension, healthcare and other benefit payments because of the premature deaths of smokers. "

https://www.telegraph.co.uk/news/2017/08/06/smokers-good-economy-think-…

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So what you're saying is that instead of offering free dental care to under 30s, Chippy should be handing out free packs of Marlboros (red, of course) to benefit the nation? 

I'm not qualified enough to comment on the arguments for/against the war on tobacco, but what I will say is that the now-preferred vaping must surely be the least cool activity in all of human history and Humphrey Bogart would not have looked so suave in Casablanca puffing away on a peach pineapple vape. 

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Yeah, I read a NZ Treasury paper some years ago (I think it was three years after the National Government started raising excise taxes 10% per annum due to an agreement with Te Pāti Māori).  Excise taxes collected had already exceeded health care cost-recovery at that stage.  It's been 'profit' all the way since then.

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Prohibition has never successfully eliminated any product or stopped its consumption. It just creates opportunities for black-marketeers to earn windfall profits. 
 

The ‘war’ on tobacco is just another chapter of the endless and idiotic ‘war on drugs’. 

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Smoking, in general, is associated with lower socioeconomic status. https://pubmed.ncbi.nlm.nih.gov/15755781/

I'm convinced that tobacco price elasticity is proportional to socioeconomic status, but I can't prove it. Anecdotally, how many smokers do you now see at La Fourchette in St Heliers, vs anywhere in Papatoetoe?

It's not hard to figure out what happens when you take 1.8 billion dollars per year from the most economically disadvantaged in society.   The unintended consequences will be costing the country multiples of 1.8 billion.  There's a very good reason why Tobacco is 1/10th as expensive in Germany.  They actually think about the consequences of tax policy.

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Yup, and it was Te Pāti Māori who effectively did this to their own people. Misplaced enthusiasm for other people's health!

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I'm confused about your position Kate. You seem to be in favour of a sugar tax above, but not in favour of a tobacco tax?

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It's not a dichotomy.  It's about size of the tax, and the tax's benefit to harm ratio.    

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Had bariatric surgery 14 yeas ago 149kg to 90kg been that weight ever since was badly type 2 diabetic with blood levels 17 (should be 4-8) next day down to 6 never fluctuated since,69 still working productively and planned to carry on.$30,000 was cheap.

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Congrats Frank, that’s a positive outcome! Glad to hear things are going well for you 🙂

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