Literature DB >> 29404381

Tobacco Regulation and Cost-Benefit Analysis: How Should We Value Foregone Consumer Surplus?

Helen G Levy1, Edward C Norton2, Jeffrey A Smith3.   

Abstract

Recent tobacco regulations proposed by the Food and Drug Administration have raised a thorny question: how should the cost-benefit analysis accompanying such policies value foregone consumer surplus associated with regulation-induced reductions in smoking? In a model with rational and fully informed consumers, this question is straightforward. There is disagreement, however, about whether consumers are rational and fully informed, and the literature offers little practical guidance about what approach the FDA should use if they are not. In this paper, we outline the history of the FDA's recent attempts to regulate cigarettes and other tobacco products and how they have valued foregone consumer surplus in cost-benefit analyses. We advocate replacing the approach used in most of this literature, which first calculates health gains associated with regulation and then "offsets" them by some factor reflecting consumer surplus losses, with a more general behavioral public finance framework for welfare analysis. This framework applies standard tools of welfare analysis to consumer demand that may be "biased" (that is, not necessarily rational and fully informed) without requiring specific assumptions about the reason for the bias. This framework would require estimates of both biased and unbiased consumer demand; we sketch an agenda to help develop these in the context of smoking. The use of this framework would substantially reduce the confusion currently surrounding welfare analysis of tobacco regulation.

Entities:  

Year:  2018        PMID: 29404381      PMCID: PMC5796550          DOI: 10.1162/ajhe_a_00091

Source DB:  PubMed          Journal:  Am J Health Econ        ISSN: 2332-3493


  18 in total

1.  The economic impacts of the tobacco settlement.

Authors:  David M Cutler; Jonathan Gruber; Raymond S Hartman; Mary Beth Landrum; Joseph P Newhouse; Meredith B Rosenthal
Journal:  J Policy Anal Manage       Date:  2002

2.  An economic theory of cigarette addiction.

Authors:  S M Suranovic; R S Goldfarb; T C Leonard
Journal:  J Health Econ       Date:  1999-01       Impact factor: 3.883

3.  Clinical Significance of Symptoms in Smokers with Preserved Pulmonary Function.

Authors:  Prescott G Woodruff; R Graham Barr; Eugene Bleecker; Stephanie A Christenson; David Couper; Jeffrey L Curtis; Natalia A Gouskova; Nadia N Hansel; Eric A Hoffman; Richard E Kanner; Eric Kleerup; Stephen C Lazarus; Fernando J Martinez; Robert Paine; Stephen Rennard; Donald P Tashkin; MeiLan K Han
Journal:  N Engl J Med       Date:  2016-05-12       Impact factor: 91.245

4.  FDA's toothless tiger and its "lost pleasure" analysis.

Authors:  Ruth E Malone
Journal:  Tob Control       Date:  2015-03       Impact factor: 7.552

5.  The effect of graphic cigarette warning labels on smoking behavior: evidence from the Canadian experience.

Authors:  Sunday Azagba; Mesbah F Sharaf
Journal:  Nicotine Tob Res       Date:  2012-09-18       Impact factor: 4.244

6.  Estimating the benefits of public health policies that reduce harmful consumption.

Authors:  Elizabeth M Ashley; Clark Nardinelli; Rosemarie A Lavaty
Journal:  Health Econ       Date:  2014-02-25       Impact factor: 3.046

Review 7.  Economic Approaches to Estimating Benefits of Regulations Affecting Addictive Goods.

Authors:  David M Cutler; Amber I Jessup; Donald S Kenkel; Martha A Starr
Journal:  Am J Prev Med       Date:  2016-05       Impact factor: 5.043

8.  Clinical and Radiologic Disease in Smokers With Normal Spirometry.

Authors:  Elizabeth A Regan; David A Lynch; Douglas Curran-Everett; Jeffrey L Curtis; John H M Austin; Philippe A Grenier; Hans-Ulrich Kauczor; William C Bailey; Dawn L DeMeo; Richard H Casaburi; Paul Friedman; Edwin J R Van Beek; John E Hokanson; Russell P Bowler; Terri H Beaty; George R Washko; MeiLan K Han; Victor Kim; Song Soo Kim; Kunihiro Yagihashi; Lacey Washington; Charlene E McEvoy; Clint Tanner; David M Mannino; Barry J Make; Edwin K Silverman; James D Crapo
Journal:  JAMA Intern Med       Date:  2015-09       Impact factor: 21.873

9.  Addiction as a market failure: using rational addiction results to justify tobacco regulation.

Authors:  F L Laux
Journal:  J Health Econ       Date:  2000-07       Impact factor: 3.883

10.  When health policy and empirical evidence collide: the case of cigarette package warning labels and economic consumer surplus.

Authors:  Anna V Song; Paul Brown; Stanton A Glantz
Journal:  Am J Public Health       Date:  2013-12-12       Impact factor: 11.561

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  3 in total

1.  Mostly harmless regulation? Electronic cigarettes, public policy, and consumer welfare.

Authors:  Donald S Kenkel; Sida Peng; Michael F Pesko; Hua Wang
Journal:  Health Econ       Date:  2020-08-11       Impact factor: 3.046

2.  How increasing medical access to opioids contributes to the opioid epidemic: Evidence from Medicare Part D.

Authors:  David Powell; Rosalie Liccardo Pacula; Erin Taylor
Journal:  J Health Econ       Date:  2020-03-04       Impact factor: 3.883

3.  Shock and awe or incentive-compatible harm reduction? Graphic health warnings on tobacco packages.

Authors:  Ian Irvine; Hai V Nguyen
Journal:  Harm Reduct J       Date:  2021-04-16
  3 in total

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