Levy Helen G, Norton Edward C, Smith Jeffrey A
University of Michigan, Institute for Social Research, 426 Thompson St Ann Arbor MI 48104 (734) 936 - 4506.
University of Michigan, School of Public Health, 1415 Washington Heights, Ann Arbor MI 48109.
Am J Health Econ. 2018 Winter;4(1):1-25. doi: 10.1162/ajhe_a_00091. Epub 2018 Jan 23.
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.
美国食品药品监督管理局(FDA)近期提出的烟草法规引发了一个棘手的问题:此类政策所附带的成本效益分析应如何评估因法规导致吸烟减少而放弃的消费者剩余的价值?在一个消费者理性且信息完全的模型中,这个问题很简单。然而,对于消费者是否理性且信息完全存在分歧,并且文献中几乎没有关于如果消费者并非如此FDA应采用何种方法的实际指导。在本文中,我们概述了FDA近期对香烟及其他烟草产品进行监管的尝试历程,以及他们在成本效益分析中如何评估放弃的消费者剩余。我们主张用一个更通用的行为公共财政福利分析框架来取代该领域大多数文献所采用的方法,即先计算与监管相关的健康收益,然后通过某个反映消费者剩余损失的因素对其进行“抵消”。这个框架将福利分析的标准工具应用于可能存在“偏差”(即不一定理性且信息完全)的消费者需求,而无需对偏差的原因做出具体假设。这个框架需要对有偏差和无偏差的消费者需求进行估计;我们勾勒了一个议程,以帮助在吸烟的背景下进行这些估计。使用这个框架将大大减少目前围绕烟草监管福利分析的混乱局面。