Richardson J, Crowley S
National Centre for Health Program Evaluation, Fairfield, Australia.
Health Econ. 1994 Mar-Apr;3(2):73-87. doi: 10.1002/hec.4730030204.
This paper considers alternative approaches to the evaluation of the total cost of alcohol consumption in Australia. It calculates the impact of alternative tax rates on beer, wine and spirits separately and the 'consumption cost' of these taxes in terms of the distortion caused to consumption patterns. Two separate analyses are carried out. First optimal taxation is calculated which minimises the total loss from the 'consumption cost' of taxation plus the external cost of alcohol consumption. Secondly, the benefits of life are separated from other benefits and the impact of tax expressed in terms of the cost per life year gained. Conceptualised in this way, the results of this 'tax' program may be expressed in the same way as other health programs, namely as a net cost per life year gained. Alcohol taxation may then be compared with other life saving interventions. The chief conclusion reached is that in Australia there is a very compelling case for a new tax base and for a very significant increase in the rate of alcohol taxation.
本文探讨了评估澳大利亚酒精消费总成本的替代方法。分别计算了不同税率对啤酒、葡萄酒和烈酒的影响,以及这些税收在消费模式扭曲方面的“消费成本”。进行了两项独立分析。首先,计算最优税收,以使税收的“消费成本”加上酒精消费的外部成本的总损失最小化。其次,将生命的益处与其他益处区分开来,并以每获得一个生命年的成本来表示税收的影响。以这种方式概念化后,这个“税收”项目的结果可以与其他健康项目以相同方式表示,即每获得一个生命年的净成本。然后可以将酒精税与其他挽救生命的干预措施进行比较。得出的主要结论是,在澳大利亚,采用新的税基并大幅提高酒精税率是非常有说服力的。