Doran C M, Sanson-Fisher R W, Gordon M
New South Wales Cancer Council Cancer Education Research Program, Newcastle.
Aust N Z J Public Health. 1996 Dec;20(6):607-11. doi: 10.1111/j.1467-842x.1996.tb01074.x.
The aim of this paper was to compare the benefit and costs of cigarette smoking from the government's perspective during a one-year period. This was undertaken by estimating, among other things, the publicly financed health care expenditure attributable to smoking and comparing it with tobacco taxes paid by smokers. This comparison of benefits and costs may provide a yardstick from which to measure the relative worth (in financial terms) an average smoker is to the government, an assessment that may be important when assessing health priorities and any level of commitment to reducing smoking rates. It is estimated that in 1989-90 an average smoker cost the government $203.57, while benefits received totalled an average of $620.56 in the same year. If the government were serious about addressing cigarette smoking as a primary health objective its efforts would portray this. The results of this analysis suggest that the objective of raising revenue from smoking is more of a priority than reducing smoking rates.
本文的目的是从政府角度比较一年内吸烟的收益与成本。为此进行了一系列估算,包括归因于吸烟的公共财政医疗支出,并将其与吸烟者缴纳的烟草税进行比较。这种收益与成本的比较可能提供一个衡量标准,据此可以从财务角度评估普通吸烟者对政府的相对价值,这一评估在确定卫生工作重点以及对降低吸烟率的任何投入水平时可能很重要。据估计,在1989 - 1990年期间,一名普通吸烟者给政府造成的成本为203.57美元,而同年获得的收益总计平均为620.56美元。如果政府认真将解决吸烟问题作为首要卫生目标,其行动就会体现这一点。该分析结果表明,从吸烟获取收入的目标比降低吸烟率更具优先性。