Is Tobacco Taxation Regressive? Evidence on Public Health, Domestic Resource Mobilization, and Equity Improvements

Tobacco taxes are recognized as an effective policy tool to reduce tobacco consumption and improve health outcomes; however, policy makers often hesitate to use them because of their possible regressive effects. This report assesses the ability of...

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Main Authors: Fuchs, Alan, Marquez, Patricio V., Dutta, Sheila, Gonzalez Icaza, Fernanda
Format: Policy Note
Language:English
Published: World Bank, Washington, DC 2019
Subjects:
Online Access:http://documents.worldbank.org/curated/en/893811554737147697/Is-Tobacco-Taxation-Regressive-Evidence-on-Public-Health-Domestic-Resource-Mobilization-and-Equity-Improvements
http://hdl.handle.net/10986/31575
id okr-10986-31575
recordtype oai_dc
spelling okr-10986-315752021-05-25T09:23:00Z Is Tobacco Taxation Regressive? Evidence on Public Health, Domestic Resource Mobilization, and Equity Improvements Fuchs, Alan Marquez, Patricio V. Dutta, Sheila Gonzalez Icaza, Fernanda TOBACCO CONTROL TOBACCO TAX TAXATION EQUITY REVENUE MOBILIZATION PUBLIC HEALTH SIN TAX PRICE ELASTICITY TOBACCO CONSUMPTION COST BENEFIT ANALYSIS Tobacco taxes are recognized as an effective policy tool to reduce tobacco consumption and improve health outcomes; however, policy makers often hesitate to use them because of their possible regressive effects. This report assesses the ability of taxes on tobacco to improve future health and welfare outcomes, with a focus on their distributional impact and effects on the poor. In addition to adverse consequences on health and quality of life of smokers and their family members, tobacco-related illnesses cost billions of dollars in medical expenditures and losses in human capital and productivity, imposing heavy economic tolls on households and governments. Developing countries bear a high and increasing share of the economic burden of tobacco. However, traditional analyses often overlook the many economic benefits of reducing tobacco consumption. This report presents empirical findings using an extended cost benefit analysis (ECBA) methodology, to incorporate a more comprehensive view of the costs and benefits of increasing prices of tobacco on household welfare, and to assess their distributional impact by accounting for different consumer behaviors across income groups. Evidence for several countries shows that large price shocks on cigarettes can generate progressive and welfare-improving medium and long-term net impacts, that particularly improve welfare of lower-income households. Large shares of societies—and particularly the poor—can benefit from positive income gains by reducing tobacco-related medical expenses and avoiding premature deaths. Moreover, additional fiscal revenues generated may be used to further enhance measures to control tobacco and promote equity. Ultimately, the benefits and distributional impact of raising taxes on tobacco will depend on the ability of policy to understand and to leverage consumers' responses toward quitting tobacco, and to target comprehensive interventions to help the most vulnerable groups. 2019-04-23T16:57:47Z 2019-04-23T16:57:47Z 2019-04-01 Policy Note http://documents.worldbank.org/curated/en/893811554737147697/Is-Tobacco-Taxation-Regressive-Evidence-on-Public-Health-Domestic-Resource-Mobilization-and-Equity-Improvements http://hdl.handle.net/10986/31575 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work Economic & Sector Work :: Policy Notes Bangladesh Bosnia and Herzegovina Chile Indonesia Moldova Russian Federation South Africa Ukraine
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic TOBACCO CONTROL
TOBACCO TAX
TAXATION
EQUITY
REVENUE MOBILIZATION
PUBLIC HEALTH
SIN TAX
PRICE ELASTICITY
TOBACCO CONSUMPTION
COST BENEFIT ANALYSIS
spellingShingle TOBACCO CONTROL
TOBACCO TAX
TAXATION
EQUITY
REVENUE MOBILIZATION
PUBLIC HEALTH
SIN TAX
PRICE ELASTICITY
TOBACCO CONSUMPTION
COST BENEFIT ANALYSIS
Fuchs, Alan
Marquez, Patricio V.
Dutta, Sheila
Gonzalez Icaza, Fernanda
Is Tobacco Taxation Regressive? Evidence on Public Health, Domestic Resource Mobilization, and Equity Improvements
geographic_facet Bangladesh
Bosnia and Herzegovina
Chile
Indonesia
Moldova
Russian Federation
South Africa
Ukraine
description Tobacco taxes are recognized as an effective policy tool to reduce tobacco consumption and improve health outcomes; however, policy makers often hesitate to use them because of their possible regressive effects. This report assesses the ability of taxes on tobacco to improve future health and welfare outcomes, with a focus on their distributional impact and effects on the poor. In addition to adverse consequences on health and quality of life of smokers and their family members, tobacco-related illnesses cost billions of dollars in medical expenditures and losses in human capital and productivity, imposing heavy economic tolls on households and governments. Developing countries bear a high and increasing share of the economic burden of tobacco. However, traditional analyses often overlook the many economic benefits of reducing tobacco consumption. This report presents empirical findings using an extended cost benefit analysis (ECBA) methodology, to incorporate a more comprehensive view of the costs and benefits of increasing prices of tobacco on household welfare, and to assess their distributional impact by accounting for different consumer behaviors across income groups. Evidence for several countries shows that large price shocks on cigarettes can generate progressive and welfare-improving medium and long-term net impacts, that particularly improve welfare of lower-income households. Large shares of societies—and particularly the poor—can benefit from positive income gains by reducing tobacco-related medical expenses and avoiding premature deaths. Moreover, additional fiscal revenues generated may be used to further enhance measures to control tobacco and promote equity. Ultimately, the benefits and distributional impact of raising taxes on tobacco will depend on the ability of policy to understand and to leverage consumers' responses toward quitting tobacco, and to target comprehensive interventions to help the most vulnerable groups.
format Policy Note
author Fuchs, Alan
Marquez, Patricio V.
Dutta, Sheila
Gonzalez Icaza, Fernanda
author_facet Fuchs, Alan
Marquez, Patricio V.
Dutta, Sheila
Gonzalez Icaza, Fernanda
author_sort Fuchs, Alan
title Is Tobacco Taxation Regressive? Evidence on Public Health, Domestic Resource Mobilization, and Equity Improvements
title_short Is Tobacco Taxation Regressive? Evidence on Public Health, Domestic Resource Mobilization, and Equity Improvements
title_full Is Tobacco Taxation Regressive? Evidence on Public Health, Domestic Resource Mobilization, and Equity Improvements
title_fullStr Is Tobacco Taxation Regressive? Evidence on Public Health, Domestic Resource Mobilization, and Equity Improvements
title_full_unstemmed Is Tobacco Taxation Regressive? Evidence on Public Health, Domestic Resource Mobilization, and Equity Improvements
title_sort is tobacco taxation regressive? evidence on public health, domestic resource mobilization, and equity improvements
publisher World Bank, Washington, DC
publishDate 2019
url http://documents.worldbank.org/curated/en/893811554737147697/Is-Tobacco-Taxation-Regressive-Evidence-on-Public-Health-Domestic-Resource-Mobilization-and-Equity-Improvements
http://hdl.handle.net/10986/31575
_version_ 1764474640673013760