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1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum, Jamaica Pegasus Hotel, 15 April 2005 Corne van Walbeek, University of Cape Town, South

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Page 1: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

1

The economics of tobacco control in Jamaica:

Will the pursuit of public health place a fiscal burden on the government?

Presentation to the Public Forum, Jamaica Pegasus Hotel, 15 April 2005

Corne van Walbeek,

University of Cape Town, South Africa

Page 2: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

2

Policy tools to curb tobacco use

• Supply-side tools– Discourage production of raw tobacco – Youth access control– Smuggling control

• Demand-side tools– Increased excise taxes– Advertising restrictions– Clean indoor air policies– Health warnings on packaging– Content disclosure– Greater health awareness

Page 3: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Increased excise taxes

• Despite addictiveness, demand for cigarettes responds to price changes

• Price elasticity of demand – Developed countries: around -0.4– Developing countries: between -0.4 and -0.8

• Increased excise taxes → increased price

• Real price is important

Page 4: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Per capita cigarette consumption and cigarette prices in Jamaica

500

600

700

800

900

1000

1100

1200

1300

1400

1500

30 35 40 45 50 55 60 65 70

Real price of cigarettes (J$, constant 1995 prices)

Pe

r c

ap

ita

cig

are

tte

co

ns

um

pti

on

Page 5: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Aggregate cigarette consumption and real cigarette prices in South Africa

0

200

400

600

800

1000

19

60

19

64

19

68

19

72

19

76

19

80

19

84

19

88

19

92

19

96

20

00

20

04

Re

al

pri

ce

pe

r p

ac

k o

f 2

0

( in

co

ns

tan

t 2

00

0 c

en

ts)

0200

4006008001000

120014001600

18002000

Cig

are

tte

co

ns

um

pti

on

(m

illi

on

s o

f p

ac

ks

)

Real price of cigarettes Consumption of cigarettes

Page 6: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Advertising restrictions

• Industry position“Cigarettes are in mature phase of product life cycle. We advertise to smoking adults to encourage them to switch to our products. We don’t target non-smokers and youth…”

• Tobacco control position– Advertising enhances social acceptability of smoking

– Advertising is inherently misleading: it glamorises a potentially deadly habit

– If advertising was so ineffective, why do monopolists advertise so aggressively?

Page 7: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Advertising restrictions (cont.)

• The global empirical evidence– Econometric evidence not conclusive either way– Partial bans are less effective than total bans– Effect of total advertising ban: about 5 % reduction in

consumption

• The Jamaican experience– Cigarettes are advertised less than in most other

countries– Local peculiarity that most cigarettes are sold as

single sticks– Impact of advertising ban is likely to be limited

Page 8: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Clean indoor air policies

• Rationale: protecting non-smokers from ETS

• Industry is strongly opposed to this policy– “Cater for the needs of both smokers and non-smokers”

• Little published empirical evidence on its impact on cigarette consumption

• Main benefits:– Denormalises smoking– Transfers property rights to non-smokers

Page 9: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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The price-consumption relationship in Jamaica

0

50

100

150

200

2501

97

4

19

77

19

80

19

83

19

86

19

89

19

92

19

95

19

98

20

01

20

04

Off

icia

l p

ric

e o

f 1

00

cig

are

tte

s (

J$

, c

on

sta

nt

19

95

pri

ce

s)

0

400

800

1200

1600

2000

Co

ns

um

pti

on

of

cig

are

tte

s (

mil

lio

ns

of

sti

ck

s)

Official price of 100 cigarettes (J$, constant 1995 prices)

Consumption of cigarettes (millions of sticks)

Page 10: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Current taxation structure on Jamaican

cigarettes (per 100 cigarettes)

Before tax adjustments

After tax adjustments

Base value 375.00 375.00

SGT (specific) 128.61 192.00

SGT (ad valorem) 48.92 0.00

Subtotal 1 552.53 567.00

Excise tax (23%) 127.08 130.41

Subtotal 2 679.61 697.41

GCT (15 %/16.5 %) 101.94 115.07

Tax inclusive price 781.56 812.48

Tax amount 406.56 437.48

Tax burden (Tax/Tax-inclusive price) 52.0 53.9

Page 11: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Estimating the demand for cigarettes in Jamaica

• The focus is on the magnitude of price elasticity of demand (εp)

• With current data εp cannot be accurately estimated BUT it is statistically significant in practically all specifications

• Demand for cigarettes is price inelastic

• Implication: A price increase results in a less than proportional decrease in quantity consumed

Page 12: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Increasing the excise tax on cigarettes

• Price elasticity of demand has major impact on effectiveness of excise tax to (1) reduce cigarette consumption

(2) raise government revenue

• Assumptions:– 2003 base for cigarette price and consumption– Real industry price does not change because of tax

increase– 10 per cent increase in real excise tax

Page 13: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Impact of a 10 per cent increase in cigarette tax, given different price elasticities of demand

Price elasticity % change in consumption % change in government revenue

0.0 0.00 10.00

-0.1 -0.52 9.43

-0.2 -1.04 8.86

-0.3 -1.56 8.28

-0.4 -2.08 7.71

-0.5 -2.60 7.14

-0.6 -3.12 6.57

-0.7 -3.64 6.00

-0.8 -4.16 5.42

-0.9 -4.68 4.85

-1.0 -5.20 4.28

-1.1 -5.72 3.71

-1.2 -6.24 3.14

-1.3 -6.76 2.56

Page 14: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Implications

• For any reasonable value for εp, an increase in the excise tax results in– a decrease in cigarette consumption– an increase in government revenue

• There is no “trade-off” between the interests of the Ministry of Health and the Ministry of Finance

• At current tax levels, there is significant room for increasing the excise tax on cigarettes

Page 15: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Is there a ceiling for the tax rate?

• International perspective– Minimum EU tax incidence: 57 % of retail price– UK and Scandinavia: more than 75 %– South Africa: 50 % (from 32 % in 1993)

• Impact of raising tax to 57 % of retail price (assuming real industry price unchanged and εp = -0.5):– Real tax per pack increases by 22 %– Real price increases by 12 %– Consumption decreases by 6 %– Real government revenue increases by 15 %

Page 16: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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The potential to increase taxes on cigarettes in Jamaica (with εp =-0.5)

-30

-20

-10

0

10

20

30

40

50

60

45

47

49

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53

55

57

59

61

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65

67

69

71

73

75

77

79

Total tax burden on cigarettes (tax as percentage of average retail price)

Pe

rce

nta

ge

ch

an

ge

in

go

ve

rnm

en

t re

ve

nu

e

fro

m 2

00

4 l

ev

els

Impact of yesterday’s tax increase

The starting point

Minimum EU tax

Page 17: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Conclusion

• Tobacco control is an important public health concern

• The best tobacco control tool is an increase in the excise tax

• For both Ministries of Health and Finance it is a WIN-WIN strategy

• The benefits of a tobacco control strategy are real and tangible

Page 18: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Back-up slides

Page 19: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Real excise tax and real excise revenue in South Africa

0

50

100

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300

350

19

61

19

65

19

69

19

73

19

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19

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19

93

19

97

20

01

Re

al e

xc

ise

ra

te

(in

co

ns

tan

t 2

00

0 c

en

ts)

0

1000

2000

3000

4000

5000

Re

al e

xc

ise

re

ve

nu

e

(R m

illio

n,

20

00

pri

ce

s)

Real excise rate Real excise revenue

Page 20: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Industry response to the rapid excise tax increases in South Africa

0

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1000

19

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20

01

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03

Ce

nts

/pac

k (c

on

stan

t 20

00 p

rice

s)

Industry price Excise tax Sales tax (GST/VAT)

Page 21: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Cigarette consumption, excise tax revenue and industry revenue in South Africa

0

1000

2000

3000

4000

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6000

70001

96

1

19

64

19

67

19

70

19

73

19

76

19

79

19

82

19

85

19

88

19

91

19

94

19

97

20

00

20

03

R m

illio

n, c

on

sta

nt

20

00

p

ric

es

0

500

1000

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2000

Cig

are

tte

co

ns

um

pti

on

(m

illio

ns

of

pa

ck

s)

Real government excise revenue (R million, constant 2000 prices)

Real Industry revenue (R million, constant 2000 prices)

Consumption of cigarettes (million packs)

Page 22: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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The latest increase in recommended price of pack of Craven “A”

• Previous recommended retail price = J$ 180

• New recommended retail price = J$ 220

• Increase = J$ 40

• Tax increases per pack– SCT: J$ 13.04 – Excise tax: J$ 3.00– GCT: J$ 2.41– GCT (increased rate) J$ 2.09– Total tax increase: J$ 20.54

• Increase in profits per pack: J$ 19.46

Page 23: 1 The economics of tobacco control in Jamaica: Will the pursuit of public health place a fiscal burden on the government? Presentation to the Public Forum,

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Cigarettes’ burden on the expenditure patterns of households• Per capita consumption of cigarettes = 502 cigarettes

per year (2003 figures)

• Of every six adults, one smoked and five did not

• Average consumption of smokers = 3016 cigarettes per year

• Average expenditure on cigarettes = J$ 30 000 per smoker

• Per capita GDP = J$ 210 000 for adults (approx.) in 2003

• On average, smokers spent 14.3 per cent of their gross income on cigarettes