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Taxation of tobacco, alcohol, and sugar-sweetened beverages: reviewing the evidence and dispelling the myths
Indexado
WoS WOS:001084261700003
Scopus SCOPUS_ID:85175351165
DOI 10.1136/BMJGH-2023-011866
Año 2023
Tipo revisión

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



The article reviews the large body of evidence on how taxation affects the consumption of tobacco, alcohol, and sugar-sweetened beverages (SSB). There is abundant evidence that demand for tobacco, alcohol, and SSB is price-responsive and that tax changes are quickly passed on to consumers. This suggests that taxes can be highly effective in changing consumption and reducing the burden of diseases associated with consuming these products. Tobacco, alcohol, and SSB industries oppose taxation on similar grounds, mostly on the regressivity of taxes since regressive taxes take a larger percentage of income from low income earners than from middle and high income earners; but also on the effects taxes might have on employment and economic activity; and, in the case of tobacco, the effects taxation has on illicit trade. Contrary to industry arguments, evidence shows that taxation may have short-term negative financial consequences for low-income households. However, medium and long-term financial benefits from reduced healthcare costs, better health, and welfare largely compensate for such consequences. Moreover, taxation does not negatively affect aggregate economic activity or employment, as consumers switch demand to other products that generate employment and may compensate for any employment loss in taxed sectors. Evidence also shows the revenues generated are generally spent on labour-intensive services. In the case of illicit trade in tobacco, evidence shows that illicit trade has not increased globally (rather the opposite) despite increases in tobacco taxes. Profit-maximising smugglers increase illicit cigarette prices along with the increases in licit cigarette prices. This implies that even when increased taxes divert some demand to the illicit market, they push prices up in the illicit market, discouraging consumption.

Revista



Revista ISSN
Bmj Global Health 2059-7908

Métricas Externas



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Disciplinas de Investigación



WOS
Public, Environmental & Occupational Health
Scopus
Public Health, Environmental And Occupational Health
Health Policy
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 PARAJE-PISONI, GUILLERMO Hombre Universidad Adolfo Ibáñez - Chile
Núcleo Milenio para la Evaluación y Análisis de políticas de Drogas - Chile
2 Jha, Prabhat - Saint Michael's Hospital University of Toronto - Canadá
UNIV TORONTO - Canadá
St. Michael's Hospital, Toronto - Canadá
3 Savedoff, William - Social Insight - Estados Unidos
4 Fuchs, Alan - The World Bank, USA - Estados Unidos
World Bank - Estados Unidos

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Financiamiento



Fuente
Bloomberg Philanthropies
World Bank Group
International Development Research Centre
Millenium Nucleus for the Evaluation and Analysis of Drug Policies
The authors thank the valuable inputs from Jeremy Veillard, Kate Mandeville, Ceren Ozer, Danielle Bloom, Hana Ross, Owen Smith, Corne van Walbeek, Patrick Petit and Paul Isenman. The authors thank the useful research assistance of Daniel Araya. The usual d

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Agradecimientos



Agradecimiento
GP acknowledges funding from Millenium Nucleus for the Evaluation and Analysis of Drug Policies (nDP), the International Development Research Centre (Grant 108442-001), the World Bank’s Healthy Longevity Initiative, and Bloomberg Philanthropies (Grant 2022-110829). PJ acknowledges support from the World Bank’s Healthy Longevity Initiative.
The authors thank the valuable inputs from Jeremy Veillard, Kate Mandeville, Ceren Ozer, Danielle Bloom, Hana Ross, Owen Smith, Corne van Walbeek, Patrick Petit and Paul Isenman. The authors thank the useful research assistance of Daniel Araya. The usual disclaim applies.

Muestra la fuente de financiamiento declarada en la publicación.