The federal government spends roughly $1 trillion on health care
programs each year, so it is easy to imagine that policies that
promote a healthier population could have a significant impact on
the federal budget. Such policies might include initiatives that
discourage smoking or excessive alcohol consumption, that promote
better eating habits and physical activity to reduce obesity, or
that encourage compliance with medical and dietary regimens for
chronic conditions such as diabetes. In this book, the
Congressional Budget Office (CBO) analyses a policy involving
smoking, a hypothetical increase of 50 cents per pack in the
federal excise tax on cigarettes and small cigars, to demonstrate
the complex links between policies that aim to improve health and
effects on the federal budget. The emphasis is on estimating the
budgetary effects that would result from improvements in the health
of the population stemming from the policy.
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