States have banned smoking in workplaces, restaurants, and bars.
They have increased tobacco tax rates, extended "clean air" laws,
and mounted dramatic antismoking campaigns. Yet tobacco use remains
high among Americans, prompting many health professionals to seek
bolder measures to reduce smoking rates, which has raised concerns
about the social and economic consequences of these measures.
Retail and hospitality businesses worry smoking bans and excise
taxes will reduce profit, and with tobacco farming and cigarette
manufacturing concentrated in southeastern states, policymakers
fear the decline of regional economies. Such concerns are not
necessarily unfounded, though until now, no comprehensive survey
has responded to these beliefs by capturing the impact of tobacco
control across the nation. This book, the result of research
commissioned by Legacy and Columbia University's Institute for
Social and Economic Research and Policy, considers the economic
impact of reducing smoking rates on tobacco farmers,
cigarette-factory workers, the southeastern regional economy, state
governments, tobacco retailers, the hospitality industry, and
nonprofit organizations that might benefit from the industry's
philanthropy. It also measures the effect of smoking reduction on
mortality rates, medical costs, and Social Security. Concluding
essays consider the implications of more vigorous tobacco control
policy for law enforcement, smokers who face social stigma, the
mentally ill who may cope through tobacco, and disparities in
health by race, social class, and gender.
General
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