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Sick of people saying smokers and drinkers are costing the state to much

13

Comments

  • Closed Accounts Posts: 49 John Lynch Ph.D


    I mean that everyone will most likely be in hospital for some time before they die, its not fair to tally up all the medical costs for someone dying from lung cancer and saying 'this is what smokers cost the state'.

    What about Dementia sufferers? Alzheimer's etc.

    I understand smokers may cost the state more, but its just not the figures the anti-smoking lobby put out as they ignore the factors I previously stated.


  • Registered Users, Registered Users 2 Posts: 3,038 ✭✭✭sponsoredwalk


    I mean that everyone will most likely be in hospital for some time before they die, its not fair to tally up all the medical costs for someone dying from lung cancer and saying 'this is what smokers cost the state'.

    What about Dementia sufferers? Alzheimer's etc.

    You might do well to read the original post in this thread to find out what the topic is.
    I understand smokers may cost the state more, but its just not the figures the anti-smoking lobby put out as they ignore the factors I previously stated.

    Again, what is that supposed to mean? Could you speak a bit clearer when you try to condemn people & maybe provide a few credible links to back up what you're saying, I've had to waste time browsing the whole thread to find out what you are trying to allude to & the only thing I can find is one post:
    You only die once.

    How many people need all that (or different specialists depending on what finally kills you) regardless

    and I don't see what you've previously stated that backs up your insulting anti-smoking lobbyists :confused:


  • Banned (with Prison Access) Posts: 34,567 ✭✭✭✭Biggins


    I mean that everyone will most likely be in hospital for some time before they die, its not fair to tally up all the medical costs for someone dying from lung cancer and saying 'this is what smokers cost the state'...
    Why is it not fair to tally up the figures? :confused:
    Someone out there decides by their actions to bring on themselves futher illnesses on top of what they might get by natural reasons - and we shouldn't account for it or look at the problem? :confused:
    ...What about Dementia sufferers? Alzheimer's etc...
    What about them?
    Natural illness versus something brought about by own self-indulgent methods!

    What's your problem with peoples unfortunate mental conditions now? Where are you coming from with that one?


  • Closed Accounts Posts: 49 John Lynch Ph.D


    Biggins wrote: »
    What about them?
    Natural illness versus something brought about by own self-indulgent methods!

    What's your problem with peoples unfortunate mental conditions now? Where are you coming from with that one?

    Wow, you really couldn't have missed the point more.

    where's everyone else's source? a list of occupations in cancer treatment? are you trying to say only smokers get cancer? and please explain what exactely a 'natural illness' is, Google seems to be failing me.


  • Banned (with Prison Access) Posts: 34,567 ✭✭✭✭Biggins


    where's everyone else's source? a list of occupations in cancer treatment?

    HELLO!!!
    Welcome to the internet and the thousands of genuine research medical documents available for one to browse through.
    ...are you trying to say only smokers get cancer?
    No - are you trying to say that I actually stated that?
    ...please explain what exactly a 'natural illness' is, Google seems to be failing me.

    An illness that is not brought about by catalyst action of a voluntary absorbed substance.
    Even that's not rocket science for those able to differentiate the difference.
    If you can't even use Google, jumping into this heavy topic might be just too much for you too!


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  • Registered Users, Registered Users 2 Posts: 20,529 ✭✭✭✭Dempsey


    Ireland getting out of the recession wont be depending on whether I start or stop drinking so I dont give a **** if I'm 'costing the state too much'


  • Registered Users, Registered Users 2 Posts: 3,038 ✭✭✭sponsoredwalk


    where's everyone else's source? a list of occupations in cancer treatment? are you trying to say only smokers get cancer? and please explain what exactely a 'natural illness' is, Google seems to be failing me.

    You have got to be kidding me...

    You come on and hijack a thread focusing on something I've already provided evidence for making claims with nothing to back them up & you chastise us to do your homework & to teach you how to think of phrases to type into google, jeesh:)

    First off, could you answer this:

    I understand smokers may cost the state more, but its just not the figures the anti-smoking lobby put out as they ignore the factors I previously stated.

    Again, what is that supposed to mean? Could you speak a bit clearer when you try to condemn people & maybe provide a few credible links to back up what you're saying, I've had to waste time browsing the whole thread to find out what you are trying to allude to & the only thing I can find is one post:
    You only die once.

    How many people need all that (or different specialists depending on what finally kills you) regardless

    and I don't see what you've previously stated that backs up your insulting anti-smoking lobbyists :confused:


    You've blithely ignored it & how can I take you seriously if you skip questions & then tell me to do something for you...

    I think you've already shown yourself incapable of a cogent argument with this little slip up, but again I ask you what you meant & what you were referring to ;)

    Second, could you tell me how me providing evidence of what cancer sufferers have to go through in terms of mri scans, x-ray scans & the doctors & specialised tests that have to be done throughout cancer treatment is not enough evidence that nearly every cancer patient who requires tests to diagnose the extent of their illness must use up. Tell me how that doesn't answer that you asked?


  • Registered Users, Registered Users 2 Posts: 8,659 ✭✭✭CrazyRabbit


    A thread full of financial arguments for & against smoking....hmmm. It's missing something important.

    My dad was just 32 when he died from cancer. He was a heavy smoker from the age 13. Trust me when I say that a financial value cannot be placed on that loss. Three young children and a loving wife lost something that was literally priceless to them.

    And from the financial side of things...my dad wasn't around to pay any taxes for the last 26 years.


  • Registered Users, Registered Users 2 Posts: 3,038 ✭✭✭sponsoredwalk


    A thread full of financial arguments for & against smoking....hmmm. It's missing something important.

    My dad was just 32 when he died from cancer. He was a heavy smoker from the age 13. Trust me when I say that a financial value cannot be placed on that loss. Three young children and a loving wife lost something that was literally priceless to them.

    And from the financial side of things...my dad wasn't around to pay any taxes for the last 26 years.

    If you look at the study done by Philip Morris co. you'll realise a human story means nothing to these people, nothing. They explicitly said so in the study too. If it did they would have stopped selling tobacco years ago.

    You have to beat these heartless bas*ards at their own game & it just so happens all the evidence is against them. The problem is that they have money on their side & that weighs in an awful lot in this world, just look at how rhetorically violent people get on threads about the dole for example, it has the capacity to drive people crazy & foster the hate, (especially during a recession even though it is a necessary function of our economy & is absolutely vital to continue the world economy).


  • Closed Accounts Posts: 49 John Lynch Ph.D


    Second, could you tell me how me providing evidence of what cancer sufferers have to go through in terms of mri scans, x-ray scans & the doctors & specialised tests that have to be done throughout cancer treatment is not enough evidence that nearly every cancer patient who requires tests to diagnose the extent of their illness must use up. Tell me how that doesn't answer that you asked?


    The thread is about how much smokers cost the state, not how much cancer treatment costs.

    To say that all the costs of lung cancer treatment would be saved if the person in question never smoked is ridiculous.

    You only die once.

    1. A smoker who gets lung cancer would be more susceptible to getting cancer in general then a smoker who never got cancer.

    2. If they never smoked and lived 20 years longer they would be more likely to die of cancer later in life in general then the smoker who would of never got cancer and didn't smoke.

    Read over that again. Remember 90% of people diagnosed with lung cancer die from it.

    3. Regardless if they never got cancer in their extra 20 years from not smoking, they still could develop any amount of costly illnesses in their final years.

    4. Other smoking deaths such as strokes or heart attacks are about as cheap and cheerful a death you can get.

    To say that all the medical costs of a smoker would be saved if they never smoked is ridiculous .

    Lets not even bring into the savings in pensions from an early death.


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  • Registered Users, Registered Users 2 Posts: 22,066 ✭✭✭✭Big Nasty




  • Registered Users, Registered Users 2 Posts: 945 ✭✭✭a5y


    tiocimarla wrote: »
    Now what if the average smoker would smoke about 20 a day and have 8 pints a week. How much tax are they paying in their lifetime. Lets say for arrguments sake that their cumsumption lifetime averages 40 years. This would leave the figure for paid tax at.

    In your argument, does the 40 year average mean that people quit smoking 20 a day and drinking 8 pints a week after an average of 40 years, or they're dead after an average of 40 years?


  • Banned (with Prison Access) Posts: 34,567 ✭✭✭✭Biggins


    ...And from the financial side of things...my dad wasn't around to pay any taxes for the last 26 years.

    I'm sorry to hear about the loss of your dad.
    You mention a good point. Someone that is taken away (too early) when they as before, could have continued to contribute to the state.
    By the sad passing, a further loss to the state is gained - I add the financial loss is a secondary one (not firstly), to the sad loss of a loved one.

    My sympathies Crazyrabbit.


  • Registered Users, Registered Users 2 Posts: 3,038 ✭✭✭sponsoredwalk


    Funny, I read a post full of sweeping claims with not a shred of evidence to back any of it up.

    Also, I read a response to some statements nobody has made!

    If the state has to pay for cancer, and other types of, treatment caused by smoking how does that not fall under the rubric of the topic we are discussing?
    To say that all the medical costs of a smoker would be saved if they never smoked is ridiculous .

    Don't take my word for it, take the word of the New England Journal of Medicine.

    [FONT=arial, helvetica] Background Although smoking cessation is desirable from a public health perspective, its consequences with respect to health care costs are still debated. Smokers have more disease than nonsmokers, but nonsmokers live longer and can incur more health costs at advanced ages. We analyzed health care costs for smokers and nonsmokers and estimated the economic consequences of smoking cessation. [/FONT]
    [FONT=arial, helvetica]

    Methods
    We used three life tables to examine the effect of smoking on health care costs — one for a mixed population of smokers and nonsmokers, one for a population of smokers, and one for a population of nonsmokers. We also used a dynamic method to estimate the effects of smoking cessation on health care costs over time.
    [/FONT]
    [FONT=arial, helvetica]

    Results
    Health care costs for smokers at a given age are as much as 40 percent higher than those for nonsmokers, but in a population in which no one smoked the costs would be 7 percent higher among men and 4 percent higher among women than the costs in the current mixed population of smokers and nonsmokers. If all smokers quit, health care costs would be lower at first, but after 15 years they would become higher than at present. In the long term, complete smoking cessation would produce a net increase in health care costs, but it could still be seen as economically favorable under reasonable assumptions of discount rate and evaluation period.
    [/FONT]

    [FONT=arial, helvetica]Conclusions If people stopped smoking, there would be a savings in health care costs, but only in the short term. Eventually, smoking cessation would lead to increased health care costs.[/FONT]


    http://content.nejm.org/cgi/content/full/337/15/1052
    This just shows you have hijacked the thread without reading any of it because I already gave this as evidence to a previous nonsensical claim.

    I also never claimed, as the way you've written implies, that all of the costs would be saved, neither does the quote above.

    We have been discussing how smokers cost the state more, about treatment costs & how it is caused by choice, that is a conscious decision that ultimately leads to huge strain on doctors, on specialised treatment, on use of mri machines, on x-ray machines, i.e. all of the things in Biggins list that you all seem to like attempting to refute.

    I think it's great how you use cancer that is not caused consciously to argue when it has nothing to do with the topic.

    People bring sickness & cancer on themselves when they smoke, that is the topic.

    People who grow old & are more likely to get sick or get cancer through the many ways it can happen has nothing to do with the OP's conversation in the pub about smokers & drinkers being a burden on the health system :rolleyes:

    (I just want to be sure you understand what that quote from the New England Journal of Medicine means, it is talking about how self-inflicted health ailments via smoking puts a higher strain on the economy than other types of sickness & would continue to do so for 15 years even if everyone stopped smoking today.)
    Lets not even bring into the savings in pensions from an early death.


    I assume you mean the Non-Contributory pension. Well, if you use your brain for a second you'd realise that these people have spent their lives contributing to it in the form of taxes.


  • Registered Users, Registered Users 2 Posts: 22,066 ✭✭✭✭Big Nasty


    Lets not even bring into the savings in pensions from an early death.

    Is that you Doctor Dick?


  • Closed Accounts Posts: 49 John Lynch Ph.D


    So in essence you agree with my points, My response was that to the shortsighted nods in agreement to the common misconception that all of the duty paid on cigarettes only pays for the added costs of a smokers health bill. Far from it.


    I assume you mean the Non-Contributory pension. Well, if you use your brain for a second you'd realise that these people have spent their lives contributing to it in the form of taxes.

    Well the vast majority of smokers still die after retirement age, so maybe reiterate what you mean?


  • Registered Users, Registered Users 2 Posts: 3,038 ✭✭✭sponsoredwalk


    So in essence you agree with my points, My response was that to the shortsighted nods in agreement to the common misconception that all of the duty paid on cigarettes only pays for the added costs of a smokers health bill. Far from it.





    Well the vast majority of smokers still die after retirement age, so maybe reiterate what you mean?

    What :confused:

    No I am not agreeing with you, you've said absolutely nothing of substance at all this entire thread, only posted a load of waffle, left plenty of things unanswered, responded with answers to claims that nobody made on this thread & posted nothing to back up whatever it is you're now trying to pretend I agree with you on.


  • Closed Accounts Posts: 1,654 ✭✭✭Noreen1


    Funny, I read a post full of sweeping claims with not a shred of evidence to back any of it up.

    Also, I read a response to some statements nobody has made!

    If the state has to pay for cancer, and other types of, treatment caused by smoking how does that not fall under the rubric of the topic we are discussing?



    Don't take my word for it, take the word of the New England Journal of Medicine.
    This just shows you have hijacked the thread without reading any of it because I already gave this as evidence to a previous nonsensical claim.

    I also never claimed, as the way you've written implies, that all of the costs would be saved, neither does the quote above.

    We have been discussing how smokers cost the state more, about treatment costs & how it is caused by choice, that is a conscious decision that ultimately leads to huge strain on doctors, on specialised treatment, on use of mri machines, on x-ray machines, i.e. all of the things in Biggins list that you all seem to like attempting to refute.

    I think it's great how you use cancer that is not caused consciously to argue when it has nothing to do with the topic.

    People bring sickness & cancer on themselves when they smoke, that is the topic.

    People who grow old & are more likely to get sick or get cancer through the many ways it can happen has nothing to do with the OP's conversation in the pub about smokers & drinkers being a burden on the health system :rolleyes:

    (I just want to be sure you understand what that quote from the New England Journal of Medicine means, it is talking about how self-inflicted health ailments via smoking puts a higher strain on the economy than other types of sickness & would continue to do so for 15 years even if everyone stopped smoking today.

    I assume you mean the Non-Contributory pension. Well, if you use your brain for a second you'd realise that these people have spent their lives contributing to it in the form of taxes.

    Eh - I'm confused!

    That study you quoted came to this conclusion:

    Conclusions If people stopped smoking, there would be a savings in health care costs, but only in the short term. Eventually, smoking cessation would lead to increased health care costs.


    So, the OP was right - smokers end up costing the Healthcare system less in the long-term?

    This debate is interesting!

    Noreen


  • Banned (with Prison Access) Posts: 34,567 ✭✭✭✭Biggins


    Noreen1 wrote: »
    Eh - I'm confused!
    That study you quoted came to this conclusion:
    Conclusions If people stopped smoking, there would be a savings in health care costs, but only in the short term. Eventually, smoking cessation would lead to increased health care costs.
    So, the OP was right - smokers end up costing the Healthcare system less in the long-term?
    This debate is interesting!
    Noreen
    With the best of respect, I think you need to re-read the title of the thread again.

    "Sick of people saying smokers and drinkers are costing the state to much"

    There is other costs as well to the state outside healthcare alone I think. :)

    Loss of work - down time, benefits, home care, etc...


  • Registered Users, Registered Users 2 Posts: 9,599 ✭✭✭DublinWriter


    Around the time of the smoking ban, Marianne Finucane had a leading actuary on her program. He stated that the whole "it'll save the state money" was a complete fallacy.

    I'll sum up his four key points:
    • 90% of smoking related illnessess are fatal. You'll be dead within 3-9 months of a diagnosis of lung-cancer
    • Everybody in society (smokers and non-smokers) draw around 80% of the total resources that they consume from the heath system in palliative care when they are dying. Conclusion - the effect that smoking related illness have on the health system is negligible.
    • The direct contribution to the public purse from a pack of 20 is around €6. So someone with a 20-a-day habit is contributing €2,190 in indirect tax a year.
    • Smoking 20 a day is calculated to take at least 10 to 20 years off your total life expectancy. Guess what years they are? Yep, the OAP years when you'll be entitled to the state pension, free public travel, fuel allowences and a free TV licence.
    So, to summarise, we smokers pay a lot more tax and die younger. Your problem is?


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  • Posts: 24,773 ✭✭✭✭ [Deleted User]


    Biggins wrote: »
    With the best of respect, I think you need to re-read the title of the thread again.

    "Sick of people saying smokers and drinkers are costing the state to much"

    There is other costs as well to the state outside healthcare alone I think. :)

    Loss of work - down time, benefits, home care, etc...

    There are also other benefits to the sale of alcohol other than the direct excise duty and vat.

    1000's of people employed in pubs and clubs paying income tax.

    Drunk people use taxi's, taxi drivers pay income tax and vat and excise duty in the fuel in their cars.

    Thats just a few there are plenty more examples also.

    Also I notice the mention of private health insurance was ignored by everyone. Everyone should have it nowadays so the government are not paying to treat people who have health insurance.


  • Registered Users, Registered Users 2 Posts: 22,066 ✭✭✭✭Big Nasty


    There are also other benefits to the sale of alcohol other than the direct excise duty and vat.

    1000's of people employed in pubs and clubs paying income tax.

    Drunk people use taxi's, taxi drivers pay income tax and vat and excise duty in the fuel in their cars.

    Thats just a few there are plenty more examples also.

    Also I notice the mention of private health insurance was ignored by everyone. Everyone should have it nowadays so the government are not paying to treat people who have health insurance.

    Ya forgot the kebab expense and relative tax after a hayp of pints


  • Closed Accounts Posts: 1,654 ✭✭✭Noreen1


    Biggins wrote: »
    With the best of respect, I think you need to re-read the title of the thread again.

    "Sick of people saying smokers and drinkers are costing the state to much"

    There is other costs as well to the state outside healthcare alone I think.

    Loss of work - down time, benefits, home care, etc...


    I see your point - though I rather suspect that alcohol has more of an effect on the other costs you mentioned, than smoking does.
    I'm deliberately ignoring the alcohol part of the debate, since it's something I know nothing about/have no practical experience of.

    However - my OH smokes 5 a day. He has just been diagnosed with high blood pressure. My GP is on holiday, and the obnoxious twat who took his place, refuses to prescribe medication until he gives up smoking - despite being aware of the fact that my mother-in-law (who never smoked in her life!) died from a coronary illness.
    Now, I'm not denying that smoking has an effect on blood pressure - but denying treatment because someone is a very moderate smoker is just plain ridiculous.:eek:

    My GP will be back at work on Monday - and I'm 100% certain that he will prescribe medication - and recommend giving up smoking!
    Hence, the subject is somewhat sensitive at the moment!:D

    Noreen


  • Registered Users, Registered Users 2 Posts: 20,529 ✭✭✭✭Dempsey


    A few dodgy methods by doctors being outed here in this thread.

    Surely in a situation like this, the doctor would be held responsible for not issuing medication given the medical history in the family if something happened in the mean time that related to high blood pressure?


  • Registered Users, Registered Users 2 Posts: 3,038 ✭✭✭sponsoredwalk


    Okay, first off I just want to majke it clear that I haven't claimed smoking or drinking, if stopped, would benefit the state economically which I feel some people assumed just because I played interlocutor position in this conversation. Quite the contrary, I think it would probably destroy our society & perhaps a good deal of the world economy & now matter how sickening that fact is it pays for people to die.

    People seem to be very happy with this set up, and that's fine.

    It doesn't really seem like most people ever cared about the health of people, as this discussion certainly shows. People have always been more interested in the economic factors, that's the ultimate deciding factor, contrary to human morality.
    Ms Harney: I thank the Deputies for their interventions. Ireland has the second highest level of excise duty on cigarettes in the EU, 146.34 per 1,000 cigarettes compared with an EU average of 90.35. Notwithstanding what Deputy Shatter said about the consumer price index – the Minister referred to it in his budget speech – the consumer price index is drawn up following the household budget survey which is based on a calculation of what people spend their money on. [994] A total of 4.8% of the spend in Ireland is on cigarettes.
    As constituency representatives, many Members will be aware – it has frequently been my experience – that when constituents come to talk about their financial circumstances concerning housing or some other matter, they may have a piece of paper with a list of their outgoings per week or per month and I am often astonished that one of the big spend items for many people on very low incomes is cigarettes. It is not infrequent that people on relatively low incomes spend £40 to £50 a week on cigarettes, which is incredible.
    Last year we introduced a 50p increase on the price of a packet of 20 cigarettes. That was done for health reasons and £132 million collected in revenue went to the health services.
    Mr. D. Carey Mr. D. Carey
    Mr. D. Carey: There is no evidence of that, given that more people are smoking.
    Ms Harney Ms Harney
    Ms Harney: The consumption of cigarettes went down last year by 1.66%.
    Mr. Shatter Mr. Shatter
    Mr. Shatter: That is because the price of them was increased.
    Ms Harney Ms Harney
    Ms Harney: I admit we are not doing that this year in order to curb inflation. We had several discussions about breaching confidentiality in this matter in relation to cigarettes. The CPI is compiled by the CSO, which also compiles a figure that excludes cigarettes. That is ignored. The international way of compiling the CPI, both here and in Europe, includes people's expenditure on particular product and cigarettes form a high proportion of what people spend their money on in Ireland, as is the case in other European countries.
    If the Minister excluded it and made a unilateral decision informing the CSO accordingly we would probably be accused of fiddling the figures to get inflation down. I admit we have a number of strategies, including health strategies. Prices alone will not dictate whether people continue to smoke and a number of measures have been taken, such as the banning of advertising and the ten-cigarette pack. The latter is used by younger people in particular as they do not have the money for the larger pack, so that is being done to discourage smoking among the very young and particularly among young women. Many of the latter smoke for weight-related reasons. Instead of having a biscuit, glass of wine or other dessert they have a cigarette. We need to engage in a very active and aggressive health education campaign in relation to cigarette smoking. It is not just about the price, though price has a huge part to play.
    995
    When the Government took office, health service spending was £2.75 billion and as a result of today it has gone to £5.29 billion, almost double. [995] There are real issues regarding improvement in service as a result of the increased spending but we have not been found wanting regarding the money we have earmarked and ring fenced for the health services.
    The tax take for cigarettes is more than £1 billion. It is £1.023 billion, a considerable amount of money. The price of cigarettes has risen much faster than the CPI, increasing by 49.9% since 1990, while next year it is envisaged that consumption will be down by another 0.5%. I admit openly that the only reason the price of cigarettes is not going up is the effect it would have on the CPI and the effect it would have on inflation. As Deputy Shatter has acknowledged, it has added almost one percentage point to the rate of inflation in the past year, though that will be out of the equation after next month. From the Government's point of view health must be a priority. Cancer and heart disease are caused by smoking but speakers have mentioned inflation already, and will probably mention it again when debating the next financial motion. There are a number of things we need to do and the Minister gave a commitment to look at how the CPI is compiled. I am not sure if we can move in that direction. They have not been able to do so in Europe.
    Mr. Shatter Mr. Shatter
    Mr. Shatter: They have done so in Belgium.
    Ms Harney Ms Harney
    Ms Harney: They have done it in Belgium but not for the harmonised EU index.
    Mr. D. Carey Mr. D. Carey
    Mr. D. Carey: The Tánaiste is against harmonisation.
    Ms Harney Ms Harney
    Ms Harney: I am against the harmonisation of tax, yes. We are talking about different things.
    Mr. Shatter Mr. Shatter
    Mr. Shatter: I congratulate the Tánaiste on her honesty, though I am absolutely appalled by what she just said. She confirmed to the House that the reason there is no additional imposition of taxes on cigarette products is not for health reasons but because the Government is fearful of the impact on the CPI. For the sake of the CPI the Government is prepared to sacrifice the health of our young people. For the sake of the CPI the Government is willing to allow more people suffer serious cancers such as throat cancer or cardiovascular disease. Let us look at the logic of what the Tánaiste said.
    996
    If the Tánaiste is concerned with health issues this matter could have been dealt with in a better and more coherent way which would have resulted in praise from this House for a coherent health policy. To tackle part of the problem of the CPI my party proposed some weeks ago that the VAT rate be reduced from 21% to 19%. The Government has chosen to reduce the VAT rate to 20%. In the context of dealing with tobacco [996] products and health issues, if the Government were taking a comprehensive overall policy view and there was genuine concern about averaging our VAT rates to a level that was in synchronisation with other EU countries while also maintaining a dynamic health policy, a choice could have been made. The choice could have been to reduce the VAT rate to 19% and to impose an additional 50p tax on a packet of cigarettes. Cigarettes could have been kept within the basket and a major problem with the CPI would not have been created.
    The other choice arose 13 months ago when an Oireachtas joint committee unanimously recommended that tobacco products be taken out of the CPI. The Tánaiste was concerned that she or the Minister for Finance would have been accused of massaging the figures.
    Ms Harney Ms Harney
    Ms Harney: The figures relating to the price of cigarettes—
    Mr. Shatter Mr. Shatter
    Mr. Shatter: It would have been difficult to level that accusation from this side of the House in circumstances where this time last year Fine Gael's health spokesperson called for the removal of tobacco products from the CPI. Clearly that criticism could not have been levied.
    In the context of the overall figures, the average smoking rate among young women in their late teens and early 20s is approximately 40%, while it is somewhat below that for young men. According to the latest figures for the overall population, 34% of people smoke, which is one third of the population in practical terms; however, two thirds do not, so it does not figure in their annual cost of living index problems.
    The Government should have a coherent anti-tobacco health policy which is reflected in its financial policy approach. What this Government has is a piecemeal, hiccup policy where it occasionally dips into the area to take an initiative, though when it sees the consequences in the CPI it panics and draws back. I welcome the figures given to us by the Tánaiste, as they confirm something I have been saying for three years, something the Oireachtas Joint Committee accepted and something the World Health Authority articulated in 1998, which is: if one increases the price of tobacco products the level of consumption goes down.The Tánaiste confirmed that that has happened in the past 12 months but it will not happen in the next 12 months. Why? Because the Government did not get its act together and tackle the problem in a coherent way. That is a disgrace and is something that should have been properly addressed by now. All the public relations hand-wringing the Minister for Health and Children engages in on this issue has now been seen as having no substance or weight.
    997
    [997] Deputy Carey raised the tobacco taxes issue earlier and the Tánaiste admitted the State took in more than £1 billion in tobacco taxes. The £132 million she mentioned derived from the 50p increase imposed on tobacco products last year but even that £132 million was not used to tackle the problem of tobacco consumption.
    Mr. D. Carey Mr. D. Carey
    Mr. D. Carey: Hear, hear.
    Mr. Shatter Mr. Shatter
    Mr. Shatter: It went into the health budget and the cardiac strategy. That strategy is valuable and important but is not solely tobacco-related. That £132 million was substitute finance going into the general area of health policy and the Tánaiste should inform us how much was used by the Government to engage in the “active and aggressive” education and advertising campaign she says is needed and which the joint committee called for. The Government has failed to put such a campaign in place in the past 12 months.
    Ms Fitzgerald Ms Fitzgerald
    Ms Fitzgerald: What the Tánaiste said is quite contradictory. She said smoking is a major public health issue but it appears from the budget that as soon as she had to make a critical decision she balked at it. The policy is in shreds because an annualised increase is a key component. The last time there was an increase in cost the decrease in the number of smokers was quite substantial. What we are seeing here tonight is a sacrifice of a major public health goal which the Government professes to have but when push comes to shove, it is taking a different policy decision in the budget tonight.
    Mr. D. Carey Mr. D. Carey
    Mr. D. Carey: In my constituency I see an increase in the numbers of young girls coming out of secondary schools at lunch time smoking cigarettes. That is a total change from the time I was at school when it was only the fellows who smoked – young girls did not smoke. That will have a long-term adverse effect on the health of the nation and has resulted in many of the difficulties women experience. The Minister got an extra £150 million in last year's budget to apply to preventing the growth in the use of tobacco by young girls, but nothing happened in that year. How can we expect something to happen this coming year?
    Mr. Shatter Mr. Shatter
    Mr. Shatter: Perhaps when the Tánaiste responds she might explain why the Minister for Health and Children is not in the House supporting Government policy on this issue, or whether he does support it? Will she explain if what he said three weeks ago should be taken seriously or if we should take seriously now, as part of Government policy, the fact that there is no intention to introduce such further increases?
    Ms Harney Ms Harney
    998
    Ms Harney: I thought I had responded. The 50p increase imposed last year was the highest [998] any Government ever imposed on cigarettes, believe it or not, and my memory of it is that Fine Gael did not oppose the increase. I do not think there was a vote in this House.
    Mr. Shatter Mr. Shatter
    Mr. Shatter: We did not oppose it. We supported it.
    Ms Harney Ms Harney
    Ms Harney: That is what I said. I am acknowledging that.
    Dr. McDaid Dr. McDaid
    Dr. McDaid: Fine Gael in Government never put an increase on cigarettes.
    Ms Harney Ms Harney
    Ms Harney: Deputy Shatter does not even know when he is being praised.
    Mr. Shatter Mr. Shatter
    Clearly in the 90's the important things were the CPI & inflation & that was what mattered economically, an individual's health means nothing here.

    The saddest thing is how some smart people have realised this fact, such as in this report in which Fiona Ryan, the director, says:
    To translate that 10c into real lives: €9.7milllion could have funded the vaccination of 12-year-old girls against the virus that causes cervical cancer; €15million could have funded an out-of-hours social work service for children and families in crisis. Just €7million would have funded special needs classes for the 534 vulnerable children with mild learning difficulties whose needs will now not be met as a result of education cuts.”
    showing something pretty crazy if you think about it for more than a second.
    Noreen1 wrote: »
    Eh - I'm confused!

    That study you quoted came to this conclusion:

    Conclusions If people stopped smoking, there would be a savings in health care costs, but only in the short term. Eventually, smoking cessation would lead to increased health care costs.


    So, the OP was right - smokers end up costing the Healthcare system less in the long-term?

    This debate is interesting!

    Noreen

    Well, from that study the conclusion is that if everybody were to stop smoking today then for the next 15 years we would spend X amount on healthcare but after 15 years we would increase the cost of healthcare to Y. If you think about what that is saying is that if we had a population of people living longer, i.e. less dying from smoking related diseases then yeah, of course we would have to spend more on healthcare. Based on a smaller population we spend X on these people, many of whom die younger and are not able to live into old age to be treated for ailments (old age ailments etc...) they do not cause intentionally, (in that smokers intentionally bring on sickness through smoking, there's no way you can say otherwise as everybody knows how bad smoking is for your health).

    That is nothing to do with the OP's comments though, and is something that we would have 15 years to deal with - if it is still correct in 15 years. Of course there would be so many things that would happen that things would change but it's just a prediction based on the current model.
    tiocimarla wrote: »

    Now after looking at these figures I believe that the Government and lobbying groups have some neck in saying that smokers and drinkers are a burden on the system.

    This is one those original claims I think we've contested fairly in that here we see moaning about the government's moaning about people intentionally putting the system under preventable strain, which only by lobbyists concerned about people's health & not money, are the reason the government are forced to even mention the topic.

    Also, the figures are pretty close:
    The direct contribution to the public purse from a pack of 20 is around €6. So someone with a 20-a-day habit is contributing €2,190 in indirect tax a year.

    * Smoking 20 a day is calculated to take at least 10 to 20 years off your total life expectancy. Guess what years they are? Yep, the OAP years when you'll be entitled to the state pension, free public travel, fuel allowences and a free TV licence.

    The tobacco tax level for cigarettes in Ireland is 72.2%. Therefore for every pack of 20 cigarettes which costs on average €8.45, €6.71 goes to the State in duty and VAT.

    The Exchequer receives €1.77bn annually from tobacco sales (6.71*264 million packs - Govt 2008 figures), but current figures project a 15% decrease in volume sales in 2009, i.e. €265,500,000 less in revenue in 2009. So, the total actual expected revenue is €1.5 billion annually from tobacco sales, including the current decrease in demand.
    If the price of a packet of cigarettes was increased by €1 (i.e. to €9.45 per packet), this would mean €7.71 would go to the State in duty and VAT and the expected tax take would be €1.7 billion, an increase of €200 million annually (assuming price elasticity, i.e. a price increase won’t affect volume of sales).
    Caveat: going by the Department of Finance's tax take figures for 2009 (€701 million in receipts to end of September ) it would appear that the actual revenue level for the year will be just over €1 billion.
    http://www.cancer.ie/news/news.php?newsID=297
    A fun fact about alcohol:
    Then, if we couple it from the number in 2002, (One of the only ones I can find but they said the cost was rising back then):
    Alcohol related problems cost Irish society €2.65 billion


    Current alcohol related trends cited in the Second Report of the STFA include;

    * In a study of seven European countries, Ireland had the highest level of binge drinkers, with 58% of drinking occasions ending up in binge drinking among men and 30% among women.
    * Alcohol related mortality has increased in line with the increases in alcohol consumption between 1992 and 2002, in particular alcohol specific chronic conditions e.g. dependency, abuse and psychosis (+61%) and acute conditions e.g. alcohol poisoning (+90%).
    * Nearly €6 billion of personal income is spent on alcohol in Ireland representing
    * 1,942 for every adult (15 years and over).
    * 37% of all deaths from drowning in 2002 were alcohol related
    * Alcohol is estimated to be involved in 40% of road deaths and at least 30% of all road accidents each year in Ireland.
    * Alcohol is the third most detrimental risk factor for European ill health and premature death, after only tobacco and high blood pressure.


    http://www.dohc.ie/press/releases/2004/20040922.html
    I've got to wonder, maybe I didn't google thoroughally enough because some of the dates are a bit off.

    The alcohol medical expenses are from 2002 @ €2.65 billion yet the profit for the government in 2008 is only
    (6 billion minus 4 billion equals) €2 billion.

    It would seem we are running at a loss if we believe the study which said the cost was rising.

    It also said Irish people spent €6 billion on alcohol so if the alcohol makers
    got all of that extra 4 billion then it would seem we are running at a loss through alcohol in terms of intake & cost of treating it's victims, but I've said the figures could be off.

    However, here is another study from 1999 in which we lost 2 Billion and this study includes road accidents, absenteeism, and many other factors missing from the first figures.

    I hope someone will
    check that out more thoroughally as I've stretched my googling for the night but it does seem to me as though we're running at a loss on the beer ;)

    That said, two seperate years both arriving at 2 Billion in treatment.

    Also, this other link I provided earlier shows that just one hospital spends up to 900 million treating alcohol related illness.

    St Patrick's University Hospital found that dealing with alcohol-related health problems is now costing the state an estimated €900m a year. http://www.tribune.ie/business/article/2010/jan/03/money-talks-gareth-naughton-the-cost-of-a-better-y/
    Also, as for smoking: if you add up all the figures in this 2003 report you come to a grand total of over 2 Billion lost in just the workplace.

    But that couldn't be right,
    The Exchequer receives €1.77bn annually from tobacco sales (6.71*264 million packs - Govt 2008 figures), but current figures project a 15% decrease in volume sales in 2009, i.e. €265,500,000 less in revenue in 2009. So, the total actual expected revenue is €1.5 billion annually from tobacco sales, including the current decrease in demand.
    http://www.cancer.ie/news/news.php?newsID=297

    Unless they ran at a loss some years :confused:


  • Banned (with Prison Access) Posts: 18,300 ✭✭✭✭Seaneh


    I couldn't be arsed looking for the figures right now but the difference between what the revenue takes in on taxes on tobacco and what smoking related illness costs the state yearly is in the hundreds of millions. Smoking COSTS the state, it's a fact. The single biggets drain on the HSE budget is smoking related illnesses, by a long long way.


  • Closed Accounts Posts: 2,478 ✭✭✭padi89


    You'll be dead within 3-9 months of a diagnosis of lung-cancer

    3-9 months :confused: Where did you get that figure from ?


  • Closed Accounts Posts: 1,654 ✭✭✭Noreen1


    Dempsey wrote: »
    A few dodgy methods by doctors being outed here in this thread.

    Surely in a situation like this, the doctor would be held responsible for not issuing medication given the medical history in the family if something happened in the mean time that related to high blood pressure?

    I would imagine so. The only reason there wasn't hell to pay on the spot was that it would probably have raised the OHs blood pressure further.

    On Monday morning, when the OH isn't present - yours truly is going to have a chat with her GP - and I'll make a very confident prediction that a certain doctor will not practice in this area again.:mad:

    Noreen


  • Closed Accounts Posts: 156 ✭✭kpbdublin


    This canard about smokers costing the state money is utterly bogus.

    Smokers bring amazing benefits to this country:
    1. They pay thousands more in tax. A typical smoker will pay around €35 in extra tax every week
    2. Having contributed all these extra taxes, they are considerate enough to die much younger - often before they reach pensionable age. Therefore they save the state millions in pensions and other costs associated with the elderly.

    It is healthy people who are a real drain on our resources. They could be drawing pensions for 35 years.


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  • Closed Accounts Posts: 49 John Lynch Ph.D



    A fun fact about alcohol:

    Then, if we couple it from the number in 2002, (One of the only ones I can find but they said the cost was rising back then):

    I've got to wonder, maybe I didn't google thoroughally enough because some of the dates are a bit off.

    The alcohol medical expenses are from 2002 @ €2.65 billion yet the profit for the government in 2008 is only
    (6 billion minus 4 billion equals) €2 billion.

    It would seem we are running at a loss if we believe the study which said the cost was rising.

    It also said Irish people spent €6 billion on alcohol so if the alcohol makers
    got all of that extra 4 billion then it would seem we are running at a loss through alcohol in terms of intake & cost of treating it's victims, but I've said the figures could be off.

    However, here is another study from 1999 in which we lost 2 Billion and this study includes road accidents, absenteeism, and many other factors missing from the first figures.


    The alcohol figures like the smoking costs are sensationalist.

    In our society violence is only allowed for when we are drunk, if drink were banned tomorrow you could bet the amount of assault injury's occurred when sober would increase.

    Also any figure for absenteeism is just simply plucked from the air, more hidden agenda's.


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