Kicking the butt: Health gained, happiness lost

Aug 09 2014, 11:06 IST
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Many want to quit smoking, but are addicted, and forgo the long-term satisfaction of better health for short-term pleasure. Many want to quit smoking, but are addicted, and forgo the long-term satisfaction of better health for short-term pleasure.
SummaryCost-benefit analysis finds that quitting smoking lowers people’s happiness quotient.

Rarely has the concept of happiness caused so much consternation in public health circles. Buried deep in the federal government’s voluminous new tobacco regulations is a little-known cost-benefit calculation that public health experts see as potentially poisonous: the happiness quotient. It assumes that the benefits from reducing smoking — fewer early deaths and diseases of the lungs and heart — have to be discounted by 70 per cent to offset the loss in pleasure that smokers suffer when they give up their habit.

Experts say that calculation wipes out most of the economic benefits from the regulations and could make them far more vulnerable to legal challenges from the tobacco industry. And it could have a perverse effect, experts said. The more successful regulators are at reducing smoking, the more it hurts them in the final economic accounting.

“This threatens the FDA’s ability to take strong actions against tobacco,” Frank J Chaloupka, an economist at the University of Illinois at Chicago, said of the Food and Drug Administration. “If they can’t demonstrate that there is a significant economic benefit to doing it, then it makes their job much harder.”

On Wednesday, Professor Chaloupka and other prominent economists, including a Nobel Prize winner, publicly took issue with the analysis. In a paper submitted to the FDA as the period for public comment on the regulations neared its end on Friday, the group said the happiness quotient was way too high and should be changed before the regulations take effect.

“There’s reason to believe that number is much too big,” said Jonathan Gruber, an economist at the Massachusetts Institute of Technology who was an author of the paper. In his view, the agency’s analysis cited his past work erroneously.

The idea of lost happiness is new for health regulation. But it has surfaced as part of a longstanding requirement — first codified under President Bill Clinton — that every set of federal regulations with more than a $100 million effect on the economy needs an analysis to prevent the adoption of regulations with high costs and low benefits.

The cost-benefit analysis is embedded in a proposal from April that would extend the FDA’s authority, for the first time, to electronic cigarettes and other tobacco products such as cigars and pipe tobacco, with potentially large consequences for the multibillion-dollar tobacco industry.

The FDA released a statement on Wednesday detailing the economics behind its analysis, but the explanation did not address

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