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Hardcover | $42.00 Short | £28.95 | ISBN: 9780262195102 | 320 pp. | 6 x 9 in | 9 illus.| November 2004
Paperback | $21.00 Text | £14.95 | ISBN: 9780262693455 | 320 pp. | 6 x 9 in | 9 illus.| August 2006
eBook | $14.95 Short | ISBN: 9780262253499 | 320 pp. | 9 illus.| August 2006
About MIT Press eBooks

The Price of Smoking


What does a pack of cigarettes cost a smoker, the smoker's family, and society? This longitudinal study on the private and social costs of smoking calculates that the cost of smoking to a 24-year-old woman smoker is $86,000 over a lifetime; for a 24-year-old male smoker the cost is $183,000. The total social cost of smoking over a lifetime -- including both private costs to the smoker and costs imposed on others (including second-hand smoke and costs of Medicare, Medicaid, and Social Security) -- comes to $106,000 for a woman and $220,000 for a man. The cost per pack over a lifetime of smoking: almost $40.00. The first study to quantify the cost of smoking in this way, or in such depth, this accessible book not only adds a weapon to the arsenal of antismoking messages but also provides a framework for assessment that can be applied to other health behaviors. The findings on the effects of smoking on Medicare and Medicaid will be surprising and perhaps controversial, for the authors estimate the costs to be much lower than the damage awards being paid to 46 states as a result of the 1998 Master Settlement Agreement.

About the Authors

Frank Sloan is J. Alexander McMahon Professor of Health Policy and Management and Professor of Economics at Duke University. A leader in the field of health economics for more than thirty years, he is coauthor of The Price of Smoking (2004) and Medical Malpractice (2008) and coeditor of Incentives and Choices in Health Care (2008), all published by the MIT Press.

Jan Ostermann is a Research Associate at the Center for Health Policy, Law, and Management at Duke University.

Christopher Conover is Assistant Research Professor of Public Policy Studies and Director of the Health Policy Certificate Program at Duke University.

Gabriel Picone is Associate Professor of Economics at the College of Business Administration at the University of South Florida.


"The book breaks new ground... to present the most comprehensive analysis yet of the cost of smoking." Wendy Max, Ph.D. New England Journal of Medicine"—
"... It's important to understand... the public policy implications of Sloan's work." Robert A. Levy Chicago Sun-Times"—
"... It's important to understand... the public policy implications of Sloan's work." Robert A. Levy Chicago Sun-Times"—


"The health consequences of smoking boost some financial costs to society and lower others. *The Price of Smoking* uses several new data sets to document these effects, which are analyzed on a lifetime basis. These analyses allow Sloan and his collaborators to provide the most detailed estimates to date of the cost implications of smoking for different government programs."--W. Kip Viscusi, Cogan Professor of Law and Economics, Harvard Law School"—