Designing an Optimum Fiscal Policy for Tobacco to Maximise the Tax Revenue, Social Savings and the Net Monetary Benefits in Sri Lanka

Document Type: Original Article

Authors

1 University of New South Wales, Sydney, NSW, Australia

2 University of Sydney, Sydney, NSW, Australia

3 Campbell Collaboration, New Delhi, India

4 National Institute of Medical Statistics, New Delhi, India

5 The University of Queensland, Brisbane, QLD, Australia

Abstract

Background
Fiscal policy targeting tobacco control is identified as the most effective strategy for rapid control of tobacco use. An optimum fiscal policy to estimate the percentage taxation that will maximise the government tax revenue, social savings and the net monetary benefit has not been empirically designed before in Sri Lanka.

 
Methods
A model was developed using Microsoft Excel 2016, utilizing up-to-date published evidence on the cigarette sales, current fiscal policy, social cost of tobacco use, consumer response and the price elasticity of cigarettes. Univariate estimates on the expected revenue from tobacco tax, average annual social savings and the net monetary benefit were predicted for different levels of tobacco taxation. A deterministic sensitivity analysis was performed covering all possibilities. The percentage taxation maximizing the government tax revenue and the net monetary benefit were identified.

 
Results
It was estimated that a further 30% tax increase from the 2019 baseline will generate approximately LKR 3544 million per year of additional tax revenue for the government while saving LKR 28 069 million per annum as social savings. A fiscal elevation of 50% will produce identical annual tax revenue to that of 2018, while securing a social saving of more than LKR 47 600 million per annum. The maximum net monetary benefit is achievable at an overnight tax increase of 90% from the baseline, however with a short-term compromise in tax revenue.

 
Conclusion
The well-defined thresholds take tobacco taxation advocacy in Sri Lanka a step forward and will assist the government in taking an informed decision on its fiscal policy for cigarettes.

Highlights

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Keywords

Main Subjects


  1. World Health Organization (WHO). WHO global report: mortality attributable to tobacco. Geneva: WHO; 2015.
  2. Rehm J, Taylor B, Room R. Global burden of disease from alcohol, illicit drugs and tobacco. Drug Alcohol Rev. 2006;25(6):503-513. doi:10.1080/09595230600944453
  3. World Health Organization (WHO). Economic and social costs of tobacco and alcohol in Sri Lanka 2015. Colombo, Sri Lanka: National Authority on Tobacco and Alcohol; 2017.
  4. Liang L, Chaloupka F, Nichter M, Clayton R. Prices, policies and youth smoking, May 2001. Addiction. 2003;98 Suppl 1:105-122. doi:10.1046/j.1360-0443.98.s1.7.x
  5. Heckman BW, Cummings KM, Nahas GJ, et al. Behavioral economic purchase tasks to estimate demand for novel nicotine/tobacco products and prospectively predict future use: evidence from the Netherlands. Nicotine Tob Res. 2019;21(6):784-791. doi:10.1093/ntr/nty042
  6. World Health Organization (WHO). WHO report on the global tobacco epidemic 2015: raising taxes on tobacco. Geneva: WHO; 2015.
  7. Jha P, Peto R. Global effects of smoking, of quitting, and of taxing tobacco. N Engl J Med. 2014;370(1):60-68. doi:10.1056/NEJMra1308383
  8. World Health Organization (WHO). WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship. Geneva:WHO; 2013.
  9. World Health Organization (WHO). WHO technical manual on tobacco tax administration. Geneva: WHO; 2010.
  10. Gilmore AB, Tavakoly B, Taylor G, Reed H. Understanding tobacco industry pricing strategy and whether it undermines tobacco tax policy: the example of the UK cigarette market. Addiction. 2013;108(7):1317-1326. doi:10.1111/add.12159
  11. Golden SD, Smith MH, Feighery EC, Roeseler A, Rogers T, Ribisl KM. Beyond excise taxes: a systematic review of literature on non-tax policy approaches to raising tobacco product prices. Tob Control. 2016;25(4):377-385. doi:10.1136/tobaccocontrol-2015-052294
  12. Warner KE. Understanding the association between the WHO Framework Convention on Tobacco Control, adoption of tobacco control policies, and reduction in smoking prevalence. Lancet Public Health. 2017;2(4):e158-e159. doi:10.1016/s2468-2667(17)30052-x
  13. Gravely S, Giovino GA, Craig L, et al. Implementation of key demand-reduction measures of the WHO Framework Convention on Tobacco Control and change in smoking prevalence in 126 countries: an association study. Lancet Public Health. 2017;2(4):e166-e174. doi:10.1016/s2468-2667(17)30045-2
  14. Yeh CY, Schafferer C, Lee JM, Ho LM, Hsieh CJ. The effects of a rise in cigarette price on cigarette consumption, tobacco taxation revenues, and of smoking-related deaths in 28 EU countries-- applying threshold regression modelling. BMC Public Health. 2017;17(1):676. doi:10.1186/s12889-017-4685-x
  15. Ho LM, Schafferer C, Lee JM, Yeh CY, Hsieh CJ. The effect of cigarette price increases on cigarette consumption, tax revenue, and smoking-related death in Africa from 1999 to 2013. Int J Public Health. 2017;62(8):899-909. doi:10.1007/s00038-017-0980-7
  16. Shang C, Chaloupka FJ, Fong GT, Gupta PC, Pednekar MS. The association between state value-added taxes and tobacco use in India-Evidence from GATS and TCP India survey. Nicotine Tob Res. 2018;20(11):1344-1352. doi:10.1093/ntr/ntx184
  17. Rodríguez-Iglesias G, Schoj V, Chaloupka F, Champagne B, González-Rozada M. Analysis of cigarette demand in Argentina: the impact of price changes on consumption and government revenues. Salud Publica Mex. 2017;59(1):95-101. doi:10.21149/7861
  18. Ministry of Finance. Fiscal Management Report. Sri Lanka: Ministry of Finance; 2017.
  19. Ceylon Tobacco Company. Annual Report. Sri Lanka: Ceylon Tobacco Company PLC; 2016.
  20. Kostova D, Ross H, Blecher E, Markowitz S. Is youth smoking responsive to cigarette prices? evidence from low- and middle-income countries. Tob Control. 2011;20(6):419-424. doi:10.1136/tc.2010.038786
  21. Mushtaq N, Mushtaq S, Beebe LA. Economics of tobacco control in Pakistan: estimating elasticities of cigarette demand. Tob Control. 2011;20(6):431-435. doi:10.1136/tc.2010.040048
  22. Kostova D, Tesche J, Perucic AM, Yurekli A, Asma S. Exploring the relationship between cigarette prices and smoking among adults: a cross-country study of low- and middle-income nations. Nicotine Tob Res. 2014;16 Suppl 1:S10-15. doi:10.1093/ntr/ntt170
  23. Krahn M, Gafni A. Discounting in the economic evaluation of health care interventions. Med Care. 1993;31(5):403-418. doi:10.1097/00005650-199305000-00003
  24. Choi SE. Are lower income smokers more price sensitive?: the evidence from Korean cigarette tax increases. Tob Control. 2016;25(2):141-146. doi:10.1136/tobaccocontrol-2014-051680
  25. Hu TW, Mao Z, Liu Y, de Beyer J, Ong M. Smoking, standard of living, and poverty in China. Tob Control. 2005;14(4):247-250. doi:10.1136/tc.2004.010777
  26. Ross H, Stoklosa M, Krasovsky K. Economic and public health impact of 2007-2010 tobacco tax increases in Ukraine. Tob Control. 2012;21(4):429-435. doi:10.1136/tc.2010.040071
  27. Alpert HR, Vardavas CI, Chaloupka FJ, et al. The recent and projected public health and economic benefits of cigarette taxation in Greece. Tob Control. 2014;23(5):452-454. doi:10.1136/tobaccocontrol-2012-050857
  28. Salti N, Chaaban J, Nakkash R, Alaouie H. The effect of taxation on tobacco consumption and public revenues in Lebanon. Tob Control. 2015;24(1):77-81. doi:10.1136/tobaccocontrol-2012-050703
  29. Nargis N, Ruthbah UH, Hussain AK, Fong GT, Huq I, Ashiquzzaman SM. The price sensitivity of cigarette consumption in Bangladesh: evidence from the International Tobacco Control (ITC) Bangladesh Wave 1 (2009) and Wave 2 (2010) Surveys. Tob Control. 2014;23 Suppl 1:i39-47. doi:10.1136/tobaccocontrol-2012-050835
  30. Nargis N, Fong GT, Chaloupka FJ, Li Q. The choice of discount brand cigarettes: a comparative analysis of International Tobacco Control surveys in Canada and the USA (2002-2005). Tob Control. 2014;23 Suppl 1:i86-96. doi:10.1136/tobaccocontrol-2012-050851
  31. Forey B, Hamling J, Hamling J, Thornton A, Lee P. International Smoking Statistics. Sutton, United Kingdom: PN Lee Statistics & Computing; 2013.
  32. Jha P. Avoidable global cancer deaths and total deaths from smoking. Nat Rev Cancer. 2009;9(9):655-664. doi:10.1038/nrc2703
  33. Hill C. Impact of Price Increases on Tobacco Consumption. Paris: Institut Gustave Roussy; 2013.
  34. Van Walbeek C. Industry responses to the tobacco excise tax increases in South Africa. S Afr J Econ. 2006;74(1):110-122. doi:10.1111/j.1813-6982.2006.00051.x
  35. Cornelsen L, Normand C. Is roll-your-own tobacco substitute for manufactured cigarettes: evidence from Ireland? J Public Health (Oxf). 2014;36(1):65-71. doi:10.1093/pubmed/fdt030