D103, those are good points, but I think there's another aspect to consider ~ It makes sense that lower health care expense as a result of improved health should be the motivating factor. But what about the effect on our economy as a whole should millions of American's change from smoking to vaping? There would be many health care jobs lost, our already broken Social Security system would bear the additional burden when we all live longer, even all those 'society' groups created in the name of health (American Lung Association, American Cancer Society......) would eventually cease to exist. I guess it would even trickle down as far as many of the people who work for Bic would find themselves unemployed.
Everything would eventually readjust - we're going to spend all the money saved somewhere - but I think there are people out there that see this as having a potentially devastating effect on our economy.
And it's a horrible thought that people could disregard the health and wellbeing of others with such a cold, calculating viewpoint.
While people living longer burdens the SS system, the SS system is in nowhere near the distress of Medicare and overall healthcare costs. Most of the healthcare (over 70%) is driven by chronic illness. Smoking causes chronic illness. The basic concept is that if you remove environmental factors which cause chronic illness, people will live longer and also be healthier while they live. People who do not get chronic illness will tend to live into their 80's and 90's and will use medical care only at the primary level, then their health will suddenly go out before they die, without a protracted period of illness requiring expensive treatment. This scenario saves a lot of money versus the alternative of people getting cancer, heart disease, diabetes, etc. These kinds of illnesses are treatable but tend not to be curable. The treatments are vastly expensive and can keep people alive for quite awhile. That is the problem with our healthcare costs which are reaching crisis levels: smoking, obesity, etc. cause chronic illness which is expensive to treat and never finds a cure so the treatment cost goes on indefinitely.
So far as healthcare workers losing their jobs, the stress on employers due to high healthcare premiums is a much bigger net job killer. It makes our labor market non-competitive with foreign markets like China, and it's causing us to ship jobs overseas.
In the shortrun perhaps getting people off cigarettes could be viewed as a mixed bag economically, but it's a huge net positive in the longrun. Lowering healthcare costs is in the general public interest, even if it isn't in the interest of every single individual person.
- wolf