本文发表在 rolia.net 枫下论坛Main outcome measures The net contribution of smoking versus non-smoking individuals to public finance balance (euros).

Results Smoking was associated with a greater mean annual healthcare cost of €1600 per living individual during follow-up. However, due to a shorter lifespan of 8.6 years, smokers’ mean total healthcare costs during the entire study period were actually €4700 lower than for non-smokers. For the same reason, each smoker missed 7.3 years (€126 850) of pension. Overall, smokers’ average net contribution to the public finance balance was €133 800 greater per individual compared with non-smokers. However, if each lost quality adjusted life year is considered to be worth €22 200, the net effect is reversed to be €70 200 (€71.600 when adjusted with propensity score) per individual in favour of non-smoking.

Conclusions Smoking was associated with a moderate decrease in healthcare costs, and a marked decrease in pension costs due to increased mortality. However, when a monetary value for life years lost was taken into account, the beneficial net effect of non-smoking to society was about €70 000 per individual.更多精彩文章及讨论，请光临枫下论坛 rolia.net

吸烟的后果，如肺病，癌症等一般在65岁退休以后才显现出来，平均寿命会更短一些，需要的医疗福利会少不少，因为越老越花钱，总体烟民对国家经济贡献巨大，如果从经济效益角度来说，抽烟的人应该给与补贴才对，在中国禁烟做的三心二意，就是因为烟草税利润巨大，而且没有发现抽烟对经济有何损害。