I've heard the theory that smokers cause much more of a burden on medical care for years, and always believed it was garbage. I don't believe the productivity line either. I've smoked all my working life, and missed more than five days work only twice in any year. The two times I missed more than five were due to back surgery and pneumonia.
Others are finally seeing things my way.
http://www.usatoday.com/news/health/2009-04-08-fda-tobacco-costs_N.htmVanderbilt University economist Kip Viscusi studied the net costs of smoking-related spending and savings and found that for every pack of cigarettes smoked, the country reaps a net cost savings of 32 cents.
"It looks unpleasant or ghoulish to look at the cost savings as well as the cost increases and it's not a good thing that smoking kills people," Viscusi said in an interview. "But if you're going to follow this health-cost train all the way, you have to take into account all the effects, not just the ones you like in terms of getting your bill passed."
Viscusi worked as a litigation expert for the tobacco industry in lawsuits by states but said that his research, which has been published in peer-reviewed journals, has never been funded by industry.
Other researchers have reached similar conclusions.
A Dutch study published last year in the Public Library of Science Medicine journal said that health care costs for smokers were about $326,000 from age 20 on, compared to about $417,000 for thin and healthy people.
The reason: The thin, healthy people lived much longer.
Willard Manning, a professor of health economics and policy at the University of Chicago's Harris School of Public Policy Studies, was lead author on a paper published two decades ago in the Journal of the American Medical Association that found that, taking into account tobacco taxes in effect at the time, smokers were not a financial burden to society.