Smoking and medical care expenditures--what we know and what we don't know.
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Biomedical subjects
Publications and source records attributed to W F Forbes.
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A recent paper suggested that smoking does not increase medical care expenditures and, therefore, that reduced smoking is unlikely to decrease it. This conclusion differs from that of most other studies in this area and the reasons for this disagreement are investigated. It is pointed out that medical care expenditure estimates yield different results depending on whether they are estimated on a per capita basis or in total for populations which change in size as smoking is reduced or eliminated. To avoid disagreement in future studies of this type, some specific proposals are made which should facilitate the comparison of results obtained from different studies.
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The smoking habits of 30 smokers, consisting of monozygotic and dizygotic twins, were investigated in order to order check whether a subgroup of these smokers exhibited a pattern which could be associated with addiction to nicotine. The results showed that smoking patterns varied in the course of a day, although no consistent pattern emerged which indicated that a significant sub-group of smokers was addicted strongly to nicotine. Moreover, on the basis of the associations of mouth level exposure obtained from a specific cigarette, and the time intervals when a cigarette was smoked before or after a specific cigarette was smoked, it appears that the sub-groups of smokers which self-titrate nicotine to any appreciable extent is probably small.
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