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BENEFITS AND SAVINGS FROM SMOKING DECLINES IN MAINE

Since1997, smoking rates in Maine have declined significantly, sharply reducing the harms and costs
caused by smoking in the State.

                                                                                               Fewer Current
                                                       1997                   2011
                                                                                                 Smokers
          High School Youth Smoking                   39.2%                  15.2%                  16,530

                                                                                               Fewer Current
                                                       1997                   2010
                                                                                                 Smokers
          Adult Smoking                               22.7%                  18.2%                  47,650

Because of these declines:
        45,910 fewer kids alive today in Maine will grow up to be addicted adult smokers
        27,100 fewer of todays residents in Maine will ultimately die prematurely from smoking
In addition, by prompting current adult and youth smokers to quit, the state has locked in enormous
savings over the lifetimes of each person stopped from future smoking. Put simply, the lifetime
health care costs of smokers total at least $17,500 more than nonsmokers, on average, despite the
fact that smokers do not live as long, with a somewhat smaller difference between smokers and
former smokers.
In addition to securing reductions to Maine government, business, and household healthcare costs,
these smoking declines will also directly reduce state Medicaid program expenditures. More than 10
percent of all smoking-caused health care expenditures in Maine are paid for by the states Medicaid
program.
The substantial ongoing improvements in public health from the smoking declines detailed above
have secured the following reductions in health care costs:

        Future Health Cost Savings from Youth & Adult Smoking Declines                          $1,256.1 million
        Future Medicaid Savings from Youth & Adult Smoking Declines                               $356.2 million

Tobacco use is the number one cause of preventable death in Maine, killing 2,200 people each year,
while thousands of others suffer from smoking-caused disease and disability. It is also a substantial
drain on the states economy, costing the state $602 million in health care costs every year.
Providing significant funding to statewide tobacco prevention and cessation programs would provide
additional tobacco use declines and produce enormous public health and economic benefits.
   For more on state investments in tobacco prevention and related smoking-decline benefits and savings, see:
             http://www.tobaccofreekids.org/facts_issues/fact_sheets/policies/prevention_us_state/

Notes and Sources. CDC, Projected Smoking-Related Deaths Among YouthUnited States, MMWR 45(44):971-974,
November 11, 1996. Future health care savings from smoking reductions accrue over the lifetimes of those persons who
quit or do not start. Behavioral Risk Factor Surveillance System. Youth Tobacco Survey, Youth Risk Behavioral Survey or
specific state youth smoking surveys. Hodgson, TA, Cigarette Smoking and Lifetime Medical Expenditures, Milbank
Quarterly 70(1), 1992 [average smokers lifetime health costs $17,500 more than nonsmokers despite earlier death (in
2004 dollars); but the average savings per each adult quitter are less than that because adult smokers have already been
significantly harmed by their smoking and have already incurred or locked-in extra, smoking-caused health costs].
Campaign for Tobacco-Free Kids factsheet, Lifetime Healthcare Costs: Smokers v. Non-Smokers v. Former Smokers. See
also, Warner, KE, et al., Medical Costs of Smoking in the United States: Estimates, Their Validity, and Their Implications,
Tobacco Control 8(3):290-300, Autumn 1999. Miller, L, et al., State Estimates of Medicaid Expenditures Attributable to
Cigarette Smoking, Fiscal Year 1993, Public Health Reports 113:140-151, March/April 1998; Miller, L, et al., State
Estimates of Medicaid Expenditures Attributable to Cigarette Smoking, Fiscal Year 1993, Public Health Reports 113:140-
151, March/April 1998. On average, the federal government reimburses the states for roughly 57% of their Medicaid
program costs.
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  • 1. BENEFITS AND SAVINGS FROM SMOKING DECLINES IN MAINE Since1997, smoking rates in Maine have declined significantly, sharply reducing the harms and costs caused by smoking in the State. Fewer Current 1997 2011 Smokers High School Youth Smoking 39.2% 15.2% 16,530 Fewer Current 1997 2010 Smokers Adult Smoking 22.7% 18.2% 47,650 Because of these declines: 45,910 fewer kids alive today in Maine will grow up to be addicted adult smokers 27,100 fewer of todays residents in Maine will ultimately die prematurely from smoking In addition, by prompting current adult and youth smokers to quit, the state has locked in enormous savings over the lifetimes of each person stopped from future smoking. Put simply, the lifetime health care costs of smokers total at least $17,500 more than nonsmokers, on average, despite the fact that smokers do not live as long, with a somewhat smaller difference between smokers and former smokers. In addition to securing reductions to Maine government, business, and household healthcare costs, these smoking declines will also directly reduce state Medicaid program expenditures. More than 10 percent of all smoking-caused health care expenditures in Maine are paid for by the states Medicaid program. The substantial ongoing improvements in public health from the smoking declines detailed above have secured the following reductions in health care costs: Future Health Cost Savings from Youth & Adult Smoking Declines $1,256.1 million Future Medicaid Savings from Youth & Adult Smoking Declines $356.2 million Tobacco use is the number one cause of preventable death in Maine, killing 2,200 people each year, while thousands of others suffer from smoking-caused disease and disability. It is also a substantial drain on the states economy, costing the state $602 million in health care costs every year. Providing significant funding to statewide tobacco prevention and cessation programs would provide additional tobacco use declines and produce enormous public health and economic benefits. For more on state investments in tobacco prevention and related smoking-decline benefits and savings, see: http://www.tobaccofreekids.org/facts_issues/fact_sheets/policies/prevention_us_state/ Notes and Sources. CDC, Projected Smoking-Related Deaths Among YouthUnited States, MMWR 45(44):971-974, November 11, 1996. Future health care savings from smoking reductions accrue over the lifetimes of those persons who quit or do not start. Behavioral Risk Factor Surveillance System. Youth Tobacco Survey, Youth Risk Behavioral Survey or specific state youth smoking surveys. Hodgson, TA, Cigarette Smoking and Lifetime Medical Expenditures, Milbank Quarterly 70(1), 1992 [average smokers lifetime health costs $17,500 more than nonsmokers despite earlier death (in 2004 dollars); but the average savings per each adult quitter are less than that because adult smokers have already been significantly harmed by their smoking and have already incurred or locked-in extra, smoking-caused health costs]. Campaign for Tobacco-Free Kids factsheet, Lifetime Healthcare Costs: Smokers v. Non-Smokers v. Former Smokers. See also, Warner, KE, et al., Medical Costs of Smoking in the United States: Estimates, Their Validity, and Their Implications, Tobacco Control 8(3):290-300, Autumn 1999. Miller, L, et al., State Estimates of Medicaid Expenditures Attributable to Cigarette Smoking, Fiscal Year 1993, Public Health Reports 113:140-151, March/April 1998; Miller, L, et al., State Estimates of Medicaid Expenditures Attributable to Cigarette Smoking, Fiscal Year 1993, Public Health Reports 113:140- 151, March/April 1998. On average, the federal government reimburses the states for roughly 57% of their Medicaid program costs.