Medicaid could save $2.6 billion within a year if just 1% of recipients quit smoking

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Reducing smoking, and its associated health effects, among Medicaid recipients in each state by just 1 percent would result in $2.6 billion in total Medicaid savings the following year, according to new research by UC San Francisco.

The median state would save $25 million, ranging from $630.2 million in California (if the dropped from 15.5 percent to 14.5 percent) to $2.5 million in South Dakota (if the rate dropped from 41.3 to 40.3 percent), the research found.

The study, by Stanton A. Glantz, Ph.D., director of the UCSF Center for Tobacco Control Research and Education, is published April 12, 2019 in JAMA Network Open.

"While 14 percent of all adults in the U.S. smoke cigarettes, 24.5 percent of adult Medicaid recipients smoke," said Glantz. "This suggests that an investment in reducing smoking in this population could be associated with a reduction in Medicaid costs in the short run."

Total Medicaid costs in 2017 were $577 billion.

"There is no question that reducing smoking is associated with reduced , but it's commonly assumed that it takes years to see these savings, which has discouraged many states from prioritizing helping smokers quit," said Glantz.

"While this is true for some diseases, such as cancer, other such as heart attacks, lung disease and pregnancy complications respond quickly to changes in smoking behavior. So reducing the prevalence of smoking would be an excellent short-term investment in the physical health of smokers and the fiscal health of the Medicaid system," he said.

Glantz derived state-by-state percentages of Medicaid recipients who smoke based on data from the 2017 Behavioral Risk Factors Surveillance System, which provides the percentage of smokers among the population of each state, and the 2017 National Health Interview Survey, which identifies Medicaid recipients in four major regions in the United States (Northeast, Midwest, South and West).

He then estimated potential Medicaid savings based on a previous research finding which showed that a 1 percent relative reduction in smoking prevalence is associated with a reduction of 0.118 percent in per capita health care spending.

Glantz noted that the study looked only at the potential savings from reducing the total number of Medicaid recipients who smoke. But even if each smoker just smoked less, there would be additional reductions in , he said.

Cost reductions from reducing smoking would continue and likely grow over the long term.

"Because some health risks linked with smoking, such as cancer, can take years to fully manifest, these savings would be likely to grow with each passing year," Glantz said.

The paper shows predicted reductions in Medicaid costs by each state.


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Medicaid policies that help smokers quit also save on health care costs

Journal information: JAMA Network Open

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Apr 12, 2019
Good to know a 1% reduction in smokers would save Medicare 0.004% of overall costs. But what the PhD forgot to quantify is the cost to Social Security of those folks' surviving longer. It might be cheaper to leave them alone, if we are only talking $2-3 billion in savings to Medicare. Huge cost savings could be achieved by arranging with facilities in Latin America to care for the dying tobacco addicts.

Apr 12, 2019
I have been saying the same thing for years, smoking kills early saving the government money. If you don't smoke elderly healthcare costs mount up quickly as more and more lifesaving drugs increase lifespan. This is just another example of propaganda disguised as science.

Apr 12, 2019
Care of elderly - would you call that JOBS???

Apr 12, 2019
"Care of elderly - would you call that JOBS???"

Yes and this care is much needed. The problem is paying for this care. In reality the US financial system is bankrupt and printing money to cover spending works until it doesn't and then runaway inflation sets in.

Apr 12, 2019
Does that sound preferable to " let's let the cigarette companies place a surcharge on everyones healthcare " ?

Apr 12, 2019
The TRUMPH administration NOW clearly has stated that deficits do not matter - and all that need be done is to give the wealthy a bunch of money and everything will be alright. For the most part - aren't those taking care of the elderly ( nursing home owners ) the wealthy?

Apr 12, 2019
Hitler and Goebbles taught the republican party all they ever needed to know about propaganda... and fake news, and their version of "science"...

TOP 25 QUOTES BY JOSEPH GOEBBELS (of 105) | A-Z Quotes
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Discover Joseph Goebbels famous and rare quotes. Share Joseph Goebbels quotations about propaganda, lying and war. "If you repeat a lie often enough, ...
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Apr 12, 2019
Dear MR166 - Your problem is the total ignorance you display, - smoking rarely kills after the first cigarette - you really need to invest a lot - of time, effort and MoNeY usually to get the result you are looking for, often at an advanced age, after a lot of suffering and spending on the miracle treatment. Of course You might have found a kindred spirit in Hitler, and maybe Trump - although Trump appears to prefer taking effective health care from numbers of well intentioned folks who have through no fault of their own managed to "find" one of the 12,000 diseases we know of.

YOUr humility and humanity astounds....

Apr 12, 2019
GZ I am not pro smoking but I am pro truth and the truth is what I demand when PHDs accept grant money to do research.

Apr 12, 2019
Far more would likely be saved by outlawing fast food.

Apr 13, 2019
Easy solution: just reduce the benefits to smokers by $2.6 billion.
Far more would likely be saved by outlawing fast food
Perhaps. But I think you're right - benefits should be meted out based on how well people take care of themselves. Fat, sedentary, addicted, ill-nourished individuals with life-threatening conditions they dont bother to take care of such as HBP, should not expect society to do it for them.

There are already 'death panels' that refuse transplants based on lifestyle. No reason not to expand the concept based on general irresponsibility.

Apr 13, 2019
Hitler and Goebbles taught the republican party all they ever needed to know about propaganda... and fake news, and their version of "science"...
You mean like secret courts and govt agencies used to spy on private citizens and concocting fake dossiers for political purposes?

And censoring opposition speech?

"Chuck Todd: "We're Not Going To Give Time To Climate Deniers""

"11 times speakers were shouted down by leftist protesters this school year"

"Police have arrested the man they say punched a conservative activist at UC Berkeley"

-fucking Rot Front

For all the history-ignorant, nazis were a RESPONSE in kind to the comintern cells breaking out all over Germany at the time. The only way to stop Soviet aggression was to turn the entire country into an army.

Germans succeeded in saving half their country and most of western europe from communism. And perhaps the world.

Apr 13, 2019
MR
If you don't smoke elderly healthcare costs mount up quickly as more and more lifesaving drugs increase lifespan
So let's not do any research into life style changes that would increase life expectancy - cuz MR does not want to incur more costs. Wonder if MR has calculated the cost of cancer, COPD, emphysema, and all the other diseases that is caused by smoking (the point of today's article.) Then MR could do a critical cost analysis, and determine the cost advantage/disadvantage of smoking. Then MR could write a policy proposal for the ministry of smoking - in his fascist state utopia. "Recommendation to the minister of smoking - regarding the optimal smoking requirement for all citizens of utopia."

Apr 13, 2019
This is so bogus. We have much less smoking, much less heart disease, we have vaccines, we have better cars for less car injuries, we have much less pollution, everything is safety designed now, and yet health care costs have sky rocketed.

Apr 13, 2019
grandpa
everything is safety designed now, and yet health care costs have sky rocketed
So IF the overall cost of driving a car has increased, and most people are already changing their oil regularly - it would be 'bogus' to argue that if the remaining people started to change their oil regularly - that would save cost!!!!!

Apr 13, 2019
This is so bogus. We have much less smoking, much less heart disease, we have vaccines, we have better cars for less car injuries, we have much less pollution, everything is safety designed now, and yet health care costs have sky rocketed.
-Because healthcare is working, prolonging lives, treating successive maladies that would have killed people in the past.

Smokers need treatment earlier and for longer periods of time.

Apr 13, 2019
Ya know, I think this is something else we can pin on religion, the evil distillate of tribalism. Tribes are by nature exclusivist, with preferential treatment for members. Religions promise special dispensation for believers. Liberals have replaced god with govt for their own tribe, and promise that govt can and will fix everything.

So people will tend to be less responsible in caring for and taking care of themselves, expecting the govt to fix their mistakes with unlimited resources. And their liberal leaders are only too happy to promise them this in order to get themselves elected.

But it is religion that seated this concept in their minds, of an all-powerful entity that could fix their ills if they remained faithful. Sin at night, repent in the morning.

As hitchens PBUH used to say, religion poisons everything.

Apr 13, 2019
A stellar example...

"Bernie Sanders' 'Medicare-for-all' plan includes health care for illegal immigrants"

-So why WAIT til they come here? Voting rights, healthcare worldwide. We already give them food stamps in the form of foreign aid...

Apr 14, 2019
The TRUMPH administration NOW clearly has stated that deficits do not matter


But the Obama and Bush administrations said they do matter? LOL, NO!

Apr 14, 2019
The Japanese Lung Cancer Smoking Paradox
The seeming incongruity that those in Japan smoke more but have a lower lung cancer rate than the United States, is known as the "Japanese smoking lung cancer paradox." The debate is not about smoking since we know that smoking causes lung cancer. The debate is about why Japanese (and other Asian) smokers have a lower incidence of lung cancer, even though they smoke more.

There is a lower incidence of cardiovascular disease and cancer in Asia where people smoke heavily, which may be accounted for by high consumption of tea, particularly green tea, according to a review article published by a Yale School of Medicine researcher.

https://news.yale...-paradox

Apr 14, 2019
Old_C
But the Obama and Bush administrations said they do matter?
But promises do matter - and people being willing to accept lies - is a big problem.
In his official campaign launch address, Trump promised to "reduce our $18 trillion in debt
in March 2016, he told Bob Woodward that he could get rid of the debt "fairly quickly." When pressed, he said, "Well, I would say over a period of eight years."

https://thinkprog...b5302c1/

Apr 14, 2019
"So let's not do any research into life style changes that would increase life expectancy - cuz MR does not want to incur more costs. "

Where did I say that Onions. I was just disagreeing with the findings in the paper. I am all for medical science. If one is rational one understands that SS and medical costs are bankrupting our country. I do not see and answer to the problem.

Apr 14, 2019
Where did I say that Onions
Right here MR -

If you don't smoke elderly healthcare costs mount up quickly as more and more lifesaving drugs increase lifespan


Clearly you are arguing against making good life style choices - as this will increase healthcare costs.
I do not see and answer to the problem
I do. A health care system that is about providing quality health care - at a reasonable cost, instead of a for profit system that is focused on making millionaires out of a small number of people. Plenty of countries around the world to look at. Try Sweden.

Apr 14, 2019
Onions why don't you go to Great Brittan as a 70 year old and try to get a government funded triple bypass. Do you realize the stage 1 breast cancer is not treated there? You have to wait until it progresses before they will treat it. Also our hospital costs are high because a LOT of illegal immigrants use emergency rooms as their primary care and never pay. Add to that outrageous legal settlements and costs skyrocket.

Apr 14, 2019
Onions why don't you go to Great Brittan as a 70 year old and try to get a government funded triple bypass
MR - I am fully aware of the drawbacks to the NHS system. My family lives in England - and I talk with them regularly about it. My quality of care here in the U.S. is FAR superior to the care I would get in England. I would really like to move back to England - and spend the remaining years of my life there. The NHS is one of the big stumbling blocks for me.
It is typical of your inability to think in more complex ways - that you have to bring up the NHS. England is in a mess.
HOWEVER - have you worked with the poor in the U.S? I have. Have a bad tooth - get it pulled. The situation in the U.S. regarding the health care divide is unforgivable. You should be ashamed - except it is part of your culture to only care about yourself. https://qz.com/98...he-poor/

Apr 15, 2019
grandpa
everything is safety designed now, and yet health care costs have sky rocketed
So IF the overall cost of driving a car has increased, and most people are already changing their oil regularly - it would be 'bogus' to argue that if the remaining people started to change their oil regularly - that would save cost!!!!!
What I am saying is all the ideas of people who want to control other peoples lives were wrong. Social Engineers have been wrong. More social engineering is only going to make things worse.

Apr 15, 2019
The Japanese Lung Cancer Smoking Paradox
The seeming incongruity that those in Japan smoke more but have a lower lung cancer rate than the United States, is known as the "Japanese smoking lung cancer paradox." The debate is not about smoking since we know that smoking causes lung cancer. The debate is about why Japanese (and other Asian) smokers have a lower incidence of lung cancer, even though they smoke more.

There is a lower incidence of cardiovascular disease and cancer in Asia where people smoke heavily, which may be accounted for by high consumption of tea, particularly green tea, according to a review article published by a Yale School of Medicine researcher.

https://news.yale...-paradox
This is a good idea. Go with what works in culture.

Apr 15, 2019
The debate is about why Japanese (and other Asian) smokers have a lower incidence of lung cancer, even though they smoke more
No, the debate is about eliminating this addiction to dirt, this murderous disease. You talk like a smoker who is desperately trying to rationalize his addiction.

It kills japanese just like it kills everybody else.

The only way to save your life is to put it down, NOW, and never pick it up again.

Apr 15, 2019
Let's face it guys and gals back when SS and medicare were first designed they were marginally budget neutral. You got to collect SS when you were 65 and that just happened to be the average age of death. Medicare came much later. Since then life expectancy for seniors has skyrocketed due to healthier life style and medical advances. I would venture to guess that on average it costs everyone the same amount to die and the costs between 65 and death are the big variable here as far as government expenses go. Thus the earlier that you die the less it costs the government. That is why this senior citizen is calling this PHD a bs artist.

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