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Chapter  

3
Tobacco  industry  pricing,  price-­related  marketing
and  lobbying

Introduction

The  effectiveness  of  tobacco  taxation   Tobacco   Monopoly   Administration   unbranded  products  upon  redemption  
and   other   price-­related   policies   and   Chinese   National   Tobacco   Co.   of  coupons  or  other  proof  of  purchase,  
depends  in  large  part  on  how  tobacco   kept   retail   cigarette   prices   at   the   as   in   the   “Marlboro   Miles”   and  
companies   respond   through   both   same   level   as   they   were   before   the   “Camel   Cash”   programmes).   From  
their   lobbying   efforts   to   prevent   tax   tax  increase. the  tobacco  companies’  perspective,  
increases  or  influence  excise  policies   In   addition   to   its   direct   pricing   such   price-­reducing   marketing  
and   their   pricing   and   price-­reducing   strategies,   tobacco   companies   can   efforts   have   advantages   over   direct  
marketing   strategies.   In   general,   influence   price   through   a   variety   of   pricing  strategies  in  that  they  can  be  
tobacco   product   tax   increases   will   price-­reducing   marketing   efforts.   more   narrowly   targeted   to   particular  
lead  to  increases  in  the  price  of  these   These   include:   the   distribution   of   segments  of  the  market.  For  example,  
products,  with  the  extent  of  the  price   free   samples   of   their   products,   the   price-­reducing   promotions   can   be  
increase  varying  based  on  how  much   distribution   of   coupons   through   used   subnationally   to   reduce   the  
or  little  of  the  tax  increase  the  industry   print   advertising   and   direct   mail,   immediate  impact  of  subnational  tax  
decides   to   pass   on   to   consumers   on   packaging,   and   via   their   web   increases,  can  be  applied  to  a  limited  
(which   may   vary   brand   by   brand   sites;;   retail   value-­added   promotions   number   of   brands   (e.g.   those   used  
within  the  same  market)  and  whether   that   involve   free   cigarettes   (e.g.   by   populations   of   particular   interest,  
it   raises   prices   on   top.   Two   2009   buy-­one-­get-­one-­free   offers);;   and   such  as  young  people),  or  directed  to  
tax   increases   illustrate   this   clearly.   direct   price   discounts   implemented   more  price-­sensitive  consumers  (e.g.  
In   April   2009,   the   federal   cigarette   through   payments   to   distributors   distribution  of  coupons  via  direct  mail  
excise   tax   in   the   United   States   and   retailers   (e.g.   through   “buy-­ to  selected  users).
was   increased   by   US$0.6167   per   downs”  trade  programs).  In  addition,   Finally,   tobacco   companies   can  
pack,   with   US   cigarette   companies   other   marketing   techniques   provide   use   their   political   influence   to   lobby  
passing  on  the  full  amount  of  the  tax   added   value   at   the   same   price   policymakers  to  oppose  tobacco  tax  
increase   and   raising   prices   further   and   can   be   thought   of   as   price-­ increases   or   support   tax   rollbacks,  
(e.g.  Philip  Morris  USA  raised  prices   reducing  marketing,  broadly  defined.   alter  tax  structures  in  a  way  favourable  
on   its   leading   brands   by   US$0.71   These   include:   retail   value-­added   to   at   least   some   companies,   resist  
per   pack   and   on   other   brands   by   promotions  that  involve  non-­tobacco   earmarking  of  tobacco  tax  revenues  
US$0.78   per   pack).   In   contrast,   in   items   (e.g.   a   free   lighter   with   the   for  tobacco  control  programs,  and/or  
May   2009,   China   modified   its   tax   purchase  of  two  packs  of  cigarettes);;   minimize  the  use  and  impact  of  other  
structure   and   increased   taxes   on   and   specialty   item   distribution   (e.g.   policies  that  aim  to  increase  tobacco  
most  cigarette  brands,  but  the  State   giveaways   of   various   branded   or   product   prices.   Similarly,   tobacco  

31
IARC  Handbooks  of  Cancer  Prevention

companies   work   behind   closed   used  to  drive  searches  are  available   Others   were   more   fragmented,  
doors  with  Ministries  of  Finance  and   in  Appendix. with   several   smaller   companies  
others   to   provide   guidance   on   tax   We   also   consulted   several   key   competing   more   aggressively   with  
levels  and  tax  structures,  as  well  as   experts   in   the   field   (many   of   whom   others.  Still  others  were  oligopolistic,  
other   aspects   of   tax   administration   are  involved  in  authoring  this  volume)   dominated   by   a   few   large   firms   that  
(Gilmore   et   al.,   2007).   Such   overt   and   put   a   call   on   GLOBALink,   the   together   controlled   nearly   the   entire  
and   covert   activities   can   weaken   most   commonly   used   information-­ market.  As  a  result,  pricing  strategies  
the   effectiveness   of   tax   and   price   exchange   point   for   tobacco   control   varied  widely,  with  more  competitive  
policies  in  reducing  tobacco  use  and   researchers   and   practitioners,   to   markets  likely  to  see  lower  prices  and  
its  consequences. identify   other   papers.   Although   our   more   price   competition   than   more  
This   chapter   provides   a   review   search  strategy  should  have  captured   concentrated  markets.
of   these   issues.   The   first   section   most  studies  that  explore  the  issues   Over   the   past   two   decades,   the  
provides   a   discussion   of   industry   covered  in  this  chapter  in  any  detail,   markets   for   tobacco   products   have  
pricing   strategies   generally   and   of   it   is   possible   that   some   references   become   increasingly   concentrated  
how   tobacco   product   prices   change   have  been  missed,  particularly  those   and   globalized   as   a   result   of  
in   response   to   changes   in   tobacco   in  languages  other  than  English. privatization   of   government-­run  
taxes   specifically.   This   is   followed   While   we   had   aimed   to   limit   the   tobacco   monopolies,   reduced  
by   a   review   of   the   variety   of   price-­ evidence   to   scientific   publications   barriers   to   trade   in   tobacco   and  
related   marketing   strategies   used   obtained   via   the   search   strategies   tobacco   products,   increased   direct  
by   tobacco   companies,   and   the   above,   the   evidence   base,   investments  by  multinational  tobacco  
limited   empirical   evidence   on   the   particularly   in   relation   to   parts   (a)   companies,   and   consolidation  
use   of   price-­reducing   promotions   (tobacco  industry  pricing  strategies),   through   mergers   and   acquisitions.  
in   response   to   tax   increases   and   (b)   (price-­related   marketing)   and   (d)   Together,   worldwide,   the   top   five  
other   tobacco   control   policies.   We   (interventions   to   reduce   industry   cigarette   companies   (Chinese  
then  turn  to  a  discussion  of  industry   price   manipulation   and   lobbying),   National   Tobacco   Co.   (CNTC),  
lobbying   efforts   to   shape   policy   was  limited,  with  most  of  the  empirical   Philip   Morris   International   (PMI),  
decisions  concerning  tobacco  excise   studies  limited  to  the  USA  and  a  few   British   American   Tobacco   (BAT),  
taxes,  providing  a  systematic  review   other   high-­   or   high-­middle   income   Japan   Tobacco   (JT),   and   Imperial  
of   the   limited   empirical   evidence   on   countries.  For  this  reason,  the  first  t wo   Tobacco   Group   (ITG))   account   for  
these   activities   between   1985   and   sections   explain   industry   behaviour   more   than   80%   of   global   cigarette  
2010.   The   final   section   discusses   using  theory  and  observation  before   production   and   consumption  
interventions   to   reduce   industry-­ turning   to   the   empirical   evidence,   (Euromonitor   International,   2009).  
related   price   manipulation   and   and  the  fourth  section  outlines  policy   Excluding   CNTC,   which   operates  
lobbying. options,   highlighting   any   relevant   almost   entirely   in   China   with   little  
academic  literature. competition   from   other   companies,  
Methods the   top   four   companies   account   for  
Tobacco  industry  pricing about   70%   of   global   production   and  
A  systematic  approach  was  taken  to   strategies consumption.   As   shown   in   Table  
searching   for   literature   relevant   to   3.1   for   leading   cigarette   markets  
this   chapter.   In   total,   13   electronic   Background:  Market  structure globally   and   in   Europe,   in   most  
databases   were   searched   between   countries   cigarette   markets   are  
October   2009   and   March   2010.   Historically,   industry   pricing   dominated   by   some   combination   of  
These   covered   academic   research   strategies   have   varied   considerably   these   four   companies.   The   3-­firm  
and   grey   literature   (i.e.   manuscripts,   across  countries  given  the  significant   concentration   ratio   illustrates   the  
reports,   technical   notes   or   similar   differences   in   the   structures   of   highly   concentrated   nature   of   these  
documents  produced  and  distributed   tobacco  product  markets  in  different   markets—other   than   in   Indonesia,  
by  governmental  agencies,  academic   countries.   Many   markets   were   just   three   firms   control   at   least   80%  
centers   or   other   non-­commercial   controlled   by   a   domestic,   often   of   the   market,   and   in   many   markets  
publishing   entities).     Full   details   of   government-­run,   tobacco   monopoly   the  top  three  firms  account  for  more  
the   electronic   databases   and   web   whose   primary   objective   may   not   than   90%   (Gilmore   et   al.,   2010).  
sites,   and   the   keywords,   and   terms   have   been   profit   maximization.  

32
Table  3.1.  Cigarette  market  shares  (%)  by  global  brand  owner  for  the  major  cigarette  markets,  2008

Company Brazil Canada China Germany India Indonesia Italy Japan Russian  Federation UK USA

Philip  Morris  International  Inc 9.7 21.3 0.1 36.2 12.1 22.6 52.9 24.4 25.4 6.3

British  American  Tobacco  Plc 86.3 59.0 0.6 20.0 2.7 24.1 10.2 19.6 8.1

Japan  Tobacco  Inc 10.8 0.2 5.0 1.3 16.2 64.9 36.9 38.8 0.4

Imperial  Tobacco  Group  Plc 25.6 2.9 9.2 43.9 4.0

China  National  Tobacco  Corp  (CNTC) 98

ITC  Group* 58.3

Golden  Tobacco  Ltd 10.9

VST  Industries  Ltd 9.2

Godfrey  Phillips  India  Ltd** 0.4

Gudang  Garam  Tbk  Ltd** 28.3

Djarum  PT 13.8

Bentoel  Internasional  investama  Tbk  PT 5.9

Nojorono  Tobacco  Indonesia  PT 5.5

Philip  Morris  USA  Inc 48.4

Reynolds  American  Inc* 26.5

Lorillard  Inc 10.1

Liggett  Vector  Brands  Inc 1.8

Societé  industrielle  des  Tabacs  du  Cameroun   1.4


SA
Donskoi  Tabak  OAO 3.7
Private  label 9.9 1.7
Others 2.6 8.9 1.2 3.3 7.8 21.2 4 0.5 5.2 1.3 8.8
Total 100 100 100 100 100 100 100 100 100 100 100
No.  of  companies  with  market  share  >10% 1 3 1 3 3 3 3 3 3 2 3
No.  of  companies  with  market  share  over  25% 1 1 1 2 1 1 1 1 2 2 2
3-­firm  concentration  ratio  (cumulative  share   97.4 91.1 98.8 81.8 81.3 64.7 93.2 99.5 81.9 90.8 85
of  market  of  3  biggest  companies  by  market  
share)

Table  reproduced  with  permission  from  Gilmore  et  al.,  2010.  Source:  Euromonitor  International  from  trade  sources/national  statistics.  Data  obtained:  23  September  2009
#  Data  given  for  the  world’s  largest  cigarette  markets  (China,  Russia,  USA,  Japan,  Indonesia,  Ukraine,  Brazil,  India),  plus  the  2  largest  European  markets  (Italy  and  Germany)  and  the  UK
NB  –  where  companies  other  than  those  listed  have  a  market  share  of  1%  or  less,  their  share  has  been  added  to  the  «other»  category
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

*Part  owned  by  BAT.  **Part  owned  by  Philip  Morris  International

33
IARC  Handbooks  of  Cancer  Prevention

This   market   concentration   gives   the   agree  on  a  shared  excise  framework.   tending   to   decrease   with   the   trend  
tobacco   companies   greater   pricing   Historically   the   southern   European   toward  greater  industry  consolidation  
power   and   profitability,   which   in   countries   had   state   monopolies   or   described  above.
turn  may  present  problems  to  public   small   national   industries   and   thus   Unfortunately,  there  has  been  little  
health   as   further   explored   below   sought   ad   valorem   systems   to   both   research  to  date  on  pricing  strategies  
(Gilmore  et  al.,  2010). protect   their   cheaper   cigarettes   in  tobacco  product  markets,  with  the  
Similar   patterns   are   emerging   in   made   using   domestic   tobacco   and   exception   of   some   limited   research  
markets   for   other   tobacco   products,   to   enable   them   to   compete   with   largely   from   the   USA   but   also  
although   to   a   lesser   extent   than   in   higher-­priced   premium   brands   from   covering  Jamaica,  Europe  and  South  
cigarette   markets   and   with   greater   the   larger   producers   (Gilmore   and   Africa   on   the   relationships   between  
variability   across   countries.   Globally,   McKee,   2004a).   By   contrast,   the   tobacco  taxes  and  prices  (discussed  
non-­cigarette   product   markets   are   transnationals   favoured   a   wholly   below).   Instead,   a   few   stylized   facts  
becoming   increasingly   concentrated,   specific   system   to   help   protect   their   emerge  from  observations  of  pricing  
and   distinctions   between   cigarette   more   expensive   brands.   A   similar   strategies   in   various   countries,   from  
companies  and  other  tobacco  product   pattern   continues   to   this   day   with,   industry   analyst   and   market   reports  
companies   are   disappearing   as   for   example,   PMI   (whose   high-­price   and   from   internal   tobacco   company  
major   cigarette   manufacturers   have   brand  Marlboro  is  the  leader  in  many   documents   released   following   a  
acquired   leading   smokeless   tobacco   markets)   favouring   a   fully   specific   series  of  litigation  cases  in  the  USA,  
product   manufacturers   (e.g.   Altria’s   system,  Imperial  Tobacco  (which  has   which   led   to   several   major   tobacco  
(parent   company   for   Philip   Morris   a   mixed   portfolio)   favouring   a   mixed   companies   being   required   to   make  
USA)   acquisition   of   US   Smokeless   ad  valorem  and  specific  system,  and   internal  documents  public.
Tobacco   Co.   in   2008   and   Reynolds   the  small  Greek  companies  lobbying   Limited   price   competition.   The  
American’s   acquisition   of   Conwood   for   a   fully   ad   valorem   system.   This   oligopolistic   nature   of   most   tobacco  
in   2006)   and   have   begun   using   the   issue   is   covered   further   in   the   third   product   markets   (Table   3.1)   tends  
same   brands   across   product   lines   section. to   result   in   relatively   stable   prices  
(e.g.   Marlboro   and   Camel   cigarettes   with   limited   price   competition,  
and   snus)   (McNeill   and   Sweanor,   Tobacco  industry  pricing   particularly   in   more   mature   markets  
2009).  The  acquisition  of  independent   strategies in   high-­income   countries   where  
smokeless   manufacturers   will,   by   companies   are   better   established.  
reducing   competition   between   In  general,  tobacco  product  markets   This   appears   less   true   for   markets  
cigarettes   and   smokeless   products,   that  have  large  numbers  of  producers   in  low-­  and  middle-­income  countries,  
increase   the   market   power   (their   producing   slightly   differentiated   particularly   where   the   transnational  
ability  of  to  set  prices)  of  the  resulting   products   will   see   a   relatively   high   tobacco   companies   are   relatively  
multiproduct   tobacco   companies.   degree   of   price   competition,   with   new  players  in  the  market  and  more  
However,   in   some   countries,   where   prices   largely   reflecting   the   costs   likely   to   use   price   as   one   strategy  
a   much   wider   variety   of   tobacco   of   production   and   distribution   for   gaining   market   share   for   their  
products   is   available,   the   markets   (including   taxes).   At   the   other   brands   (Vateesatokit   et   al.,   2000;;  
for   non-­cigarette   tobacco   products   extreme,   markets   that   are   entirely   Szyilágyi   and   Chapman,   2003).  
remain   fragmented   and   highly   or   nearly   monopolized   by   a   single,   However,   as   companies   become  
competitive   (e.g.   India,   where   there   profit-­maximizing  firm  will  see  prices   more  established,  the  extent  of  price  
are  thousands  of  small  bidi  producers). well   above   costs   and   relatively   little   competition   appears   to   diminish,  
price   competition.   However,   most   particularly   in   countries   where  
Background:  Individual  company   tobacco   product   markets   in   most   incomes  are  rising  more  rapidly  and  
interests countries  are  at  neither  extreme,  but   consumers,   influenced   by   industry  
are  instead  highly  concentrated  with   marketing,   increasingly   switch   to  
Different   companies   vary   in   their   a   small   number   of   highly   profitable   higher-­priced   brands.   To   the   extent  
brand   portfolios   and   thus   in   their   companies  accounting  for  most  sales   that  price  competition  does  remain,  it  
preference   for   excise   structures.   (see  Table  3.2).  As  a  result,  the  nature   tends  to  appear  in  the  form  of  multiple  
This   is   illustrated   through   industry   of  price  competition  can  vary  widely,   price  tiers  (e.g.  premium,  mid-­priced  
lobbying  on  tobacco  taxes  in  Europe,   both  across  countries  and  over  time,   and  economy  brands).  The  existence  
where  different  Member  States  must   although   globally   competition   is   of   multiple   price   tiers,   more   likely   in  

34
Table  3.2.  Profitability  (measured  using  EBITA  Margin  (%))  for  Europe’s  two  major  tobacco  companies  
and  comparator  European  consumer  staple  companies

Company 2004 2005 2006 2007 2008* 2009* 2010* 2011*

Tobacco  companies

British  American  Tobacco 24.0 28.1 28.7 30.0 30.7 31.1 32.1 33.7

Imperial  Tobacco  Group 40.2 41.5 42.9 45.0 28.2 37.7 39.4 39.5

Food  companies

Cadbury 15.6 15.9 14.4 13.5 12.0 13.0 13.8 14.9

Danone 12.7 13.1 13.3 12.1 14.4 16.9 15.7 15.9

Nestle 12.7 12.9 13.5 14.0 14.3 14.4 13.0 13.2

Premier  Foods 12.9 13.7 13.8 12.5 11.9 12.0 11.9 11.7

Consumer  products  companies

Unilever  NV 15.5 14.8 14.3 14.5 14.6 14.7 14.9 15.1

Henkel 9.4 9.7 10.2 10.5 10.3 9.0 10.6 11.6

L’Oreal 15.3 15.6 16.4 16.6 15.5 14.3 14.9 15.5

Reckitt  Benckiser 19.3 20.1 21.5 22.6 23.4 23.9 23.2 23.6

Beverage  companies

Heineken  NV 13.6 13.1 13.0 14.8 13.2 13.5 14.0 14.4

SABMiller 18.1 20.2 16.9 16.8 16.6 16.8 17.3 18.5

Carlsberg 8.8 8.7 9.6 11.5 13.2 16.0 16.3 17.1

Diageo 28.7 29.0 28.2 28.3 28.5 28.9 31.5 31.8

Table  reproduced  with  permission  from  Gilmore  et  al.,  2010


*  Estimated  values
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

35
IARC  Handbooks  of  Cancer  Prevention

markets   with   wholly   ad   valorem   or   The   report   goes   on   to   describe   The   tobacco   manufacturers   involved  
mixed   tax   systems   (as   explained   in   how   Philip   Morris   had   historically   were  Imperial  Tobacco  and  Gallaher,  
Chapter  2),  will  facilitate  downtrading   been   one   of   the   followers   in   the   US   who   jointly   account   for   around   80%  
to   cheaper   brands,   which   may   be   cigarette   marketing,   matching   the   of   the   United   Kingdom   market   (see  
of   particular   importance   in   markets   price   changes   initiated   by   American   Table   3.1).   Each   manufacturer   had  
at   the   end   stage   of   the   tobacco   Tobacco   Co.   or   R.J.   Reynolds,   but   a   series   of   individual   arrangements  
epidemic  when  smoking  increasingly   noting  that  by  the  1970s,  Philip  Morris   with   each   retailer   whereby   the   retail  
becomes   a   habit   of   the   more   had  become  the  leader: price   of   a   tobacco   brand   was   linked  
economically   deprived.   However,   in   “We   no   longer   follow   the   to  that  of  a  competing  manufacturer’s  
oligopoly  markets,  companies  tend  to   market;;   whether   we   initiate   brand   (Office   of   Fair   Trading.   http://
have  brands  in  every  price  tier;;  thus   a   price   increase   or   not,   our   www.oft.gov.uk/shared_oft/press_
the   existence   of   multiple   price   tiers   decision   is   a   key   factor   in   release_attachments/Parties_and_
will  not  necessarily  result  in  genuine   establishing   a   new   industry   fines.pdf;;   http://www.guardian.
competition. price   level,   and   we   must   c o.uk /business/2010/apr/16/of t-­
Price   leadership.   In   more   examine   any   price   move   in   levies-­225m-­for-­ cigarette -­price -­
concentrated,   oligopolistic   markets,   light  of  our  own  judgement  of   manipulation).  
pricing   strategies   tend   to   be   the  appropriate  level.” Prices   below   short-­run,   industry  
characterized   by   price   leadership,   The   report   further   describes   profit  maximizing  level.  While  prices  in  
with   one   firm   (usually   the   firm   with   how   the   relative   absence   of   price   highly  concentrated  tobacco  product  
highest   market   share)   initiating   a   competition   in   the   market   allowed   markets   are   above   the   competitive  
change   in   prices   and   others   almost   prices   to   remain   above   competitive   level,  they  have  historically  been  well  
immediately   matching   that   change.   levels,   generating   high   profits   which   below  the  level  that  would  maximize  
As   Chaloupka   (2007)   describes,   were  then  used  to  support  the  other   short-­run   industry   profits.   This   is  
cigarette  pricing  in  the  USA  has  been   marketing   activities   through   which   likely  to  be  explained  by  two  factors.  
characterized  by  this  type  of  strategy   US   cigarette   companies   competed   First,   prices   well   above   competitive  
for  the  past  century,  with  the  “leader”   more  directly. levels   would   create   opportunities  
changing   over   time,   but   the   strategy   A   similar   pattern   of   price   for   new   firms   to   gain   a   foothold   in  
staying   constant.   This   is   further   leadership,   limited   price   competition   the   market   by   selling   cigarettes   at  
described  in  a  1976  report  on  “Pricing   and   high   profitability   is   seen   in   relatively   low   prices.   As   Chaloupka  
Policy”   from   Philip   Morris’   Business   Europe,  although  markets  where  PMI   (2007)   describes,   this   happened   in  
Planning  and  Analysis  division: is  the  market  leader  (most  markets  in   US   cigarette   markets   in   the   1930s,  
“The   cigarette   industry   is   western   Europe)   tend   to   differ   from   when   the   leading   companies   at   the  
characterized   by   economists   the  United  Kingdom  and  Irish  markets   time   (American   Tobacco   Co.,   R.J.  
as   a   ‘kinky   oligopoly’.   This   because   PMI   is   less   prepared   to   Reynolds   and   Liggett   &   Myers)   set  
charming   term   implies   that   lose   market   share   by   increasing   prices   well   above   competitive   levels  
the   general   price   level   is   prices,   and   thus   price   increases   (US$0.14–0.15   per   pack),   using  
determined  by  a  small  number   have   traditionally   been   lower   in   profits   to   compete   primarily   through  
of   firms   (price   leaders);;   that   these   markets   than   the   United   their   advertising   campaigns.   This  
no   economic   advantage   can   Kingdom   and   Ireland   (Spielman   and   created  an  opportunity  for  new  firms  
be   obtained   by   any   one   firm   Loveless,   2008a).   This   makes   the   to   enter   the   market   and   for   existing  
pricing   below   the   general   United   Kingdom   market   particularly   small   firms   to   gain   market   share   by  
price   level;;   and   that   major   interesting  as  a  case  study  of  industry   selling   at   considerably   lower   (but  
disadvantages   accrue   to   a   attempts   to   maximize   short-­term   still   profitable)   prices.   Many   did   so  
firm   which   attempts   to   price   profitability,   as   outlined   below.   A   with   their   “ten-­cent”   brands   before  
above   the   general   level.   In   further   issue   worth   noting   is   that   of   the   industry   leaders   responded   by  
short,   the   general   price   level   price-­fixing,   recently   documented   in   cutting  their  prices.  The  ensuing  price  
results   from   some   sparring   the  United  Kingdom.  The  Office  of  Fair   war  drove  most  of  the  new  firms  from  
among   the   potential   price   Trading   recently   fined   two   tobacco   the   market,   but   two   –   Philip   Morris  
leaders,   after   which   the   rest   manufacturers   and   ten   leading   and  Brown  &  Williamson  –  survived,  
of   the   industry   accepts   the   retailers   £225m   for   price-­fixing,   going  on  to  become  major  players  in  
resulting  price  structure.” decisions  which  are  being  appealed.   the  US  cigarette  market.

36
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

More   recently,   the   tobacco   dimmer   and   companies   try   to   profit   With   respect   to   industry   structure,  
transnationals   attempted   to   gain   more  from  the  existing  pool  of  users   economic   theory   suggests   that  
market   share   in   newly   opened   in  the  short  run. tobacco  taxes  will  be  fully  passed  on  
markets   (e.g.   Thailand   and   Hungary   This   pattern   is,   for   example,   to  users  through  an  equivalent  price  
in   the   1990s)   by   price   discounting   observed   in   western   Europe   where   increase   in   a   perfectly   competitive  
(Vateesatokit   et   al.,   2000;;   Szyilágyi   competition  in  most  markets  is  limited   market   with   constant   long-­run   costs  
and   Chapman,   2003).   In   addition,   (see   Table   3.1),   giving   the   industry   of   production.   At   the   other   extreme,  
there   were   numerous   new   entrants   considerable   pricing   power   and   a   profit-­maximizing   monopolist   will  
to   the   US   market   after   the   1998   making  these  markets  the  industry’s   pass  on  only  part  of  the  tax  in  price,  
Master  Settlement  Agreement  (MSA)   most   profitable   globally   (Spielman,   with   the   pass-­through   greater   as  
in   part   because   loopholes   in   the   2008a,   2008b;;   Euromonitor   demand  is  more  inelastic.
agreement   created   opportunities   International,   2009).   The   United   In   an   oligopolistic   market,  
for   non-­participating   companies   Kingdom   market,   as   outlined   above,   however,  how  much  or  little  of  the  tax  
to   enter   the   market   and   undercut   is   one   of   the   most   interesting,   and   is   passed   through   can   vary   based  
prices.  In  most  established  markets,   analyst   reports   suggest   that   the   on   how   the   industry   reacts.   Harris  
however,  marketing  restrictions  make   industry   has   been   able   to   increase   (1987),   for   example,   suggests   that  
it  increasingly  difficult  for  new  market   prices   sufficiently   to   offset   both   companies   in   a   highly   concentrated  
entrants   to   compete   effectively   with   volume   declines   and   negative   mix   tobacco   product   market   can   use  
established  brands,  and  reputational   (downtrading   to   cheaper   brands)   a   tobacco   tax   increase   as   an  
and   litigation   risks   provide   further   (Spielman,   2008a,   2008b).   The   fact   opportunity   for   a   coordinated   price  
barriers   to   market   entry   (Gilmore   et   that  this  may  have  been  facilitated  by   increase  that  leads  to  an  overshifting  
al.,  2010). tax  policies  is  further  outlined  below. of  the  tax,  with  prices  rising  by  more  
A   second   factor   explaining   price   Furthermore,   by   virtue   of   having   than   the   amount   of   the   tax.   Using  
levels   below   the   short-­run   industry   diverse   brand   portfolios   in   multiple   data   from   the   years   around   the  
profit-­maximizing   level,   and   one   price   tiers,   companies   can   utilize   doubling   of   the   US   federal   cigarette  
perhaps   more   relevant   currently   in   both   strategies—keeping   some   excise  tax  (from  US$0.08  to  US$0.16  
at   least   some   declining   markets,   is   brands  cheap  to  “hook”  new  smokers   per  pack)  on  1  January  1983,  Harris  
the   trade-­off   between   short-­run   and   while   maintaining   prices   on   higher-­ observed   that   industry   prices   rose  
long-­run   profitability.   As   Becker   and   end  brands  to  offset  the  negative  mix   by   more   than   manufacturing   costs  
his   colleagues   (1994)   describe,   the   and  maintain  profits.  It  would  appear   in   the   months   leading   up   to   the   tax  
greater   price   sensitivity   of   young   such   practices   may   be   occurring   in   increase,   with   the   rise   in   industry  
people   (as   discussed   below   in   the   United   Kingdom,   for   example,   prices  starting  after  the  tax  increase  
Chapter   6)   and   the   addictive   nature   because  despite  a  marked  growth  in   was   announced.   In   the   end,   he  
of  tobacco  use  may  lead  companies   discount  brands  (Devlin  et  al.,  2003,     concludes   that   prices   rose   by   more  
with  market  power  to  set  prices  lower   Talking   Retail,   2006)   the   industry   is   than   twice   the   amount   of   the   tax  
than   the   short-­run   profit-­maximizing   managing  to  grow  its  profits,  and  the   increase.
level  to  “get  more  consumers  ‘hooked’   United   Kingdom   market   is   among   Harris’   (1987)   hypothesis  
on   the   addictive   good”   so   that   long-­ the   most   profitable   (Spielman   et   al.,   appears   to   be   confirmed   by   internal  
run   profits   will   be   higher   than   they   2008a,  2008b). industry  documents.  When  asked  for  
would   be   if   prices   were   set   higher   his   thoughts   about   how   to   pass   on  
in   the   short   run   and   fewer   young   Tobacco  tax  increases  and  prices an   anticipated   additional   increase  
people   took   up   tobacco   use.   To   the   in   the   US   federal   cigarette   tax   in  
extent   that   tobacco   product   markets   The   effectiveness   of   tobacco   tax   1987,  Philip  Morris  economist  Myron  
are  on  the  decline  in  some  countries   increases   in   reducing   tobacco   use   Johnston   recalled   the   industry’s  
(e.g.   in   response   to   adoption   and   and   its   consequences   depends,   pricing   strategies   around   the   1983  
implementation   of   effective   tobacco   in   part,   on   how   increases   in   taxes   increase  (Johnston,  1987):
control   strategies,   including   higher   are   passed   on   to   users   in   price   “Last   time,   of   course,   we  
taxes),   it   becomes   more   likely   that   increases.  The  extent  to  which  prices   increased   prices   five   times  
industry  prices  will  rise  to  nearer  the   rise  following  a  tax  increase  depends   between   February   of   1982  
short-­run   industry   profit-­maximizing   on   multiple   factors,   most   notably   and   January   of   1983.   In   less  
level   as   future   prospects   grow   industry   structure   and   tax   structure.   than   a   year,   the   price   went  

37
IARC  Handbooks  of  Cancer  Prevention

from   $20.20   to   $26.90   per   paid   and   will   be   less   likely   to   increases   in   South   Africa   (since  
thousand   ($2.70   more   than   suffer   from   ‘sticker   shock.’   1994)   and   Jamaica   (in   2005),   while  
the   tax),   and   this   fact   was   As   a   result,   they   should   be   Delipalla  and  O’Donnell  (2001)  found  
not   lost   on   consumers,   who   less   likely   to   use   the   price   undershifting   of   cigarette   taxes   in  
could   legitimately   blame   increase   as   an   incentive   to   12   European   Union   countries   in   the  
the   manufacturers   for   the   stop   smoking   or   reduce   their   early   1990s,   particularly   in   markets  
price   increases.   While   price   consumption.”   that  were  less  concentrated.
increases   of   this   magnitude   Experiences   with   several   federal   Although   there   are   no   recent  
might   have   been   tolerated   tax   increases   in   the   1990s   and   empirical   studies   in   the   European  
during   the   rapid   escalation   early   2000s   show   that   wholesale   Union,   as   noted   above   the   market  
in   the   overall   inflation   rate   cigarette   prices   rose   by   the   amount   has  seen  considerable  consolidation  
between   1977   and   1981,   of   the   tax   increases   or,   at   times,   in   recent   years   (Hedley,   2007),   and  
the   increase   in   the   price   of   being  absorbed  by  the  industry  (e.g.   other   evidence   suggests   that   the  
cigarettes   in   1982-­83   was   the   US$0.05   increase   in   2002).   undershifting  observed  in  the  1990s  
made   even   more   dramatic   Most   recently,   however,   the   much   (Delipalla   and   O’Donnell,   2001)   has  
by   the   fact   that   the   overall   larger   (US$0.6167   per   pack)   1   April   reversed   (Spielman   and   Loveless,  
rate   of   inflation   was   slowing   2009   increase   in   the   US   federal   2008b).   Although   the   countries   in  
considerably.”   cigarette   excise   tax   did   lead   to   eastern   Europe   are   in   general   at  
Industry   reactions,   particularly   some   overshifting;;   Philip   Morris,   for   a   different   stage   of   the   tobacco  
by   the   dominant   firm,   however,   can   example,  raised  prices  on  its  ‘growth   epidemic  with  volumes  of  consumers  
vary  with  circumstances.  In  the  same   and   support   brands’   (including   and   tobacco   sold   still   increasing,  
memo,   Johnston   goes   on   to   note   Marlboro)   by   US$0.71   per   pack   profits   are   also   increasing   as   a  
how  the  overshifting  of  the  1983  tax   and   on   its   ‘non-­support   brands’   by   result   of   industry   price   increases  
increase   had   a   particularly   negative   US$0.78   per   pack.   Given   its   role   as   and   consumers   trading   up   to   more  
impact   on   Philip   Morris   because   of   the  market  leader  in  the  USA  over  the   expensive   brands   (Euromonitor  
its  greater  impact  on  smoking  among   past  few  decades,  other  US  cigarette   International,  2009).
young   people,   where   Marlboro’s   companies   have   generally   followed   With  regards  to  tax  structure,  both  
market   share   was   greatest.   This   led   Philip   Morris’   lead   in   responding   to   theoretical   and   empirical   evidence  
him  to  write  (Johnston,  1987): the  US  tax  increases. suggest   that   specific   excise   taxes  
“I   have   been   asked   for   my   The   limited   empirical   evidence   tend   to   increase   consumer   prices  
views   as   to   how   we   should   on   this   issue,   almost   entirely   from   relatively   more   than   ad   valorem  
pass   on   the   price   increase   high-­income   countries,   reflects   this   excises,  and  hence  lead  to  relatively  
in  the  event  of  an  increase  in   variability.   Older   US   studies   found   higher   reductions   in   consumption  
the  excise  tax.  My  choice  is  to   that  cigarette  taxes  led  to  less-­than-­ (Delipalla   and   Keen,   1992;;   Delipalla  
do  what  I  suggested  to  Wally   comparable  price  increases  (Sumner   and   O’Donnell,   2001;;   Chaloupka  
McDowell   in   1982:   Pass   on   and   Ward,   1981;;   Bishop   and   Yoo,   et   al.,   2010).   The   higher   impact   of  
the  increase  in  one  fell  swoop   1985;;   Ashenfelter   and   Sullivan,   specific   excise   taxes   on   consumer  
and  make  it  clear  to  smokers   1987);;   others   found   that   taxes   prices   is   consistent   with   a   greater  
that   the   government   is   solely   were   fully   passed   on   (Sumner   and   possibility   of   overshifting   of   specific  
responsible   for   the   price   Wohlgenant,   1985);;   and   still   others   taxation   relatively   to   ad   valorem  
increase,   advertise   to   that   found  that  prices  rose  by  more  than   (Delipalla   and   Keen,   1992).   Under  
effect,   suggest   that   people   the  tax  (Barzel,  1976;;  Johnson,  1978;;   specific   taxation,   any   increase  
stock   up   to   avoid   the   price   Sumner,   1981).   Most   recent   US-­ in   producer   price   will   go   to   the  
increase,   and   recommend   based   analysis,   however,   find   that   producer   as   revenue   and   therefore  
that   they   refrigerate   their   cigarette  taxes  are  overshifted  in  the   would   increase   producers   incentive  
cigarettes   ‘to   preserve   their   USA,   leading   to   increases   in   retail   to   raise   price.   Economic   theory  
freshness.’...   Then   when   cigarette   prices   greater   than   the   tax   also   shows   that   industry   profits  
people   exhaust   their   supply   (Barnett   et   al.,   1995;;   Keeler   et   al.,   are   relatively   higher   under   specific  
and   go   to   the   store   to   buy   1996;;   Hanson   and   Sullivan,   2009;;   taxation   (Delipalla   and   Keen,   1992).  
more,   they   will   be   less   likely   Sullivan,   2010).   van   Walbeek   (2010)   Moreover,   a   tax   increase   may   lead  
to   remember   what   they   last   observes   similar   overshifting   of   tax   to   an   increase   in   profits   when   tax  

38
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

overshifting  takes  place:  as  a  higher   of  marketing  activities  that  lower  the   the  cost  of  the  items  distributed,  but  
tax   increases   consumer   price   and   price   of   or   otherwise   add   value   to   subtracting   any   payments   received  
reduces   demand,   for   profits   to   rise,   their   products.   These   activities   are   for   the   item.   The   costs   associated  
the  after-­tax  mark  up  must  rise. clearly   defined   by   the   US   Federal   with   distributing   non-­cigarette   items  
All   this   suggests   that   relying   Trade   Commission   (FTC)   in   its   in   connection   with   sampling   or  
heavily  on  specific  excise  taxation  is   annual   reports   to   the   US   Congress   retail-­value-­added   programmes   are  
likely  to  increase  market  concentration   on  cigarette  and  smokeless  tobacco   reported   in   those   categories,   not   as  
and   industry   profits   in   the   long   run.   company   marketing   activities   specialty  item  distribution.
With   respect   to   the   public   health   (Federal   Trade   Commission,   2009a,   ‡6SHFLDOW\LWHPGLVWULEXWLRQQRQ
perspective,  while  specific  taxes  offer   2009b);;   as   defined   for   cigarettes,   branded:  all  costs  of  distributing  any  
greater   public   health   benefits,   there   these  include: item  (other  than  cigarettes,  items  the  
is   a   danger   that   the   greater   industry   ‡3ULFHGLVFRXQWVSULFHGLVFRXQWV sole  function  of  which  is  to  advertise  
profits   that   emerge   may   in   turn   paid   to   cigarette   retailers   or   or   promote   cigarettes,   or   written   or  
be   used   to   damage   public   health,   wholesalers   to   reduce   the   price   of   electronic   publications),   whether  
because   these   profits   can   be   used   cigarettes   to   consumers,   including   distributed   by   sale,   redemption   of  
to   increase   industry   marketing,   or   off-­invoice   discounts,   buy-­downs,   coupons,  or  otherwise,  that  does  not  
fund   lobbying   or   litigation   efforts   to   voluntary  price  reductions  and  trade   bear   the   name,   logo,   or   an   image  
challenge   public   health   policies.   For   programs,  but  excluding  retail-­value-­ of   any   portion   of   the   package   of  
this   reason,   along   with   increases   in   added   expenditures   for   promotions   any   brand   or   variety   of   cigarettes,  
the   specific   tax   (and   its   associated   involving   free   cigarettes   and   including   the   cost   of   the   items  
great   effect   on   price),   governments   expenditures  involving  coupons. distributed,   but   subtracting   any  
may   find   they   need   to   implement   ‡ 6DPSOLQJ VDPSOLQJ RI payments  received  for  the  item.  The  
other   policies   to   counteract   the   cigarettes,   including   the   cost   of   the   costs   associated   with   distributing  
tobacco   industry’s   increased   market   cigarettes,   all   associated   excise   non-­cigarette   items   in   connection  
power. taxes,  and  increased  costs  under  the   with   sampling   or   retail-­value-­added  
As   described   in   the   previous   Master   Settlement   Agreement,   and   programmes   are   reported   in   those  
chapter,  this  hypothesis  is  supported   the   cost   of   organizing,   promoting,   categories,   not   as   specialty   item  
by   descriptive   data   on   taxes   and   and   conducting   sampling.   Sampling   distribution
prices   globally,   with   prices   higher   includes  the  distribution  of  cigarettes   ‡ 5HWDLOYDOXHDGGHG ERQXV
on   average   in   countries   that   rely   on   for   consumer   testing   or   evaluation   cigarettes:   Retail-­value-­added  
specific   taxes   than   in   those   relying   when   consumers   are   able   to   smoke   expenditures   for   promotions  
on   ad   valorem   taxes   (World   Health   the   cigarettes   outside   of   a   facility   involving   free   cigarettes   (e.g.   buy  
Organization,   2010).   Chaloupka   and   operated  by  the  Co.,  but  not  the  cost   two  packs,  get  one  free),  whether  or  
colleagues   (2010),   in   their   empirical   of   actual   clinical   testing   or   market   not  the  free  cigarettes  are  physically  
analysis  using  data  from  EU  countries   research   associated   with   such   bundled  together  with  the  purchased  
over   the   period   from   1998   through   cigarette  distributions.  Sampling  also   cigarettes,  including  all  expenditures  
2007,   provide   additional   support   for   includes   the   distribution   of   coupons   and   costs   associated   with   the   value  
this   hypothesis.   They   conclude   that   for  free  cigarettes,  when  no  purchase   added   to   the   purchase   of   cigarettes  
average   cigarette   prices   are   higher   or   payment   is   required   to   obtain   the   (e.g.   excise   taxes   paid   for   the   free  
in  EU  countries  relying  more  heavily   coupons  or  cigarettes. cigarettes  and  increased  costs  under  
on  specific  cigarette  excises  than  on   ‡ 6SHFLDOW\ LWHP GLVWULEXWLRQ the  Master  Settlement  Agreement).
ad  valorem  excises. branded:  all  costs  of  distributing  any   ‡ 5HWDLOYDOXHDGGHG QRQ
item  (other  than  cigarettes,  items  the   cigarette   bonus:   Retail-­value-­added  
Tobacco  industry  price-­related   sole  function  of  which  is  to  advertise   expenditures  for  promotions  involving  
marketing  efforts or   promote   cigarettes,   or   written   or   free   non-­cigarette   items   (e.g.   buy  
electronic   publications),   whether   two   packs,   get   a   cigarette   lighter),  
Background distributed   by   sale,   redemption   of   including   all   expenditures   and   costs  
coupons,   or   otherwise,   that   bears   associated   with   the   value   added   to  
In   addition   to   directly   setting   prices   the   name,   logo,   or   an   image   of   any   the  purchase  of  cigarettes.
to   tobacco   products,   tobacco   portion  of  the  package  of  any  brand   ‡ &RXSRQV $OO FRVWV DVVRFLDWHG
companies   can   engage   in   a   variety   or   variety   of   cigarettes,   including   with   coupons   for   the   reduction   of  

39
IARC  Handbooks  of  Cancer  Prevention

the  retail  cost  of  cigarettes,  whether   (an  issue  explored  in  a  later  section).   declining   to   about   US$12.5   billion   in  
redeemed   at   the   point-­of-­sale   or   by   Various  of  the  marketing  techniques   2006.  This  rise  in  marketing  spending  
mail,   including   all   costs   associated   outlined   above   may   therefore   be   is   even   more   dramatic   when   one  
with   advertising   or   promotion,   used   throughout   much   of   the   world.   considers   that   US   cigarette   sales  
design,   printing,   distribution,   and   For   example,   the   United   Kingdom   during  this  period  fell  by  over  43%.
redemption.  However,  when  coupons   Tobacco  Advertising  and  Promotions   Second,   price-­related   marketing  
are  distributed  for  free  cigarettes  and   Act   (which   was   fully   implemented   has  gone  from  accounting  for  a  minor  
no  purchase  or  payment  is  required  to   in   2005)   bans,   inter   alia,   the   use   share   of   overall   cigarette   company  
obtain  the  coupons  or  the  cigarettes,   of   voucher   schemes   and   direct   marketing  expenditures  in  the  1970s  
these  activities  are  considered  to  be   consumer  communication.  However,   to   accounting   for   most   of   marketing  
sampling  and  not  couponing. recent   evidence   indicates   both   that   spending   in   the   1990s   and   2000s.  
The   Federal   Trade   Commission   tobacco   companies   still   provide   In   2006,   for   example,   spending   on  
(2009b)   defines   similar   marketing   display   cabinets   and   incentives   for   marketing   activities   that   directly  
activities   for   smokeless   tobacco   displaying   their   products   (Rooke   et   reduced   cigarette   prices   (price  
products   in   the   USA;;   the   reporting   al.,  2010),  and  that  the  use  of  price-­ discounts,   coupons,   retail   value  
of   these   marketing   expenditures   based   marketing   has   increased   added   promotions   involving   free  
is   required   by   federal   legislation   in   following   full   implementation   of   this   cigarettes,   and   distribution   of   free  
the   USA.   Canadian   legislation   also   legislation   (Moodie   and   Hastings,   samples)  amounted  to  more  than  85%  
requires  tobacco  companies  to  report   2009).   Although   price-­based,   this   of  total  cigarette  company  marketing  
to   the   federal   government   on   their   marketing   is   not   necessarily   price-­ expenditures,   as   compared   to   an  
promotional   expenditures   (http:// reducing   and   includes,   for   example,   estimated   less   than   19%   in   1975.  In  
laws -­ lois.justic e.gc.c a /en /SOR-­ price-­marked  packaging  for  discount   contrast,   spending   on   promotions  
2000-­273/FullText.html);;   however,   brands   visible   from   the   display   involving  merchandise  (non-­cigarette  
such  mandated  reporting  is  rare  and   cabinets   (Moodie   and   Hastings,   retail   value   added   promotions   and  
the  detailed  information  contained  is   2009). specialty  item  distribution)  rose  from  
rarely  made  publicly  available. Unfortunately,   with   the   exception   a   minimal   share   of   total   spending  
These   and   other   marketing   of   the   USA,   detailed   data   on   how   in   the   1970s   to   a   peak   of   about   18  
practices   are   prohibited   in   some   extensively   the   industry   uses   these   percent   in   1994,   before   declining   to  
countries.  Globally,  WHO  Report  on   price-­related   marketing   strategies   less  than  2%  in  recent  years  (largely  
the  Global  Tobacco  Epidemic  (World   is   virtually   non-­existent.   However,   as   a   result   of   the   limits   on   this   type  
Health   Organization,   2009)   data   trends   in   the   use   of   price-­related   of   marketing   included   in   the   Master  
indicate   that   79   countries,   including   marketing   strategies   in   the   USA   are   Settlement  Agreement  of  1998).
many  LMICs,  have  implemented  some   informative  given  that  these  illustrate  
form   of   restriction   on   price-­based   how   tobacco   companies   have   Price-­related  marketing  and  
marketing.   For   example,   a   2003   EU   adapted   their   marketing   strategies   tobacco  use  among  young  people
Council   Recommendation   (2003/54/ over  time  in  response  to  new  evidence  
EC)   recommended   that   Member   on  the  impact  of  price  on  tobacco  use   In   his   testimony   on   price-­related  
States  adopt  various  tobacco  control   and  to  implementation  of  restrictions   marketing  as  part  of  the  US  tobacco  
measures  including  those  to  prohibit   on  other  marketing  activities. litigation  (USA  v.  Philip  Morris  et  al.),  
“the  use  and  communication  of  sales   Figure   3.1   illustrates   trends   Chaloupka  (2004)  described  how  the  
promotion,  such  as  a  discount,  a  free   in   cigarette   company   marketing   shift   in   tobacco   company   marketing  
gift,   a   premium   or   an   opportunity   to   expenditures   in   the   USA   from   strategies   towards   increased   use  
participate   in   a   promotional   contest   1975   through   2006,   as   well   as   of   price-­reducing   and   other   price-­
or   game.”   A   subsequent   evaluation   changes  in  the  composition  of  these   related   promotions   accelerated  
(SEC(2009)1621)  suggested  that  most   expenditures   over   time.   Two   striking   following   the   publication   of   early  
Member  States  had  implemented  the   trends   are   apparent   from   this   figure.   economic   research   on   the   influence  
recommended  measures  but  failed  to   First,   overall   cigarette   company   of   price   on   smoking   behaviour,  
specify  the  proportion  implementing.   marketing   expenditures   in   the   USA   particularly   among   young   people  
However,   few   countries   have   have  risen  dramatically,  from  just  over   (Lewit  et  al.,  1981;;  Lewitt  and  Coate,  
comprehensive  enough  bans  to  cover   US$491   million   in   1975   to   a   peak   of   1982).   In   their   review   of   internal  
all   forms   of   price-­based   promotions   over   US$15.1   billion   in   2003,   before   industry   documents   (now   available  

40
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

online   at   http://legacy.library.ucsf. Reynolds,  wrote  about  the  short  and   from  teenagers.  But,  the  loss  
edu/),   Chaloupka   and   colleagues   long-­run   impact   of   cigarette   price   of   younger   adult   males   and  
(2002)  describe  how  the  two  studies   increases  based  on  the  findings  from   teenagers   is   more   important  
by   Lewit   and   colleagues   generated   the   Lewit   and   colleagues   studies   to   the   long   term,   drying   up  
considerable   attention   among   (Burrows,  1982a): the  supply  of  new  smokers  to  
leading   US   cigarette   companies.   “In   terms   of   the   immediate   replace   the   old.   This   is   not   a  
Of   most   interest   were   the   findings   impact,   the   effect   of   price   fixed   loss   to   the   industry:   its  
on   the   greater   price   sensitivity   of   on   males   35+   is   the   most   importance   increases   with  
smoking   among   young   people,   important.   Half   (50%)   of   the   time.   In   ten   years,   increased  
given   the   importance   of   youth   and   total   drop   in   industry   volume   rate  per  day  would  have  been  
young   adults   to   future   profitability.   is   attributable   to   males   35+,   expected  to  raise  this  group’s  
For  example,  in  a  1982  memo,  Diane   compared   to   24%   from   consumption   by   more   than  
Burrows,  a  market  researcher  at  R.J.   younger   adult   males   and   7%   50%.”  
In   related   memos   and   reports,  
Figure  3.1.  Cigarette  company  marketing  expenditures,  by  category,  1975-­2006 Burrows  (1982b,  1984)  discussed  the  
marketing  implications  of  the  greater  
price   sensitivity   and   importance  
of   imagery   to   young   people.   For  
example,   in   a   1984   Strategic  
Research  Report,  Burrows  wrote:
“Tactically,   extended   periods  
of   closely   targeted   pack  
promotions   (B1G1F   (buy-­
one-­get-­one-­free),   sampling)  
in   selected   sites   (e.g.,  
convenience   stores,   military  
exchanges,   special   events)  
could  lead  to  brand  loyalty  from  
repeated   trials.   This   should  
be   considered   an   investment  
program.”  (Burrows,  1984).
As   Chaloupka   and   colleagues  
(2002)   describe,   the   combination   of  
price-­reducing  promotions  with  more  
traditional   advertising   campaigns  
Sources:  Federal  Trade  Commission,  2009a;;  Working  Group’s  calculations. played  a  key  role  in  the  growth  of  R.J.  
Notes  to  Figure  3.1:
Reynolds’  Camel  brand  among  young  
‡ $GYHUWLVLQJ LQFOXGHV QHZVSDSHUV DQG PDJD]LQHV RXWGRRU DQG WUDQVLW DQG SRLQWRIVDOH UHSRUWHG VHSDUDWHO\
beginning  in  1975). people  (most  notably  young  males)  in  
‡3XEOLF(QWHUWDLQPHQWLQFOXGHVJHQHUDODXGLHQFHDQGDGXOWRQO\SXEOLFHQWHUWDLQPHQWUHSRUWHGLQDVLQJOHFDWHJRU\LQ the  late  1980s  and  early  1990s.  For  
earlier  years  and  reported  separately  beginning  in  2002. example,  a  1986  memo  reported  on  
‡3ODFHPHQWLQFOXGHVSURPRWLRQDODOORZDQFHVSDLGWRUHWDLOHUVZKROHVDOHUVDQGRWKHUVUHSRUWHGVHSDUDWHO\EHJLQQLQJ the   effectiveness   of   these   efforts,  
in   2002   and   estimated  for  earlier  years  based  on  the  percentage  of  the  combined  promotional  allowances  category  
accounted  for  by  these  categories  in  2002. which  included  ‘six  pack’  promotions  
‡ 3ULFH LQFOXGHV SULFH GLVFRXQWV DQG UHWDLOYDOXHDGGHG ERQXV FLJDUHWWHV UHSRUWHG VHSDUDWHO\ EHJLQQLQJ LQ   (buy-­three-­get-­three-­free),   the  
coupons  (reported  separately  beginning  in  1997);;  and  sampling  distribution.  Estimates  for  earlier  years  are  based  on   “Camel   Cash”   program,   and   other  
shares  in  the  previously  aggregated  categories  that  included  these  in  the  first  years  data  are  reported  for  disaggregated  
categories. retail  value  added  promotions:
‡ 0HUFKDQGLVH LQFOXGHV EUDQGHG DQG QRQEUDQGHG VSHFLDOW\ LWHP GLVWULEXWLRQ UHSRUWHG DV D VLQJOH FDWHJRU\ EHIRUH “The   major   factor   contributing  
2002  and  separately  beginning  in  2002);;  and  retail-­value-­added  non-­cigarette  bonus  (reported  separately  in  2002  and   to   CAMEL’s   dramatic   growth  
estimated  for  earlier  years  based  on  the  share  of  combined  retail-­value  added  as  reported  in  2002).
among   Mid-­West   18–24   year  
‡2WKHULQFOXGHVDOORWKHUFDWHJRULHVUHSRUWHGE\)7&LQFOXGLQJGLUHFWPDLOWHOHSKRQH,QWHUQHW FRPSDQ\ZHEVLWHVDQG
other),  and  other;;  in  earlier  years,  a  portion  of  the  F TC-­reported  other  and  direct  mail  expenditures  are  allocated  to  other   old   males   appears   to   be   the  
categories  (e.g.  coupons  and  retail  value  added)  based  on  shares  of  expenditures  in  the  first  year  that  expenditures  in   increased   level   of   Mid-­West  
more  disaggregated  categories  are  reported.
promotional   support,   and   in  

41
IARC  Handbooks  of  Cancer  Prevention

particular,   CAMEL’s   targeted   to   at   least   partly   offset   the   impact   more   is   spent   on   comprehensive  
promotions   (which   were   of   tax   increases   and   other   tobacco   tobacco   control   programmes   than  
implemented   the   same   time   control  efforts.  Based  on  their  review   in  states  spending  less  (Slater  et  al.,  
as  the  boost  in  CAMEL’s  share   of   internal   documents,   Chaloupka   2001;;   Loomis   et   al.,   2006).   Finally,  
and  completed  just  prior  to  the   and  colleagues  (2002)  described  how   Keeler   and   colleagues   (1996)   found  
downward   trend).”   (Creighton,   companies   increased   distribution   that   cigarette   companies   price-­
1986). of   coupons   and   use   of   multipack   discriminated  by  setting  lower  prices  
The   changes   over   time   in   the   promotions   to   soften   the   impact   of   in  states  with  stronger  state  and  local  
composition   of   cigarette   marketing   state   and   federal   tax   increases,   with   tobacco  control  policies.
expenditures   (shown   in   Figure   3.1)   some  of  the  print  ads  used  to  distribute  
suggest  that  the  importance  of  price-­ coupons   referring   to   them   as   “tax   Tobacco  industry  tax-­related  
related   marketing   efforts   described   relief.”   Similar   efforts   were   observed   lobbying  efforts
in   these   selected   documents   was   after   the   April   2009   federal   tobacco  
recognized  throughout  the  industry. tax   increases,   with   Philip   Morris,   for   Background
example,   contacting   smokers   to   let  
Tobacco  company  price   them  know  that  they  were  increasing   In   addition   to   the   systematic  
and  price-­related  marketing   prices  because  of  the  tax  increase  but   searches   for   relevant   literature,   we  
and  tobacco  control that   they   could   “register   at   Marlboro. also   took   a   systematic   approach   to  
com   to   become   eligible   for   cigarette   reviewing   studies   included   in   this  
Feighery   et   al.   (2004)   examined   coupons  and  special  offers.” section.   Hence,   we   tried   to   identify  
the   extent   and   impact   of   retailer   Similarly,   Ruel   and   colleagues   all   empirical   studies   (qualitative   and  
participation   in   industry   incentive   (2004),  using  observationally  collected   quantitative)  focusing  significantly  on  
programmes   in   468   stores   in   15   US   data   on   cigarette   marketing,   and   tobacco  industry  tax-­related  lobbying  
states.   They   found   that   cigarette   Loomis  and  colleagues  (2006),  using   activities,  and  then  applied  inclusion/
companies   engaged   approximately   scanner-­based   data,   documented   exclusion   criteria   to   potentially  
two   thirds   of   tobacco   retailers   in   an   the   increased   prevalence   of   various   relevant  studies  (see  Figure  3.2).
incentive   program.   The   study   shows   price-­reducing   promotions   following   Of  the  2638  abstracts/titles  located  
that  stores  that  participate  in  cigarette   the   significant   price   increases   for   this   chapter   overall,   2443   were  
company   incentive   programmes   resulting   from   the   pass-­through   of   excluded  from  this  section  on  the  basis  
may   have   cheaper   cigarette   prices   costs   associated   with   the   MSA   and   of   the   title   and   abstract   alone.   The  
(and   more   prominent   placement   the  subsequent  implementation  of  the   remaining   195   papers   were   retrieved  
of   cigarettes   and   advertising)   than   marketing  restrictions  included  in  the   for  full  paper  analysis  to  assess  their  
do   stores   that   do   not   participate.   agreement.   Similarly,   researchers   relevance   to   this   section,   at   which  
Although   participation   in   a   Philip   have   used   observationally   collected   stage   164   further   studies   were  
Morris   incentive   programme   was   and  scanner-­based  data  to  conclude   excluded.  Full  analysis  was  conducted  
not   significantly   related   to   the   price   that   price-­reducing   promotions   are   on   the   31   remaining   studies   that   met  
of   (Philip   Morris   brand)   Marlboro   more   prevalent   in   states   where   the  full  inclusion  criteria.  
cigarettes,   the   price   of   Lorillard’s  
Newport   cigarettes   was   significantly   Figure  3.2.  Inclusion  and  exclusion  criteria
lower   in   stores   participating   in   a  
Lorillard   incentive   programme.   The   To  be  included  in  this  section,  studies  had  to:
study  was  however  somewhat  limited  
-­   Significantly   focus   on   tobacco   industry   lobbying   activities   that   related   to   taxation  
in   its   ability   to   detect   links   between   (studies  were  included  that  did  not  primarily  focus  on  this  issue,  but  they  had  to  focus  on  
incentive   programmes   and   price   it  significantly  and  meet  the  other  inclusion  criteria;;  studies  in  which  tax-­related  lobbying  
activities  were  only  a  minor/tangential  issue  were  excluded);;
reductions   because   the   questions  
were   limited   to   participation   in   -­   Draw   on   empirical   evidence   to   support   any   claims   made   about   tobacco   industry   tax  
related  lobbying;;
company-­   rather   than   brand-­specific  
incentive  programmes. -­  Be  written  in  English  or  another  language  spoken  by  a  member  of  the  IARC  review  team;;
Limited   research   from   the   USA   -­  Be  concerned  with  lobbying  from  1985  onwards  (studies  which  were  only  concerned  with    
documents   tobacco   companies’   use   a  period  prior  to  1985  were  excluded;;  studies  which  concerned  periods  both  before  and  
after  this  date  were  included).
of   price   and   price-­related   marketing  

42
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

The   data   from   these   studies   were   Figure  3.3.  Critical  appraisal  criteria
extracted   and   the   studies   were  
critically   appraised   using   critical   These  criteria  were  used  to  assess  all  of  the  included  studies.  The  results  of  this  process  
appraisal   criteria   for   qualitative   are  presented  under  the  critical  appraisal  section  of  the  results  in  Table  3.3.
papers,   adapted   from   Rees   et   al.   1)  How  clear  is/are  the  research  question(s)  and/or  aim(s)?
(2006)   and   the   United   Kingdom   2)  Was  the  methodology  appropriate  for  addressing  the  stated  aims  of  the  study?
Public   Health   Resource   Unit   (2006)  
3)   Where   applicable,   was   the   recruitment/search   strategy   appropriate   and/or   was   an  
(see   Figure   3.3).   The   appraisal   and   adequate  sample  obtained  to  support  the  claims  being  made  (i.e.  was  the  data  collection  
inclusion/exclusion   criteria,   were   adequate  and  appropriate)?
piloted   by   two   reviewers   on   five   4)  Were  the  methods  of  data  analysis  appropriate  to  the  subject  matter?
relevant   papers   and   then   revised   5)   Is   the   description   of   the   findings   provided   in   enough   detail   and   depth   to   allow  
accordingly. interpretation  of  the  meanings  and  context  of  what  is  being  studied?  [Are  data  presented  
to  support  interpretations,  etc?]
As   is   common   practice   with  
reviews   of   qualitative   data   (Smith   et   6)  Are  the  conclusions  justified  by  the  results?

al.,  2009),  the  critical  appraisal  criteria   7)  If  applicable,  are  the  theoretical  developments  justified  by  the  results?
were   used   for   descriptive   purposes   8)  Have  the  limitations  of  the  study  and  their  impact  on  the  findings  been  considered?
only  and  to  highlight  variations  in  the   9)  Do  researchers  discuss  whether  or  how  the  f indings  c an  be  transferred  to  other  c ontexts  
quality  of  studies  (i.e.  no  quality  score   or  consider  other  ways  in  which  the  research  may  be  used?

was   calculated   but   this   assessment   10)  If  the  answer  to  9  is  ‘yes’,  do  you  agree  these  suggestions  are  appropriate,  based  on  
the  research?
allows  us  to  comment  on  the  quality  
of   the   included   studies).   Narrative   Source  :  Rees  et  al.  ;;  2006  ;;  United  Kingdom  Public  Health  Resource  Unit
synthesis  was  performed  to  combine  
the   qualitative   and   quantitative   Glantz,   1999;;   Goldman   and   Glantz,   se,   as   opposed   to   being   concerned  
evidence.  Results  are  tabulated  (see   1999;;  Balbach  et  al.,  2000;;  Givel  and   about  significant  tax  increases  which  
Table  3.3)  as  well  as  summarized  in   Glantz,   2001;;   Morley   et   al.,   2002;;   would  be  used  to  fund  tobacco  control  
the  following  text. Yerger   and   Malone,   2002;;   Szilágyi   activities.   Nevertheless,   we   can  
and   Chapman,   2003;;   Alamar   and   distinguish  arguments  and  strategies  
Results Glantz,  2004;;  Levenstein  et  al.,  2005;;   used   to   counter   the   increases   from  
Balbach   et   al.,   2006;;   Givel,   2006,   those   use   to   counter/undermine   the  
The   majority   of   31   studies   identified   2007;;  Gilmore  et   al.,  2007;;  Nakkash,   proposed  earmarking.
focused   on   North   America   (22   2007;;   Campbell   and   Balbach,   2008,   The  other  main  topic  (covered  in  
focused   on   the   USA,   or   states   2009;;   Balbach   and   Campbell,   2009;;   seven   studies)   concerned   tobacco  
within   the   USA,   and   two   focused   on   Lum   et   al.,   2009;;   Raebeck   et   al.,   industry   efforts   to   influence   excise  
Canada),  although  it  should  be  noted   2009)   or,   in   some   cases,   to   lower   structures  (O’Sullivan  and  Chapman,  
that  several  of  the  studies  concerning   existing   taxes   (Joossens   and   Raw,   2000;;   Szilágyi   and   Chapman,   2003;;  
state-­level  excise  propositions  related   2003;;   Breton   et   al.,   2006;;   Kelton   Gilmore  and  McKee,  2004b;;  Gilmore  
to  the  same  policy  development  (Table   and   Givel,   2008).   Of   these,   only   four   et   al.,   2005;;   Delnevo   et   al.,   2007;;  
3.4).  The  rest  covered  a  diverse  set  of   covered  policy  influence  outside  North   Gilmore  et  al.,  2007;;  Nakkash,  2007),  
countries   (Table   3.5).   We   found   no   America   (Joossens   and   Raw,   2003;;   and   these   have   a   very   different  
studies   relating   to   tobacco   industry   Szilágyi  and  Chapman,  2003;;  Gilmore   geographic   profile   (Table   3.5).   As  
tax-­related  lobbying  in  South  America,   et  al.,  2007;;  Nakkash,  2007).  As  Table   there   are   far   fewer   studies   on   this  
South   Asia,   Australasia   or   Africa   or   3.3   summarizes,   most   of   the   US   issue,  and  as  this  is  not  the  main  focus  
examining  influence  on  supranational   studies   focused   on   policy   proposals   of  most  of  these  studies,  the  picture  
(e.g.  European  Union)  tax  policy. that   included   plans   to   substantially   that   emerges   is   far   less   clear   than  
The   studies   covered   two   main   increase   taxes   and   to   earmark   that   relating   to   industry   activities   to  
topics.   The   majority   (27)   discussed   (hypothecate)   all   or   most   of   the   influence  excise  rates.  Nevertheless,  
tobacco   industry   efforts   to   counter   revenue  raised  by  these  tax  increases   between  them,  these  studies  provide  
proposed  excise  tax  increases  (Begay   for   tobacco   control   programmes.   some   important   insights   into   how  
et   al.,   1993;;   Moon   et   al.,   1993;;   Koh,   This  means  it  is  difficult  to  ascertain   different   companies   have   sought   to  
1996;;   Traynor   and   Glantz,   1996;;   to   what   extent   the   industry   was   influence   tobacco   excise   structures  
Heiser  and  Begay,  1997;;  Bialous  and   concerned   about   tax   increases   per   to  their  advantage.

43
44
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Studies  concerned  with  tobacco  industry  efforts  to  influence  tobacco  tax  rates  (and,  where  applicable,  associated  plans  for  earmarking  of  taxes)

Begay  et  al.,  (1993) -­  Analysis  of  reports   1-­3,6,9,  10 To  prevent  a  significant   Not  specified  in  this  article -­  Found  the  TI  was   -­  Proposition  99  passed  
by  the  California  Fair   tax  increase  being   investing  heavily  in  the   in  1988,  so  the  TI  failed  
Political  Practices   proposed  in  the  McCain   Californian  legislature,   to  prevent  it,  but  did  
Commission,  statements   bill spending  political  money   experience  success  in  
filed  with  the  California   more  intensively  there   diverting  funds.
IARC  Handbooks  of  Cancer  Prevention

secretary  of  state’s   than  in  the  US  Congress. -­  Claims  “Although  there  
Political  Reform  Division,   -­  Powerful  individuals  in   is  little  evidence  showing  
and  data  on  Proposition   the  legislature  seem  to   that  the  tobacco  industry  
99  expenditures  from   have  been  particularly   has  «bought»  legislators’  
various  official  budget   targeted,  e.g.  “In  1991-­ votes,  early  research  
documents. 1992,  the  Speaker   strongly  suggests  that  
-­  Also  conducted   received  $221  367,   tobacco  industry’s  
“a  multivariate   making  him  the  largest   campaign  contributions  
simultaneous  equations   single  legislative  recipient   are  influencing  the  
statistical  analysis   of  tobacco  industry   behaviour  of  California  
of  data  on  campaign   contributions  in  the  United   legislators  in  matters  
contributions  from   States”  (explains  the   related  to  tobacco  policy-­
the  tobacco  industry   Speaker  of  the  Assembly,   making,  independent  
to  legislators  in  the   the  single  most  powerful   of  constituents’  support  
1991-­1992  election,   member  of  the  legislature   for  tobacco  control.”  
their  records  on  tobacco   and  second  only  to  the   Notes  the  multivariate  
control  policy  as  scored   governor  in  influence). simultaneous  equations  
by  tobacco  control   -­  TI  lobbying  expenditures   statistical  analysis  of  data  
advocates,  members’   grew  10-­fold  from  1985– on  campaign  contributions  
personal  characteristics,   86  to  1987–88,  when   from  the  tobacco  industry  
and  constituents’   Proposition  99  passed. to  legislators  indicated  
attitudes  towards   -­  The  TI  also  reorganized   that  the  TI  had  “a  
tobacco  control.” its  lobbying  efforts,  hiring   statistically  detectable  
large,  private  firms  to   effect  on  legislative  
lobby  legislators  and  state   behaviour”.
officials  since  Proposition   -­  “Only  14.7%  of  revenues  
99  passed,  rather  than   were  spent  on  tobacco  
relying  on  organizations   education  and  prevention,  
like  the  Tobacco  Institute,   not  the  mandated  20%.  
as  they  previously  had.   The  underfunding  
Some  of  the  firms  hired   amounts  to  $174.7  million  
also  worked  for  medical   redirected  to  medical  
groups  which  TI  wanted   care  programs  from  fiscal  
to  side  with  in  efforts  to   years  1989-­1990  through  
divert  revenue. 1993-­1994,  despite  clear  
-­  “In  1989,  the  Tobacco   language  in  Proposition  
Institute  offered  to   99  specifying  how  the  
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Begay  et  al.,  (1993)   contribute  $250  000  to   money  should  be  spent.”
(contd) the  California  Medical  
Association  to  divert  
Health  Education  Account  
funds  to  medical  care  
programmes  through  a  
Medical  Association-­
sponsored  ballot  initiative.”

Moon  et  al.,  (1993) Methodology  is  not   1,9,10 To  prevent  a  proposal   -­  The  tax  was  framed  as   -­  Opponents  to  proposal   On  November  6,  1990,  
described  but  the  article   for  a  state-­wide  tobacco   «a  trap  set  by  ‘special   ‘operated  under  the  name   Montana  voters  defeated  
appears  to  be  based  on   tax  initiative  in  Montana,   interests’  to  subsidize   «Citizens  Against  More   Initiative  115  by  59%  to  
an  analysis  of  various   USA,  which  would  have   those  people  who  live  in   Tax  and  Bureaucracy»’   41%,  so  the  TI  succeeded.
data  sources,  including   added  an  extra  $0.25  to   cities”. and  they  ‘had  $1.47  million  
media  coverage  of   cigarettes,  with  money   -­  TI  highlighted  that   at  their  disposal.’  ‘[M]ore  
the  issue  and  other   to  be  dedicated  to  TC   passage  of  the  initiative   than  88%  of  the  money  
academic  articles programmes would  give  Montana  the   came  from  Philip  Morris,  
highest  cigarette  tax  in  the   R.  J.  Reynolds,  Brown  
nation. &  Williamson,  and  the  
-­  Undertook   Tobacco  Institute.’
advertisements  during  the   -­  While  the  initiative  
last  week  of  the  campaign,   was  still  in  draft  form,  
which  built  on  above   opponents  conducted  
(informing  voters  that   numerous  telephone  
although  they  could  not  do   tracking  surveys  to  
anything  about  outrageous   measure  the  possible  
property  taxes,  they  could   impact  of  various  
vote  against  the  "selective   campaign  themes.  
sales  tax  increase") Increased  state  taxes  and  
bureaucracy  emerged  
as  pivotal  issues,  and  
extensive  television,  
radio,  and  newspaper  
advertisements  
emphasized  these  
concerns.’
-­  Linked  the  proposed  
increase  tobacco  tax  with  
proposed  property  tax  
increases  in  rural  areas  
that  were  happening  at  the  
same  time  (so  framed  as  
part  of  broader  debates  
about  tax  rises);;
-­  Brochures  were  sent  
to  businesses  asking  
whether  the  business  
could  afford  the  increase.
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

45
46
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Moon  et  al.,  (1993)   -­  Multiple  mailings  were  


(contd) sent  to  voters  from  a  
Helena  tobacco  retailer  
portraying  the  increased  
tax  as  «a  trap  set  by  
‘special  interests’  to  
IARC  Handbooks  of  Cancer  Prevention

subsidize  those  people  


who  live  in  cities».’
“The  Montana  Alliance  
for  Progressive  Policy  
(MAPP),  a  liberal  group  
opposing  the  increase  
as  an  unfair  tax  on  poor  
people,  received  $22,500  
from  a  tobacco  industry  
lobby  group  to  produce  
and  send  brochures  to  its  
50,000  members  urging  
rejection”.
Koh  (1996) Methodology  is  not   1,9,10 To  prevent  the  passage   -­  The  tax  was  unfair   -­  The  TI  outspent  the   -­  TI  failed  to  disrupt  the  
described  but  the  article   of  Question  1,  a  proposal   and  regressive,   Coalition  for  a  Healthy   signature  gathering  (two  
appears  to  be  based  on   to  raise  the  tobacco  tax  in   disproportionately   Future  by  10:1. rounds).  In  round  one,  the  
an  analysis  of  various   Massachusetts  by  $0.25   affecting  people  with  low   -­  TI  put  forward  an   sheer  volume  put  TI  off  
data  sources,  including   to  fund  tobacco  education   incomes alternative,  compromise   questioning  signatures.
media  coverage  of   programmes -­  On  that  basis,  it  would   proposal. -­  TI  alternative  proposal  
the  issue,  personal   contribute  to  class   -­  TI  legally  challenged   ignored.
correspondence  with   warfare  (argued  the  tax   earmarking  of  funds. -­  TI  legal  challenge  on  
some  key  players  and   pitted  upper  middle  class   -­  TI  organised  and  funded   earmarking  failed.
other  academic  articles liberals  –  mostly  white  –   a  group  to  lobby  against   -­  The  proposition  passed  
against  lower  middle  class   the  tax  increases,  called   so  TI  failed  to  prevent  it.
working  people  –  mostly   ‘The  Committee  Against   -­  Overall,  state-­wide  
minority). Unfair  Taxes’ tobacco  consumption  
-­  Warned  that  tax-­ -­  An  ultra-­conservative,   subsequently  declined  by  
generated  monies  would   out  of  state  Catholic   more  than  three  times  the  
be  diverted  from  their   organisation  working   national  average.
intended  purposes,  as  had   with  the  EU  to  distribute   -­  However,  TI  political  
occurred  in  California. thousands  of  letters   pressure  led  to  governor  
-­  Argued  the  tax  would   claiming  that  the  Q1  funds   and  legislature  diverting  
harm  small  business  in  the   would  be  used  to  fund   more  than  $220  million  out  
state  by  motivating  people   abortion  counselling  and   of  the  tobacco  education  
to  buy  cigarettes  outside   condom  distribution  in   account,  prompting  a  
the  state. schools.  Unclear  if/how  TI   subsequent  round  of  
connected. lawsuits.
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Koh  (1996)  (contd) -­  Claimed  the  tax  was   -­  TI  stepped  up  its  media  
unfair  on  smokers campaign  in  final  weeks  
before  vote.
-­  TI  focused  on  tax  as  
a  generic  category,  
rather  than  specifically  
discussing  tobacco  taxes.
-­  Employed  a  key  former  
legislator
Traynor  and  Glantz,   Analysis  of  published   1,2,5-­7,9,10 -­  To  defeat  Proposition   -­  Tried  to  move  the  issue   -­  TI  invested  significant   -­  TI’s  legal  challenge  
(1996) reports,  public   99  in  California  (which   away  from  smoking  by   resources  into  lobbying   failed.
documents,  personal   proposed  to  add  $0.25   focusing  on  generic   Californian  legislature. -­  But  polls  indicated  the  
correspondence,   to  state  cigarette  tax  and   increased  taxation   Worked  with  healthcare   TI’s  ads  did  have  an  
internal  memos,  polling   use  20%  of  the  revenue   arguments. organisations  to  ensure   effect,  reducing  public  
data,  and  interviews   on  tobacco  education  and   -­  Emphasised  government   funds  were  diverted  away   support  for  the  initiative.
with  representatives   prevention  programmes);; mismanagement  of  tax   from  TC  programmes  to   -­  However,  various  factors  
form  organizations   -­  Once  Proposition  99   money medical  care  programmes. undermined  one  of  TI’s  
that  participated  in   had  based,  the  aim  was   -­  Suggested  $0.25  was   -­  Hired  a  political   most  popular  arguments,  
the  Proposition  99   to  divert  earmarked  funds   too  much  of  an  increase   consulting  firm  and  formed   that  concerning  smuggling  
campaign. away  from  tobacco  control   on  a  single  product. the  Californians  Against   and  police  work,  including  
activities/programmes. -­  Claimed  the  increased   Unfair  Tax  Increases   an  official  report  that  
tax  would  lead  to   (CAUTI). concluded  the  effect  on  
increased  smuggling  and   -­  CAUTI  circulated  its  own   smuggling  was  likely  
small-­scale  smuggling. petition  in  1988,  as  the   to  be  negligible,  which  
-­  Built  on  this  to  claim   pro  Proposition  99  effort   criticized  CAUTI’s  ads.  
police  attention  would  be   was  underway  to  gather   Police  groups  which  had  
diverted  away  from  other   supportive  signatures,   supported  the  TI  position  
business  and  that  more   called  ‘The  Tobacco  Tax   subsequently  dropped  
money  would  be  spent  on   Ripoff’.  This  was  not   their  support.  In  addition,  
guns  and  drugs. official  and  was  merely   it  was  revealed  that  the  
-­  Argued  tobacco  tax   used  as  a  way  of  reducing   ‘undercover  policeman’  
was  just  another  way  for   the  pool  of  available  paid   in  the  TI’s  most  effective  
special  interests,  such  as   signature-­gatherers  (by   ad  had  nothing  more  than  
physicians,  to  become   paying  them  more)  and   a  desk  job  for  the  policy  
richer. to  confuse  voters  about   and  was  also  a  part-­time  
-­  Framed  tobacco  tax  as  a   Prop  99. actor.  All  of  this  largely  
regressive  tax  that  would   -­  CAUTI  held  a  press   destroyed  the  small-­
negatively  affect  blue-­ conference  to  present   scale  smuggling/crime  
collar  workers. its  argument  that  the   arguments  the  TI  was  
-­  Argued  Proposition   proposed  tobacco  tax   using.
99  violated  California’s   was  just  another  way  for   -­  In  the  end,  Proposition  
1978  property  tax-­cutting   special  interests,  such  as   99  passed  in  1988,  so  the  
initiative  and  other  tax   physicians,  to  become   TI  failed  to  prevent  it.
rules. richer.
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

47
48
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Traynor  and  Glantz,   -­  TI,  through  CAUTI,   -­  However,  the  TI  was  
(1996)  (contd) saturated  TV,  radio  and   influential  in  helping  
print  media  with  paid  ads   ensure  the  subsequent  
to  promote  TI  position.   underfunding  of  tobacco  
Their  most  effective   education  and  prevention  
ad  featured  an  alleged   program.
IARC  Handbooks  of  Cancer  Prevention

undercover  police  officer  


discussing  the  crime  
implications  arguments  
(more  time  would  be  spent  
on  smuggled  cigarettes,  
hence  less  time  on  other  
issues,  and  the  increased  
criminal  money  from  
smuggling,  etc  would  be  
spent  on  drugs  and  guns).
-­  TI  legally  challenged  
Proposition  99  on  
the  basis  it  violated  
California’s  1978  property  
tax-­cutting  initiative  and  
other  tax  laws.
-­  CAUTI  secured  the  
endorsements  of  the  
Californian  Sheriffs’  
Association  and  the  
California  Peace  Officers’  
Association,  which  
gave  credibility  to  their  
crime/smuggling  related  
arguments.

Heiser  and  Begay,   Analysis  of  internal   1-­3,5,9,10 To  challenge/undermine   -­  Cigarette  tax  is   -­  Legally  challenged   -­  Legal  challenges  failed.
(1997) memos,  meeting   the  development,  then   regressive;; the  draft  proposal,  on   -­  Signatures  expert  was  
minutes,  newspaper   implementation  of,   -­  The  proposed  tax  would   basis  it  violated  the   unable  to  disqualify  
articles,  other  internal   Question  1,  a  proposal  to   hurt  the  state  economy   state  constitution,  and   enough  signatures  to  
documents,  letters,   raise  the  tobacco  tax  in   because  it  would  increase   filed  subsequent  legal   challenge  the  ballot.
newsletters,  news  and   Massachusetts  by  $0.25   cross-­border  shopping;; challenges  at  later  stages. -­  TI  ad  campaign  was  
press  releases  (many  of   to  fund  tobacco  education The  legislature  would  use   -­  Used  a  signatures   effective,  however,  in  
which  were  provided programmes,  in  order  to   the  extra  money  raised  for   expert  to  try  to  disqualify   shifting  public  opinion,  
reduce  smoking  related   purposes  other  than  those   signatures  supporting  the   according  to  poll  data.
deaths  in  the  state intended  (e.g.  to  balance   ballot  proposal;;
budget);;
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Heiser  and  Begay,   through  the  American   -­  The  proposal  was  not   -­  During  the  second   -­  Q1  nevertheless  passed  
(1997)  (contd) Cancer  Society).  Also   legal required  signature  drive,   so  TI  failed  to  prevent  it.
used  available  polling   the  TI  tried  to  disrupt   However,  funds  were  
data  and  undertook   matters  by  offering  two   subsequently  diverted,  
some  interviews   compromises  –  both  of   with  only  just  over  25%  
(although  these  are   which  involved  smaller  tax   being  spent  on  tobacco  
not  discussed  in  the   increase,  with  fewer  funds   education,  apparently  
Methods  section) being  allocated  to  tobacco   justifying  one  of  the  TI’s  
control  programmes;; arguments  (article  does  
-­  Funded  a  Committee   not  make  any  specific  
Against  Unfair  Taxes  to   claims  about  TI’s  influence  
oppose  the  initiative;; over  this  diversion).
-­  Undertook  a  major  
advertising  initiative  (TV,  
radio  and  direct  mail)  to  
garner  public  support  for  
opposing  initiative
Bialous  and  Glantz,   Case  study  using  data   1-­3,5-­7,9,10 To  prevent  Proposition   -­  Framed  initiative  as  an   -­  Used  front-­groups  -­   -­  The  Proposition  passed  
(1999) from  semi-­structured   200  in  Arizona  and  then   attempt  by  proponents  to   “Enough  is  Enough”  and   so  TI  failed  to  prevent  it.
interviews  “with  key   divert  funds  away  from   divert  large  amounts  of   “No  More  Taxes”,  which   -­  The  TI  also  failed  to  
players  in  the  initiative”   TC  programmes  (NB   taxpayer  money  to  their   were  99.96%  financed   divert  funds  away  from  TC  
and  written  records   the  Proposition  aimed   own  benefit. by  Philip  Morris  and   programmes.
(documentary  data   to  increase  the  cigarette   -­  Used  the  diversion  of   the  Tobacco  Institute,   -­  However,  the  tobacco  
gathered  from  written   excise  tax  by  US$0.40,   health  education  funds   respectively,  to  campaign   education  programme  
records  and  newspaper   with  proportional   into  medical  services  by   against  the  initiative. experienced  a  range  of  
clippings). increases  in  the  tax  on   the  California  legislature   -­  Increased  lobbying  of  the   other  problems  and  was  
other  tobacco  products.   as  an  example  of  how  the   state  legislature,  with  the   never  fully  implemented  as  
Increased  revenues   tobacco  tax  funds  were   number  of  paid  tobacco   planned.  Authors  suggest  
were  earmarked:  23%   going  to  benefit  only  the   industry  lobbyists  rising   TI  lobbying  played  a  role  
for  tobacco  prevention/   hospitals.’ from  approximately  four   in  this
education  programs,   -­  Claimed  that  California’s   to  18.
5%  for  tobacco-­related   tobacco  control   -­  Once  Proposition  had  
diseases  and  prevention   programme  was  misusing   been  passed,  the  TI  
research,  70%  to  provide   public  funds legally  challenged  some  of  
medical  care  for  the   the  contracts  agreed  with  
poor,  and  2%  to  offset   health  education  funds.
future  loss  of  tobacco   -­  Threatened  local  level  
tax  revenues  by  the   boards  with  legal  action  
Arizona  Department  of   over  tobacco  control  
Corrections) programs.
-­  Tried  to  pass  pre-­
emptive  legislation  to  limit  
local  TC  programs
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

49
50
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Goldman  and  Glantz,   Interviews  with  key   1-­3,5-­7,9,10 -­  To  prevent  Measure  44   -­  Taxing  smokers  to   -­  Legally  challenged   -­  The  legal  challenge  
(1999) informants  and  analysis   becoming  law,  notably   pay  for  healthcare  for   the  initiative  on  various   initially  met  with  some  
of  public  documents,   by  preventing  it  from   everyone  is  unfair. grounds  (language  used;;   success  but  was  
internal  memoranda,  and   gaining  a  majority  public   -­  Measure  44  contained   failure  to  specify  all   eventually  ignored  as  
news  reports vote.  Ballot  Measure  44   no  controls  on  how  money   the  types  of  taxes  that   submitted  late.
was  a  proposal  to  raise   would  be  spent  and  were   would  be  raised;;  and  a   -­  Other  TI  lobbying  efforts  
IARC  Handbooks  of  Cancer  Prevention

cigarette  taxes  in  Oregon   likely  to  be  wasted  on   misleading  summary). also  initially  met  with  some  
by  US$0.30  per  pack   bureaucracy,  etc,  rather   -­  "While  signatures  were   success  but  later  failed.
and  to  use  the  funds  to   than  being  spent  on  health   being  collected  to  qualify   -­  Although  TI  outspent  
support  an  Oregon  Health   care  and  health  education;; Measure  44  for  the  ballot,   Measure  44’s  supporters  
Plan  and  tobacco  control   -­  Healthcare  providers   the  tobacco  industry   7  to  1,  the  initiative  passed  
(it  proposed  a  dedicated   and  insurance  companies   began  contributing   with  56%  of  the  vote.
10%  of  the  revenues   were  being  greedy  in   money  to  a  different  ballot   -­  TI  also  failed  to  divert  
would  be  used  for  tobacco   wanting  these  taxes;; measure  campaign”,   tobacco  control  funds  
control). -­  The  Measure  would   which  the  authors  suggest   to  other  uses  or  limit  the  
-­  Once  Measure  44  had   allow  cuts  in  spending   was  designed  “to  disrupt   scope  of  the  program.
passed,  to  prevent  the   on  programmes  that   the  signature-­gathering   -­  Nevertheless,  only  
funds  from  being  spent   were  currently  funded  by   process  and  to  dilute   10%  of  the  revenues  
on  tobacco  control   tobacco  tax  [NB  authors   support  for  Measure  44”   were  devoted  to  tobacco  
programmes say  this  was  incorrect] and  “to  divert  the  energy   control  activities,  even  
and  financial  resources   though  public  health  
of  the  health  insurers   groups  provided  37%  
away  from  Measure  44.”   of  the  campaign  money  
The  money  the  industry   (notes  that  this  was  partly  
gave  to  this  alternative  
because  public  health  
campaign,  meant  the  
groups  were  not  involved  
signature-­gatherers  could  
in  the  early  phases  of  
be  paid  significantly  more  
the  tobacco  tax  effort  
than  those  for  Measure  
and  therefore  missed  an  
44,  which  enabled  more  
opportunity  to  affect  the  
signature-­gatherers  
allocation  of  funds).
to  focus  on  the  other  
Overall,  article  concludes:  
campaign  and  the  tobacco  
‘Despite  being  outspent  
control  lobby,  eventually,  
more  than  7  to  1,  Measure  
to  have  to  pay  more  for  
44  passed  with  56%  of  the  
signatures.
vote  on  5  November  1996.  
-­  TI  formed  and  funded  
‘The  end  result  was  an  
a  registered  campaign  
committee,  called   11%  decline  in  per  capita  
Fairness  Matters  to   cigarette  consumption  in  
Oregonians  Committee   Oregon  since  1996  and  
(FMOC).  Of  the  US$4  614   a  decline  of  35  000  in  the  
292  in  cash  contributed  to   number  of  Oregonians  
FMOC  to  fight  for  Measure who  smoke’.
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Goldman  and  Glantz,   39  and  against  Measure   -­  Philip  Morris  concluded  


(1999)  (contd) 44,  all  but  US$30  came   they  ought  to  use  third  
from  the  Tobacco  Institute. parties  more  heavily  in  
-­  Much  of  the  above   future  campaigns  in  order  
money  was  used  to  run   to  make  voters  ‘more  
ads  on  radio,  TV  and  via   persuadable’  of  their  views
direct  mail  (TI  significantly  
outspent  the  public  
health  campaigners  on  
advertising).
-­  TI  hid  its  involvement  
in  some  advertising  
campaigns  (though  
advertisers  were  
eventually  required  to  
declare  this).
-­  TI  hired  a  former  Oregon  
governor.
-­  Used  the  support  of  a  
dentist  (i.e.  medical  care  
worker).
-­  Once  measure  had  
been  passed,  TI  lobbied  
legislators  about  how  
the  money  should  be  
spent,  hoping  to  weaken  
the  anti-­tobacco  ad  
programme.  This  included  
lobbying  a  Subcommittee  
which  consisted  of  three  
senators  and  which  had  
to  (by  majority)  had  to  
approve  the  budget
Balbach  et  al.,  (2000) Analysis  of  relevant   2-­7,  9,10 -­  To  defeat  Proposition   -­  Not  made  clear  in  this   -­  Direct  lobbying  of   Proposition  99  passed  in  
documents  (published   99  in  California  (which   article,  which  merely   legislature  (investing  huge   1988,  so  the  TI  failed  to  
reports,  public   proposed  to  add  US$0.25   notes  that  the  TI  built  on   financial  resources). prevent  it.
documents,  personal   to  state  cigarette  tax  and   anti-­tax,  anti-­regulation   -­  Worked  with  private   -­  However,  the  tobacco  
correspondence,   use  20%  of  the  revenue   and  freedom-­of-­choice   healthcare  and  groups   education  and  prevention  
newspaper  accounts,   on  tobacco  education  and   themes representing  medics   programmes  which  had  
press  releases,  internal   prevention  programmes);; to  ensure  funds  were   been  earmarked  for  
memos  and  some   -­  Once  Proposition  99   diverted  away  from   receiving  20%  of  the  
industry  documents).   had  based,  the  aim  was   tobacco  control  education   revenue  did  not  receive  
Files  made  available  by   to  divert  earmarked  funds   programmes  and  towards   their  full  allocation,  which  
various  public  health  / away  from  tobacco  control   medical  care  programmes   was  instead  diverted  
tobacco  control  groups,   activities/programmes (which  went  against  the   (largely  to  healthcare  
and  lawsuits  in  1994  and specifications  of  the  public organizations).
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

51
52
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Balbach  et  al.,  (2000)   1995.  Interviews  were   ballot).  This  provided   -­  Following  lawsuits  by  
(contd) also  undertaken  with   ‘crucial  political  coverage   public  health  groups,  and  
38  “key  participants”   for  the  tobacco  industry   extensive  media  coverage  
(although  TI  refused  to   and  the  politicians  that   of  the  issue,  the  health  
be  interviewed) supported  it’ education  account  finally  
-­  Helped  establish  the   received  its  full  allocation  
IARC  Handbooks  of  Cancer  Prevention

Californians  for  Smoker’s   in  1996


Rights  (CSR)  group  to  
promote  TI  arguments  
and  target  tobacco  control  
programmes.
-­  Paid  key  officials  (money  
often  went  via  advertising  
agencies  and  law  firms  
so  did  not  appear  to  be  TI  
money)
Givel  and  Glantz,  (2001) Analysis  of  tobacco   1-­3,6,9,10 Oppose  all  tobacco  excise   No  arguments  are   For  many  of  the  lobbying   Found  that  20  states  
industry  documents,   tax  increases  proposed  at   mentioned  specifically   tactics/mechanisms   had  low  rates  of  tobacco  
plus  reviewed  existing   state  level  in  USA in  relation  to  taxation  but   outlined,  it  is  unclear   excise  taxation  (less  than  
case  studies  of  TI  state   study  notes  tendency   if  they  are  related  to   US$0.25  per  cigarette  
level  lobbying,  plus  data   of  TI  to  frame  issues  as   taxation.  On  the  issue   pack).  Concludes  that  this  
from  on  the  status  of   important  because  they   of  tobacco  excises   suggests  TI  has  been  able  
state  tobacco  control   impact  on  public  /  other   specifically,  the  following   to  maintain  a  “favorable  
legislation  from  the  US   sectors,  rather  than   are  highlighted: market.”
Centers  for  Disease   because  they  impact  on   -­  work  with  and  fund  anti-­
Control  and  Prevention,   the  TI  itself tax  groups
National  Center  for  pre-­ -­  contribute  funds  to
emption  data  Chronic   "national  groups  not  
Disease  Prevention  and   directly  related  to  
Health  Promotion,  Office   tobacco  that  make  policy  
of  Smoking  and  Health.   recommendations,  which  
Also  used  1990  Coalition   can  effect  state  legislation  
on  Smoking  or  Health   while  allowing  the  tobacco  
pre-­emption  data lobby  to  remain  behind  the  
scenes",  e.g.,  funding  for  
Women  Involved  in  Farm  
Economics  (WIFE)  and  
the  National  Taxpayers  
Conference  (NTC).  Both  
of  these  groups  "assisted  
the  tobacco  lobby  […]  to  
fight  tobacco  excise  tax  
increases"
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Givel  and  Glantz,  (2001)   -­  Forming  relationships  


(contd) with  minority  and  women’s  
political  caucuses  “to  
build  coalitions  to  counter  
tobacco  excise  taxes  and  
promote  smokers’  rights  
legislation”.
-­  Lobbying  via  National  
Smokers’  Alliance  (TI-­
funded  front  group)
Morley  et  al.,  (2002) Analyzed  TI   1-­6,8 Not  assessed  in  this   Not  assessed  in  this   The  findings  from   Not  assessed  in  this  
expenditures  by  state,   article,  which  examines   article this  study  support  the   article  (although  authors  
using  data  from  tobacco   Tobacco  Institute  lobbying,   hypothesis  that  in  the   note  the  Tobacco  Institute  
industry  document   but  findings  suggest  the   1990s  tobacco  control   was  disbanded  in  1998,  
websites,  and  TI   industry  was  particularly   activities  such  as  raising   which  suggests  it  was  not  
publication  the  Tax   concerned  about  policy   cigarette  excise  taxes,   seen  as  successful  at  this  
burden  on  tobacco.   developments  that  were   attracted  TI  resources  to   point)
Also  collected  cigarette   likely  to  lead  to  increased   undermine  these  efforts.
excise  tax  rates  per   cigarette  taxes  and   -­  California  and  New  
pack  for  each  state  for   earmarked  cigarette  taxes   York  were  ranked  highest  
1991  and  1997,  to  rank   in  1990s in  average  Tobacco  
states  on  the  basis  of  an   Institute  spending,  and  
increase  in  excise  tax   Minnesota,  Arizona  and  
rate  over  this Massachusetts  also  
ranked  highly  (all  states  
that  had  had  public  ballots  
on  raising  tobacco  excise
taxes  and  dedicated  
some  of  the  increased  
revenue  to  TC).
On  the  whole,  study  finds  
Tobacco  Institute  spending  
correlated  with  state  efforts  
to  introduce  higher  (and  
often  earmarked)  tobacco  
excise  taxes  as  well  as  
to  introduce  other  tobacco  
control  measures  such  as  
public  smoking  restrictions  
(relationship  was  stronger  
for  TI  activities  relating  to  
tobacco  tax  than  smoking  
restrictions,  which  authors  
suggest  may  be  because  
the  TI  relied  more  on  third  
parties  to  lobby  against
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

53
54
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Morley  et  al.,  (2002)   smoking  restrictions  than  


(contd) it  did  on  tobacco  excise  
issue)
Yerger  and  Malone,   Analysis  of  tobacco   1-­3,5-­7,9,10 To  avoid  any  significant   Argued  excise  taxes   -­  African  American   The  success  of  the  TI  in  
(2002) industry  documents   tobacco  tax  increases were  regressive  and   groups  with  which  the   avoiding  significant  tax  
and  relevant  secondary   disproportionately  unfair,   TI  had  ties  were  used   increases  is  not  made  
IARC  Handbooks  of  Cancer  Prevention

data  sources  including   particularly  to  minorities to  oppose  tobacco  tax   clear  in  this  study  but  the  
newspaper  and  journal   increase.  For  example,   authors  imply  that  it  was  
articles the  Congressional  Black   successful  in  influencing  
Caucus  (CBC)  shifted  its   the  position  on  this  issue  
1981  support  for  a  10%   of  African  American  
increase  in  the  tobacco   groups  and  leaders
excise  tax  to  
help  restore  funding  
for  social  programmes  
to  a  position  opposing  
increasing  tobacco  excise  
taxes  in  1984  
(for  undetermined  
reasons).
-­  The  TI  then  “sought  
to  leverage  the  caucus’  
changed  position.”
-­  Many  other  African  
American  groups  were  
also  identified  as  being  
willing  to  support  this  
position.
-­  CBC  commissioned  a  
task  force  to  review  the  
impact  of  excise  taxes  on  
the  poor,  blacks,  and  other  
minorities.  The  task  force  
issued  a  1987  report,  
which  was  used  to  lobby  
politicians  with  (and  which  
the  TI  helped  promote).
-­  TI  produced  economic  
studies  to  support  its  
claims  about  taxes.
-­  TI  relied  on  support  
of  Congress  reps  who  
received  TI  money
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Joossens  and  Raw,   Analysis  of  tobacco   2,5-­7,9,10 To  maximise  profits,  both   -­  Tobacco  smuggling  is   -­  TI  lobbies  governments   Does  not  assess  success  
(2003) industry  documents   tough  legal  and  illegal   caused  by  market  forces,   to  reduce  tobacco  tax  on   in  detail,  although  notes  
plus  draws  on  figures   markets,  whilst  using  the   i.e.  the  price  differences   the  basis  that  doing  so  will   that  taxes  were  lowered  
concerning  smuggling   spectre  of  smuggling  as   between  countries,   solve  smuggling  problems   in  Sweden  and  Canada,  
that  are  quoted  in   an  argument  for  keeping   which  create  an  incentive   and  increase  government   following  concerns  about  
published  articles,   taxes  low to  smuggle  cigarettes   revenues smuggling.  Notes  this  did  
in  data  provided  by   from  cheaper  to  more   not  adequately  deal  with  
customs,  tax  and  health   expensive  countries smuggling
authorities
Alamar  and  Glantz,   Analysis  of  tobacco   1-­3,5-­7,  9,10 -­  To  prevent  a  significant   -­  Attempted  to  frame  the   -­  Used  Wall  Street   -­  TI  was  successful  
(2004) industry  documents. tax  increase  being   bill  as  the  ‘‘largest  tax   analysts  to  present   (McCain  Bill  was  defeated  
proposed  in  the  McCain   increase  in  history’’  and  a   arguments  about   in  June  1998)
Bill. bureaucratic  mess. smuggling  (TI  briefed  
-­  Claimed  the  increase   analysts,  who  then  
would  lead  to  increased   presented  themselves  as  
levels  of  illicit  trade  and   independent)
associated  law  and  order  
problems.
Levenstein  et  al.,  (2005) Analysis  of  tobacco   1,2,5-­7,9,10 To  prevent  the  passage  of   Tobacco  excise  taxes   -­  TI  set  up  the  LMC -­  The  LMC  was  “generally  
industry  documents   two  types  of  legislation  –   were  framed  as  unfair  and   -­  From  mid-­1980s  to  late-­ successful  in  gaining  
and  union  publications,   excise  taxes  on  tobacco   regressive 1990s,  the  LMC  “worked   labour  support  in  New  
newspapers,  and  other   products  and  workplace   to  elicit  support  in  New   York  for  positions  on  
general  publications   smoking  restrictions.   York  by  framing  issues   excise  taxes  and,  
relevant  to  the  case   It  aimed  to  prevent   in  terms  that  made  them   especially,  worksite  
study,  plus  examined   questions  on  these  issues   salient  to  unions.” smoking  restrictions.  
New  York  case  law  and   from  qualifying  for  ballot   -­  The  unions  sided  with   However,  by  the  late  
legislative  history,  and   and  to  defeat  those   TI  in  hope  “that  such   1990s,  the  support  had  
analysed  interviews  with   proposals  that  made  it  to cooperation  would  be   largely  evaporated,  with  
key  personnel  (unclear  if   the  ballot of  advantage  to  them  in   trade  unions  in  New  York  
interviews  were  already   their  efforts  to  protect   either  in  support  of,  or  
undertaken  as  part  of   and  strengthen  their   at  least  neutral  on,”  both  
other  project  or  if  were   organisation.  The  TI  and   issues.
part  of  this  study) LMC  did  their  homework,   From  1985,  tobacco  
understood  the  concerns   excise  tax  ‘increased  only  
of  labor,  and  appeared   slowly  and  marginally’  but  
ready  to  champion  these   in  1999  it  was  doubled.
concerns.”  This  included   -­  LMC  succeeded  in  
assisting  unions  even  on   dividing  public  health  and  
issues  of  “no  concern  to   labor  for  a  while.
the  TI”. -­  However,  the  LMC  
largely  failed  to  attract  
support  from  public  sector  
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

55
56
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Levenstein  et  al.,  (2005)   -­  The  TI’s  focus  was  on   unions  in  New  York  state  
(contd) the  leaders  of  unions  /   as  they  were  dependent  
labour  groups,  rather  than   on  state  budgets  so  could  
their  members  as  it  was   not  be  counted  on  to  resist  
these  people  who  had   any  action  that  might  help  
political  influence. replenish  state  coffers.  
IARC  Handbooks  of  Cancer  Prevention

-­  The  LMC  lobbied  and   Hence,  “While  regularly  


briefed  elected  officials  at   siding  with  the  LMC  on  
all  levels  of  government,   the  issue  of  smokefree  
and  worked  to  discourage   worksites,”  the  New  York  
liberal  and  labour   public  sector  unions  did  
coalitions  from  taking   not  tend  to  denounce  
anti-­tobacco  positions,   proposals  for  cigarette  tax  
built  support  for  industry   increases.
positions  throughout  the   -­  The  TI  eventually  gave  
labour  movement,  and   up  trying  to  win  public  
provided  general  public   sector  union  support  on  
communications this  issue,  which  authors  
decide  was  a  “fatal  error”.
-­  “By  the  late  1990s  […]  
most  of  labor  in  New  York  
had  shifted  to  support  for  
anti-­tobacco  policies.”
Shift  in  support  started  
with  excise  but  then  
moved  on  to  other  TC  
issues
Balbach  and  Campbell,   Analysis  of  tobacco   1-­7,  9,10 -­  Overall  aim  was  to   -­  That  cigarette  taxes   -­  In  1984,  the  Tobacco   -­  TI  was  successful  in  
(2009)  and  Balbach  et   industry  documents  and   prevent  tobacco  excise   are  regressive  and  that   Institute  established   influencing  CLUW’s  
al.,  (2006) other  related  documents   increases. regressive  and  unfair  to   the  Labor  Management   position  on  tobacco  
(CLUW  News,  the   Intermediate  aims   working  women Committee  (LMC),  which   excise  taxes  (CLUW  did  
in-­house  newspaper  of   included  discouraging   was  composed  of  the   campaign  against  such  
CLUW) liberal  and  labour  groups   Institute  and  five  unions   increases  &  against  
from  taking  anti-­tobacco   representing  tobacco   earmarking).
positions  (including  on   industry  employees.  The   -­  Authors  acknowledge  
tobacco  excise)  and   LMC’s  functions  included:   “it  is  difficult  to  know  
shifting  the  focus  of  the   (i)  Lobbying  and  briefing   how  much  or  if  the  
debate  away  from  the   elected  officials  at  all   CLUW’s  involvement  in  
effects  of  tax  increases   levels  of  government;;   the  policy  process  made  
on  cigarette  consumption   (ii)  discouraging  liberal   a  difference,”  but  say  
and  onto  the  effects  on  the   and  labor  coalitions   “there  are  indications  
people  paying  cigarette   from  taking  anti-­tobacco   that  organized  labor  was  
taxes positions,  including  on   important  in  federal  level  
tobacco  excise  taxes;;   policy  making”.
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Balbach  and  Campbell,   (iii)  building  support  


(2009)  and  Balbach  et   for  industry  positions  
al.,  (2006)  (contd) throughout  the  labor  
movement;;  and  (iv)  
facilitated  general  public  
communication  on  
relevant  issues.
-­  The  TI  provided  financial  
(at  least  $221  500  
between  1988  and  1996)  
and  in-­kind  support  to  
the  Coalition  of  Labor  
Union  Women  (CLUW)  in  
order  to  engage  CLUW’s  
interest  in  smoke-­free  
worksite  legislation  and  
tax  increases.
-­  The  Tobacco  Institute  
facilitated  its  relationships  
with  CLUW  (and  similar  
groups)  by  working  via  the  
LMC.
-­  The  Institute  supported  
the  production  of  a  series  
of  studies  by  labour  
groups,  including  CLUW,  
which  demonstrated  
the  regressive  nature  of  
tobacco  taxes.
-­  The  Institute  monitored  
press  coverage  and  
advised  CLUW  on  how  to  
promote  study  messages  
to  the  media.
-­  CLUW  and  similar  
organizations  were  
encouraged  to  oppose  
earmarked  tobacco  taxes,  
such  as  those  proposed  
in  Clinton  universal  
healthcare  proposals.
-­  The  TI  was  aware  many  
labour  organizations,  
including  CLUW,  were  
generally  supportive  
of  higher  taxes  so  they  
encouraged  them  to
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

57
58
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Balbach  and  Campbell,   push  for  higher  taxes  on  


(2009)  and  Balbach  et   corporations,  rather  than  
al.,  (2006)  (contd) cigarettes.  This  included  
assisting  the  Citizens  for  
Tax  Justice  group  with  the  
promotion  of  its  annual  
IARC  Handbooks  of  Cancer  Prevention

examination  of  ‘‘corporate  


freeloaders’’  –  those  
corporations  that  pay  no,  
or  little,  taxes.
-­  TI  framed  tobacco  
taxation  as  part  of  generic  
consumer  excise  taxes  
(which  also  including  
petrol  and  alcohol)
Breton  et  al.,  (2006) Analysis  based  of:   1,2,5,6,8 To  reduce  tobacco  excise   Initially,  TI  challenged  tax   -­  Various  groups   -­  Initially,  the  TI  and  its  
(i)  569  articles  from   taxes:  “When  the  cost   increases  primarily  on   supported  the  TI  position   allies  had  little  influence  
four  Québec  daily   (in  constant  dollars)  of   economic  grounds,  with   (retail  sales  sector  and   –  the  TI  was  seen  to  be  
newspapers  published   tobacco  caught  up  in   arguments  concerning  the   journalists).  Unclear  how   in  decline  anyway  in  
between  1986  and  1998;;   1984  with  its  1970  level,   industry’s  profitability. much  the  TI  was  linked  to   Canada.
(ii)  28  semi-­structured   the  tobacco  industry   -­  Also  argued  taxes  were   groups/individuals  in  these   -­  However,  framing  the  
interviews and  union  leaders   unfair  on  smokers. sectors.  The  Québec  Food issue  as  a  ‘contraband    
with  key  informants,   representing  workers   -­  Later  focused  on   Retailers  Association   problem’  succeeded  
and  (iii)  more  than  200   in  this  sector  began  to   arguments  that  the  tax   was  a  particularly  active   in  winning  support  
government  documents/ challenge  decisions  to   increases  were  fuelling   group,  which  called  a   from  a  broad  coalition,  
transcriptions  of   increase  the  taxes.”  (So   smuggling  (including  high   press  conference  in  1992   including  retailers,  media  
parliamentary  debates   initial  aim  was  to  avoid   economic  cost  of  this  to   and  demanded  “a  70%   commentators  and  
relating  to  the  problem  of   further  tax  increases).   government  and  retailers,   reduction  in  tobacco   the  representatives  of  
smoking However,  “In  early  1992,   and  failure  to  help  control   taxes  to  put  an  end  to   employers’  organizations.
a  plea  for  a  drastic   tobacco  use). smuggling”.  Authors  claim   -­  The  health  lobby  
reduction  in  tobacco  taxes   -­  Argued  against  export   TI  was  involved  in  funding   received  less  media  
emerged.’’ taxes  and  better  policing   this  group. coverage  and  was  subject  
as  solutions  to  the   -­  A  group  specifically   to  criticism  that  they  had  
smuggling  problem. campaigning  on  this   an  ‘extremist’  stance.
-­  Presented  taxes  as   issue,  the  Mouvement   -­  Eventually,  “a  massive  
excessive  and  TC  groups   pour  l’abolition  des  taxes   reduction  in  the  Québec  
as  having  dominated   réservées  aux  cigarettes   and  federal  taxes”  was  
policy. (MATRAC),  was  set   achieved,  not  just  in  
-­  Following  tax  decreases,   up  but  authors  do  not   Québec  but  also  ‘in  the  
the  TI  argued  smoking   comment  on  whether  TI   taxes  levied  by  five  other  
rises  in  young  people   was  involved  in  funding/ provinces,  including  
were  unrelated  to  the   establishing  this  group. Ontario’  and  also  at  a  
change  in  price federal  level.
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Breton  et  al.,  (2006)   -­  Claims  the  TI  was   -­  This  led  to  an  increase  
(contd) able  to  mobilize  union   in  smoking  rates  amongst  
representatives  and  its   young  people.
employees. -­  Political  elites  responded  
-­  TI  helped  organize   to  this  by  implementing  
small  retailers,  whose   a  range  of  strong  TC  
comments  quoted  in   strategies  (although  
the  media  gained  public   they  did  not  re-­raise  the  
sympathy. tobacco  tax).
-­  Ran  an  “effective  media   -­  Concludes,  the  TI’s  
strategy”. success  was  mixed:  “the  
-­  Managed  to  get  police   smuggling  crisis  was  an  
support  on  smuggling   event  that,  despite  its  
issue. unfortunate  repercussions  
-­  Disseminated  the   on  tobacco  taxes,  helped  
findings  of  surveys  on   put  the  tobacco  problem  in  
different  facets  of  the   Québec,  especially  among  
problem. young  people,  on  the  
-­  Arguments  were   government’s  agenda.”
presented  as  being  on  
behalf  of  citizens,  not  
the  TI
Givel,  (2006) Analyzed  data  from  the   1,2,5-­7 To  avoid  tobacco  excise   Argued  tobacco  use  is   Study  only  highlights   -­  “From  1990  to  2003,  
State  Tobacco  Activities   increases a  matter  of  individual   TI  mechanisms/tactics   there  was  a  sharp  
Tracking  and  Evaluation   choice  and  it  is  therefore   generally  so  the  following   mobilization  by  health  
System,  Tobacco  Map   reasonable  to  expect   do  not  only  concern  tax-­ advocates  in  all  states  
Reports  created  by   freedom  from  excessive   related  lobbying: and  a  significant  rise  in  
the  U.S.  Centers  for   government  regulations   -­  Ongoing  employment  of   new  legislation  to  control  
Disease  Control  and   and  taxes well  established  contract   tobacco  use.  The  tobacco  
Prevention,  National   lobbyists,  who  are   industry,  nevertheless,  
Center  for  Chronic   managed  and  coordinated   was  able  to  generally  keep  
Disease  Prevention  and   in  a  top-­down  manner  by   state  tobacco  taxes  low  
Health  Promotion,  Office   TI.  “The  state  contract   and  counter  significant  
of  Smoking  and  Health   lobbyists  often  have   regulatory  threats  to  
(CDC).  Supplemented   decades  of  experience   tobacco  sales.”
this  with  data  from  the   and  expertise  in  working   -­  Concludes  “the  policy  
Coalition  on  Smoking   with  state  legislatures   monopoly  favoring  the  
or  Health,  American   to  advance  or  block   tobacco  industry  did  not  
Lung  Association,  and   legislation.” significantly  change,  
Federation  of  Tax.  Also   -­  Direct  and  indirect   despite  the  symbolic  
appears  to  also  use   campaign  contributions;; appearance  of  punctuation  
some  TI  documents   -­  gifts  and  honoraria  to   in  the  policy  system.”
(although  this  is  not   legislators;;
mentioned  in  description   -­  occasional  alliances  with  
of  methods) other  allied  interest  groups  
(such  as  the  hospitality  
industry  to  counter  clean
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

59
60
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Givel,  (2006)  (contd) indoor  air  ordinances);;


-­  The  development  of  
front  groups  allowed  the  
tobacco  industry  and  
its  political  allies  to  act  
without  being  publicly,  
IARC  Handbooks  of  Cancer  Prevention

including  the  National  


Smokers  Alliance  
(primarily  funded  by  Philip  
Morris).
-­  Tactics  of  the  front  
groups  often  included  
orchestrated  grassroots  
advocacy  campaigns  
through  the  mail  or  phone  
calls  to  pressure  policy  
makers.
-­  Providing  testimony  
before  legislative  bodies

Givel,  (2007)   Analysis  of  tobacco   1–3,  5–10 -­  To  keep  tobacco  taxes   -­  The  NSA  (TI  front  group   -­  In  1993,  TI  established   -­  “Despite  the  use  of  
industry  documents,   low  and  avoid  undue   –  see  next  cell)  argued   the  National  Smokers   traditional  lobbying  in  
plus  relevant  newspaper   regulations  (avoid   that  adult  tobacco  use   Alliance  (NSA),  “a  public   conjunction  with  the  use  
reports  (Lexis  Nexus),   altogether  or  keep   should  not  be  hindered   relations  created  front   of  public  relations  efforts,  
all  relevant  articles   weak),  which  formed   by  rigorous  regulatory   group  funded  by  the   attempts  by  the  NSA  to  
from  the  Americans  for   part  of  broader  efforts   controls  or  higher  tobacco   tobacco  industry,  which   dominate  public  policy  
Nonsmokers’  Rights   to  “maintain,  enhance,   taxes. operated  nationally  from   to  weaken  or  neutralize  
database  (http://www. and  protect  the  industry’s   -­  Called  into  question  the   1994  to  1999  to  advocate   stronger  tobacco  
tidatabase.org/),   profits  and  market  shares” potential  health  effects   for  adults  using  tobacco   regulations  and  taxes  
magazine  articles,  web   of  tobacco  use  and  the   products  without  vigorous   were  effective  only  for  
pages,  journal  articles,   viability  of  proposed   regulation  or  increased   some  campaigns.”
and  books tobacco  tax  increases. tobacco  taxes.” -­  “From  January  1994  
-­  Presented  smoking  as   -­  Burson-­Marsteller,   to  June  1999,  the  NSA’s  
socially  acceptable  for   the  PR  firm,  helped  set   record  of  political  victories  
adults this  up  for  Philip  Morris   and  shaping  of  public  
(with  some  subsequent   policies  was  mixed.  At  
financial  assistance  from   the  national  level,  the  
other  TTCs)  and  some   NSA  played  an  important  
Burson-­Marsteller  staff   supporting  role  in  winning  
worked  for  the  NSA. four  major  campaigns  and  
-­  The  NSA  worked   losing  one.  At  the  state  
to  “to  ‘‘generate’’  the   level,  the  NSA  played  an  
appearance  of  public   important  supporting  role  
support  through  public,   in  losing  three  campaigns  
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Givel,  (2007)  (contd) relations,  through  the   and  winning  one.  At  
engineering  of  consent   the  local  level,  the  NSA  
theory,  by  using  editorials   played  an  important  
newspaper  articles,  and   supporting  role  in  winning  
pro-­tobacco  columns  that   19  campaigns  and  losing  
called  for  the  free  use  of   12.”  (Not  all  campaigns  
tobacco.” concerned  tax  increases).
-­  Also  organized  national   -­  “[T]he  NSA  was  
and  regional  press   unable  to  successfully  
conferences,  issued  press   discredit  tobacco  control  
releases,  monitored  media   researcher  Stanton  
coverage  of  tobacco,   Glantz.”
made  radio  talk  show  
appearances,  issued  
alerts  to  NSA  members,  
provided  public  speakers,  
issued  advertisements,  
and  corresponded  with  
legislators.
-­  Wrongly  targeted  
University  of  California–
San  Francisco  tobacco  
control  researcher  and  
Professor  of  Medicine  
Stanton  Glantz,  alleging,  
but  not  proving,  Glantz  
misused  grant  funds  for  
illegal  political  purposes  
and  lobbying.
-­  Filed  a  Senate  ethics  
complaint  against  
Sen.  John  McCain,  
alleging  he  had  used  
“his  Senate  franking  
privilege  to  bolster  his  
run  for  the  presidency”  
(PM  disagreed  with  this  
and  withdrew  financial  
assistance  for  NSA  over  
this  issue)
Campbell  and  Balbach,   Analysis  of  tobacco   1-­3,5-­10 To  challenge  policy   Tobacco  taxes  are   -­  TI  created  and  funded   -­  In  exchange  for  funding,  
(2008) industry  documents. interest  in  significantly   regressive the  Consumer  Tax   various  labour/progressive  
raising  tobacco  taxes  by   Alliance  (CTA)  in  1989  to   groups  did  publicly  
turning  labour  and  middle-­ build  opposition  to  excise   take  positions  against  
class  opinion  against   taxes.  The  CTA  focused   increasing  tobacco  excise  
prospective  excise on  garnering  support  from taxes.
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

61
62
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Campbell  and  Balbach,   tax  increases.  Initial  focus   credible  liberal  allies,   -­  “The  Tobacco  Institute  
(2008)  (contd) was  on  federal  increases   particularly  genuine  public   was  pleased  with  the  
but  in  1991,  efforts   interest  groups  (groups   impact  of  the  [TV]  
turned  to  state-­based  tax   traditionally  perceived  to   advertising  [sponsored  by  
proposals be  at  odds  with  the  TI).  NB   the  CTA],  as  measured  
The  CTA  appears  to  have   by  tracking  polls  
IARC  Handbooks  of  Cancer  Prevention

been  dissolved  in  1993. commissioned  to  measure  


-­  Also  focused  on   their  effectiveness”  which  
garnering  media  coverage   found  they  increased  
of  the  issue  (this  included   people’s  opposition  to  
sponsorship  of  TV  ads,   tobacco  excise  taxes.
plus  a  media  tour  by  CTA   -­  Tobacco  excise  taxes  
Executive  Director). were  increased  in  1990  
-­  By  working  via  the  CTA   and  1993  at  USA  federal  
(which  did  not  divulge   level,  but  the  increase  was  
the  industry’s  role  in  its   much  less  than  originally  
formation),  the  TI  was  able   predicted  (8  cents,  rather  
to  obscure  its  own  role  in   than  16  cents)  and  was  
these  efforts. introduced  in  two  phases  
(authors  accept  that  it  is  
not  possible  to  say  whether  
or  how  CTA  activities  
affected  this  outcome).
Kelton  and  Givel,  (2008) Analyses  TI  documents,   1,2,4-­7,9,10 To  maintain/expand  sales   TI  blamed  rampant   -­  TI  “promoted  smuggling   -­  Smuggling  hindered  
newspaper  reports,   despite  tax  increases   smuggling  on  excessive   schemes”  not  only  to   Canadian  tobacco  tax  
journal  articles,  scholarly   and  to  use  the  issue  of   taxation increase  profits  but  also   increases  from  furthering  
reports,  court  cases,   smuggling  as  part  of   to  “provide  an  argument   a  consistent  reduction  
government  data,  court   campaign  to  reduce  taxes for  tobacco  taxation   in  consumption  rates  in  
testimony,  and  federal   reduction.”  Effectively,   1990s.
and  state  statutes   the  TI  “secretly  pushed   -­  The  Canadian  
and  regulations,  plus   for  increased  tobacco   government  responded  
relevant  information  from   smuggling  so  that  it  could   to  the  influx  of  smuggled  
websites argue  against  higher   tobacco  that  culminated  
taxes  as  a  motivation  to   after  the  tax  increases  by,  
smuggle.” in  1994,  returning  taxes  
-­  “Because  of  the  federal   to  their  original  level.  
excise  and  export  tax   “The  intention  of  the  tax  
breaks  that  apply  on  U.S.   reduction  was  to  alleviate  
Native  American  land,  for   the  growing  illegal  activity,  
more  than  10  years  the   but  the  illegal  activity  was  
tobacco  industry  utilized   more  than  just  a  result  
this  land  as  smuggling   of  high  taxation.  The  
routes  to  avoid  newly   Canadian  government  was  
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Kelton  and  Givel,  (2008)   imposed  Canadian  taxes   ill-­prepared  and  unable  
(contd) on  tobacco  products.   to  reduce  or  eliminate  
By  1993,  this  tobacco   tobacco  smuggling.”
smuggling  accounted  for   -­  “The  tax  rollback  has  
30  to  40  percent  of  the   prevented  the  Canadian  
total  Canadian  tobacco   government  from  earning  
market.” public  finances  estimated  
in  the  billions  of  dollars  
from  tobacco  taxes  that  
would  have  alleviated  
the  societal  cost  of  
Canadian  smokers.  Lower  
cigarette  prices  have  also  
injured  the  public  health  
by  increasing  smoking  
prevalence  to  levels  that  
would  not  have  existed  if  
the  tobacco  tax  increases  
had  met  their  expected  
goals.”
Campbell  and  Balbach,   Analysis  of  tobacco   2,3,5-­7,9,10 -­  To  change  the  debate   -­  That  cigarette  taxes   -­  Tobacco  taxation  was   -­  CTJ  initially  responded  
(2009) industry  documents  and   from  the  effects  of   are  regressive  and  that   framed  as  part  of  a  broader   to  TI  approach  by  saying  
media  reports  (located   cigarettes  to  the  people   regressive  tax  increases   category  of  consumer   tobacco  excise  was  not  
through  searches  on   paying  cigarette  taxes. are  unfair. excise  taxes,  also  including   a  priority  issue  for  the  
Lexis—Nexus) -­  To  discourage  liberal  and   -­  That  this  is  true  even   petrol  and  alcohol. organisation,  but  agreed  
labour  groups  from  taking   when  taxes  are  earmarked   -­Tobacco  Institute’s   to  work  with  the  TI  when  
anti-­tobacco  positions,   for  healthcare  spending. strategy  included   it  received  funding,  
including  on  tobacco   -­  That  there  is  little   recruiting  "organized  labor,   from  1984  onwards.  
excise  increases evidence  that  increasing   minorities,  and  other  liberal   Relationship  deepened  
taxes  on  alcohol  and   groups"  to  provide  early   in  1986,  as  more  funding  
cigarettes  reduces   warnings  of  legislative  tax   was  provided.  CTJ  took  
consumption initiatives,  help  tobacco   anti  tobacco  tax  positions  
industry  lobbyists  gain   and  lobbied  on  this  issue,  
access  to  legislators  who   including  by  testifying  
were  not  industry  allies,   before  the  Senate  Finance  
demonstrate  constituent   Committee  against  an  
support  for  pro-­tobacco   increase  in  the  federal  tax  
votes,  and  testify  on  the   on  cigarettes.
industry’s  behalf.  The   -­  TI  appears  to  have  been  
Institute  was  successful   pleased  with  activities  on  
in  forging  relationships   tax  undertaken  by  both  
with—and  providing   CA  and  CTJ,  including  
significant  financial   on  earmarking  issue  
support  to  two  prominent   (which  included  Clinton’s  
progressive  organizations.   healthcare  proposals).
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

63
64
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Campbell  and  Balbach,   Citizens  for  Tax  Justice   -­  The  Tobacco  Institute  
(2009)  (contd) (CT)  and  Citizen  Action,   was  dissolved  in  1998  
to  oppose  cigarette  excise   as  part  of  the  Master  
tax  increases  as  part  of  its   Settlement  but  “interest  
policy  efforts.” in  cigarette  excise  
-­  As  other  articles  outline,   taxes  remains  high”  and  
IARC  Handbooks  of  Cancer  Prevention

the  LMC  was  used  to   “controversy  continues  


obscure  connections   over  the  economic  
between  the  Tobacco   hardship  they  may  cause  
Institute  and  the  labour   for  low-­income  smokers”  
groups  it  worked  with,   and  on  “the  fairness  of  
such  as  CTJ  and  CA. raising  revenue  from  
-­  TI  supported  CTJ  to   one  population  subgroup  
hold  a  conference  in   (smokers)  for  programs  
1987,  which  focused  on   with  broader  social  
promoting  the  arguments   benefits.”
that  had  been  used  at  
federal  level  to  state  level.
-­  CTJ  lobbied  Senate  
Finance  Committee.
-­  CTJ  position  pieces  
covered  in  media.
-­  As  tobacco  tax  concerns  
moved  increasingly  to  
state  level,  the  TI  (through  
LMC)  recruited  Citizen  
Action  in  a  similar  way  
to  CTJ  and  for  similar  
reasons  (CA  was  better  
organised  at  state  level  
though,  being  more  of  a  
grassroots  organisation).
-­  TI  also  recruited  other  
progressive  tax  groups.
-­  CA  and  CTJ  were  also  
used  to  help  the  TI  lobby  
against  proposals  that  
tobacco  tax  increases  
would  be  earmarked  for  
health  care  spending
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Lum  et  al.,  (2009) Analyzed  proposed   1-­3,5-­10 To  avoid  tobacco  excise   -­  Argued  proposed  tax   -­  TI  developed  a  voter   -­  “The  industry  effectively  
ballot  measures  in  US   tax  increases  and,  in   increases  did  not  dedicate   segmentation  model  to   influenced  early  voters.”
states  (used  various   particular,  to  avoid   enough  to  tobacco  control   determine  which  tobacco   -­  Tobacco  tax  ballot  
documentary  sources)   earmarked  taxes and  that  hospitals  and   tax  increases  it  could   measures  commonly  
and  TI  documents.   health  maintenance   defeat  in  USA  states. allocated  substantial  funds  
Used  public  and  private   organizations  would  profit -­  After  doing  market   to  medical  services,  
polls  (obtained  from   (i.e.  ‘‘only  a  small  amount   research  on  the  issue,   despite  lack  of  public  
proponents  of  the  ballot   of  the  tax  increase  will  go   sought  to  present  tobacco   support  for  this.  Tobacco  
measures,  pollster   to  education  about  the   taxes  as  part  of  broader  tax   companies  “are  becoming  
websites  or  the  tobacco   hazards  of  smoking.’’). rise  issues. more  successful  in  making  
industry  documents)   -­  Argued  tax  increases   -­  The  Tobacco  Institute   this  use  of  funds  an  issue.”
to  identify  early  levels   are  unfair […]  organized  its  Tobacco   -­  Between  1988  and  1998  
of  support  for  the  tax   -­  Built  on  popular  themes   Industry  Ballot  Issues   the  TI  mounted  extensive  
proposals  and  how   of  ‘‘anti-­tax/  HMO   Committee,  which  provided   opposition  campaigns  
this  support  compared   scheme’’  and  ‘‘what   ‘‘oversight  of  all  prevention,   to  all  nine  tobacco  tax  
with  the  final  election   they  aren’t  telling  you’’   preparation,  and  execution   ballot  measures  that  
outcomes as  effective  arguments   of  tactics  relating  to  ballot   were  proposed,  but  only  
against  ballot  measures issues,  as  well  as  the  place   defeated  four  (44%)  of  
to  discuss  new  strategies   them.  From  1998  to  2008  
and  technologies  related  to   it  only  challenged  five  out  
battles  in  this  arena’’. of  13  of  the  tobacco  tax  
-­  TI  was  advised  to:  lobby   measures  and  defeated  
legislatures  to  ‘‘reform   four  (so  80%  of  those  
initiative  and  referendum   it  challenged).  Thus  it  is  
laws  to  make  qualification   becoming  more  successful  
of  ballot  issues  more   in  campaigns  it  conducts  
difficult’’,  ‘‘encourage  third   but  probably  at  least  
party  ballot  issues  which   partially  because  it  has  
threaten  […]  opposition  and   become  more  selective.
impede  their  progress’’,   -­  Claims  TI  “learned  to  
mount  ‘‘legal  challenges   combine  the  argument  
which  complicate   that  the  tax  would  
opposition  progress’’  and   primarily  benefit  hospitals  
prevent  ‘the  opposition   and  HMOs  with  lack  of  
from  using  inappropriate   funding  for  benefits  for  
funding  sources  for  their   smokers.  When  either  of  
political  activities’. the  two  arguments  was  
-­  TI  also  conducted  public   used  alone,  the  tobacco  
relations  campaigns,   industry  lost  three  out  of  
conducted  benchmark   four  elections,  but  when  
research  and  built   they  were  combined,  
partnerships  with  other   they  won  three  out  of  four  
organizations  that  might  be   elections.”
needed  in  a  campaign. -­  Claims  TI  spending  alone  
-­  In  the  2000s,  the  industry   does  not  explain  outcomes  
became  much  more   of  state  proposals  to  
selective  in  which increase  tobacco  taxes.
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

65
66
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Lum  et  al.,  (2009)  (contd) campaigns  it  opposed  


(although,  after  deciding  
not  to  fight  the  tax  
proposals  in  Washington,  
it  did  also  realize  that  not  
opposing  such  increases  
IARC  Handbooks  of  Cancer  Prevention

was  likely  to  encourage  


states  to  take  action  so  
began  also  taking  this  into  
consideration.)
-­  Drew  on  its  “essentially  
unlimited  financial  
resources”
Raebeck  et  al.,  (2009)   Analysis  of  tobacco   1-­3,5-­7,9,10 -­  The  goals  of  the  LMC   -­  Argued  excise  taxes  are   -­  TI  provided  significant   -­  The  TI  did  appear  to  be  
industry  documents  and   included  lobbying  elected   regressive funding  to  African  and   successful  in  influencing  
academic  articles officials,  discouraging   American  and  Latino   the  position  on  tobacco  
liberal  and  labour   labour  organizations  and   excise  of  some  key  African  
groups  from  taking   also  sponsored  special   American  and  Latino  
anti-­tobacco  positions,   projects  within  these   labour  organizations  
and  building  support  for   organizations,  including   (notes  at  least  one  key  
industry  positions  among   studies,  brochures,  and   group  appeared  to  shift  
organized  labour.  Notes   conference  events. its  position  on  tobacco  
tobacco  taxes  and  smoke-­ -­  Helped  support  these   control  issues  between  
free  legislation  were  seen   organizations’  priorities,   1984  and  1988).  This  is  
to  be  most  effective  at   even  where  they  did  not   despite  the  fact  that  other  
reducing  smoking  rates   directly  relate  to  tobacco. research  the  authors  
(and  implies,  therefore,   -­  Framed  discussions  of   cite  indicates  these  
that  these  were  perceived   tobacco  taxes  as  part  of   groups’  core  population  
by  the  Tobacco  Institute  to   debates  about  broader,   constituencies  did  support  
be  the  biggest  threats) ‘consumer’  excise  taxes. tobacco  tax  increases.
-­  Framed  issues  so  that   -­  According  to  a  1990  
they  would  be  more   Institute  briefing,  the  
appealing  to  labour  and   LMC’s  use  of  allies,  
minority  groups  which   such  as  the  African  and  
the  TI  was  trying  to  work   American  and  Latino  
with,  e.g.  presented   Labor  Organizations  
policies  (tobacco  taxation   it  was  supporting,  
increases  and  smokefree   ‘‘demonstrate[d]  to  
legislation)  as  particularly   legislators––particularly  
detrimental  to  organized   the  liberal  Democrats  [sic]  
labour  and,  specifically,  to   who  are  most  likely  to  
people  of  colour. support  increases  to  fund  
-­  To  facilitate  working  with   social  programs––  that  
these  kinds  of  labour   consumer  excise  taxes
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Raebeck  et  al.,  (2009)   groups,  the  Tobacco   are:  Unfair  Regressive  
(contd) Institute  established  the   Inconsistent  with  tax  
Tobacco  Industry  Labor   reform.’’
Management  Committee   -­  In  1993,  when  Clinton’s  
(LMC)  in  1984  (see   healthcare  plan  included  
above). a  US$1  per  pack  cigarette  
-­  The  Tobacco  Institute   tax,  the  Tobacco  Institute  
then  used  the  coalitions   mobilized  these  groups  to  
it  had  formed  with   lobby  the  Congressional  
these  organizations  “to   Black  and  Hispanic  
appeal  to  politicians   Caucuses,  respectively.
who  were  traditionally   -­  Claims  the  TI’s  
more  responsive  to  such   “reframing  of  ideas  was  
arguments,  specifically   particularly  successful  
Democrats,  liberals,  and   because  the  points  were  
politicians  of  color.” valid  –  i.e.  excise  taxes  
-­  The  Institute,  through   are  regressive…”
the  LMC,  supported  the   -­  Authors  conclude:  
release  of  studies,  letters,   “Whether  the  involvement  
and  op-­eds  opposing   of  [these  organizations]  
excise  taxes.  These  were   had  a  significant  impact  
often  credited  to  the  labor   on  tobacco  policy  
organizations  that  the   decisions  is  unclear,  but  
TI  was  supporting  via   both  organizations  had  
the  LMC,  rather  than  to   political  influence  among  
the  TI,  even  though  they   policymakers,  organized  
were  “usually  written   labor,  and  people  of  color.”
by  the  Institute  or  its  
consultants”.
-­  The  Tobacco  Institute  
paid  a  PR  firm,  Ogilvy,  
Adams  &  Rinehart,  to  help  
write  a  publication  that  
was  officially  by  one  of  
the  labour  organizations  
it  was  supporting,  called,  
‘‘Fair  Taxes:  Still  a  Dream  
for  African-­Americans”,  
and  then  promoted  it  ‘‘the  
black  and  labor  media’’.
-­  TI  paid  for  studies  that  
highlighted  regressive  
nature  of  consumer  taxes  
(framing  tobacco  taxes  as  
part  of  this)  and  its  impact  
on  these  groups  (e.g.  
industry  sponsored  
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

67
68
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Raebeck  et  al.,  (2009)   study  claimed  “An  African-­


(contd) American  family,  with  
both  parents  working,  two  
children  and  an  income  
of  $25  000,  will  pay  an  
almost  six  times  larger  
IARC  Handbooks  of  Cancer  Prevention

share  of  its  income  on  


federal  consumer  excise  
taxes  than  a  family  making  
$250  000  a  year”).
Studies  concerned  with  tobacco  industry  efforts  to  influence  tobacco  excise  structures  (**  indicates  that  studies  also  touch  briefly  on  lobbying  around  tobacco  excise  rates)
O’Sullivan  and   Analysis  of  tobacco   2-­5,8 TTCs  were  "frustrated  in   In  1985,  Clive  Turner   On  tobacco  tax  issues   Not  assessed  in  this  
Chapman,  (2000) industry  documents their  export  attempts  to   (managing  director  of  the   (which  is  not  the  main   article  (though  presumably  
China  by  tax  barriers"  and   Asian  Tobacco  Council)   focus  of  this  study),  the   unsuccessful,  given  
wanted  to  promote  a  flat   “sought  to  demonstrate  to   authors  claim  the  TI: Chinese  state  monopolies  
excise  tax  structure  "to   Asian  governments  that   -­  Lobbied  American  trade   still  dominate).
reduce  price  differentials   taxation  across  the  Asian   associations  on  the  issue  
between  imported   region  was  “over  the  top,   of  exports.
and  locally  produced   and  needlessly  punitive”   -­  Lobbied  Chinese,  US  
cigarettes." and  that  excessive   and  UK  officials  and  
taxation  would  “further   politicians
-­  TTCs  sought  to  persuade   reduce  the  taxable  base”   -­  Tried  to  involve  the  
Chinese  government  that,   for  governments  leading  to   Chinese  monopoly  in  TI  
in  order  to  optimise  their   “a  revenue  reduction” organisations
revenue  derived  from  the   -­  TTCs  tried  to  gain  USA   -­  Philip  Morris  proposed  
cigarette  industry,  they   support  for  its  arguments   some  joint  ventures.
should  institute  a  “simple   (and  in  so  doing  were  
system,  a  flat  excise  tax   careful  to  frame  the  
based  on  per  thousand   exports  as  being  for  
cigarettes.’’ existing  smokers,  rather  
than  potentially  increasing  
smoking  rates)

Szilágyi  and  Chapman,   Analysis  of  tobacco   1-­3,5-­7,9,10 -­  To  keep  tax  increases   -­  Tax  increases  will   -­  Efforts  to  draw  public   -­  Philip  Morris  failed  to  
(2003)** industry  documents   low  (BAT  and  Philip   increase  black  market attention  to  high  tobacco   prevent  a  tax  increase,  
and  media  coverage  of   Morris);; -­  While  companies   taxes;; even  though  it  achieved  
the  tax  harmonisation   -­  To  secure  a  beneficial   increased  their  prices   -­  Use  of  economic   significant  political  support  
issues.  This  was   tax  structure  (Philip   to  ensure  their  profits,   impact  studies  to  support   on  the  issue.  Officials  who  
supplemented  by   Morris  lobbied  for  specific   publicly  they  decried  the   arguments  (e.g.  a  study   were  sympathetic  to  Philip  
interviews  with  a  finance   structure,  though  other   taxes  imposed  to  them was  produced  by  KPMG   Morris’  position  blamed  
ministry  official  and  an   companies  lobbied  for   to  support  arguments   this  failure  on  the  “divided  
investigative  journalist other  structures,  e.g.  BAT   against  introducing  EU   position  of  the  industry  as  
lobbied  for  ad  valorem);; tobacco  tax  excise  levels   well  as  heavy  lobbying  by  
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Szilágyi  and  Chapman,   -­  To  prevent  the   at  time  of  Hungary’s   BAT”.
(2003)**  (contd) introduction  of  tax   accession  to  EU,  and   -­  In  line  with  TI  hopes,  the  
stickers;; PM  commissioned   tax  burden  on  cigarettes  
-­  To  get  rid  of  import   a  study  from  the   in  Hungary  decreased  in  
duties Institute  for  Economic   real  terms  between  1990  
Research  (Italy),  on  ‘the   and  1996.
consequences  of  rapid   -­  Even  so,  retail  prices  
alignment  to  the  EU’s   of  cigarettes  increased  
minimum  tax  on  cigarettes   dynamically  as  a  result  of  
in  five  accession   pricing  policies  instated  by  
countries’,  including   the  industry  itself.
Hungary).  Such  reports   -­  The  Hungarian  budget  
were  largely  sent  to   has  still  one  of  the  lowest  
relevant  officials,  although   contributions  from  tobacco  
sometimes  also  reported   taxes  among  countries  
in  media;; of  the  former  communist  
-­  Created  a  coalition   bloc.
against  the  proposed   -­  TTCs  were  successful  
tax  stickers  (which  TTCs   in  “developing  a  sphere  of  
would  have  had  to  pay   supporters  within  relevant  
for);; ministries  (with  special  
-­  Attempted  to  ‘divert   regard  to  the  agricultural  
legislators’  attention’   and  finance  portfolios  
away  from  proposed  tax   and  MPs  sympathetic  
increases  by  offering   to  TTCs  views)  and  
the  creation  of  a  special   third  parties  (hospitality  
fund  to  support  tobacco   industry,  tobacco  growers,  
growing  in  Hungary  (to   advertising  industry)  ready  
be  levied  via  specific  tax   to  react  without  delay  in  
increases  on  cigarettes) the  case  of  government  
attempts  to  raising  
tobacco  taxes.”
-­  More  recently,  in  1990s,  
TI  sources  admit  that  
sales  volumes  have  been  
“severely  affected”  by  
significant  tax  increases.
-­  Authors  imply  TI  
helped  shift  government  
position  on  derogation  
period  to  meet  EU  
tax  harmonisation  
requirements,  which  
required  tax  increases.
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

69
70
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Gilmore  and  McKee,   Analysis  of  tobacco   1-­3,5-­7,9,10 In  the  context  of   -­  BAT  argued  the  excise   -­  BAT  employed  various   Not  assessed  in  this  
(2004b) industry  documents  and   persuading  government  to   regimes  it  favoured  would   arguments  to  suggest  that   article  (at  least  not  in  
supplementary  data   privatise  state  monopolies   increase  fiscal  and  excise   it  was  a  better  TTC  to  deal   relation  to  tax  issues)
from  tobacco  industry   (preferably  through  closed   revenues  received  by   with  than  its  competitors.  
journals,  newspapers,   deals),  TTCs  sought  to   targeted  governments   This  included  presenting  
routine  data,  and  other   secure  excise  structures   (even  when  BAT  was  itself   itself  as  a  helpful  and  
IARC  Handbooks  of  Cancer  Prevention

published  reports that  were  favourable  to   involved  in  tax  evasion   supportive  corporation  
their  products via  smuggling  and  has   which  could  help  advise  
in  other  circumstances  a   government  on  things  like  
track  record  of  lobbying   excise  regimes.
for  tax  reductions,  which   -­  BAT  attempted  to  
have  the  potential  to   establish  good  political  
reduce  revenues) connections/contacts  to  
promote  these  arguments,  
sometimes  working  via  
consultants.

Gilmore  et  al.,  (2005) Analysis  of  tobacco   1-­10 BAT  sought  to  acquire   No  relevant  information  on   Not  specified  in  relation   At  the  time  of  writing,  the  
industry  documents  and   a  monopoly  position   this  issue  is  provided  by   to  BAT’s  tax-­related   Moldovan  state  tobacco  
supplementary  data,   (through  an  exclusive   this  study  (focuses  instead   proposals  (probably   companies  had  still  not  
such  as  newspapers deal)  and  then  bolster  its   on  arguments  used  in   because  privatisation  did   been  privatised,  so  BAT  
position  by  influencing   relation  to  privatisation) not  proceed) had  not  succeeded
excise  rules  so  that  they  
would  “uniquely  favour  its  
products”  (which  would  
encourage  smokers  to  
switch  from  filterless  to  
more  expensive  filter  
brands,  despite  low  
incomes).
-­  It  hoped  not  to  increase  
its  market  share  to  over  
80%  within  4  years,  by  
“closing  the  market  to  
external  competition”  and  
undertaking  marketing  
campaign.
-­  As  part  of  efforts  to  
close  the  market  to  
external  competition,  BAT  
wanted  to  use  a  system  of  
Banderols.  It  also  wanted  
to  secure  tax  exemptions  
for  BAT  products
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Delnevo  C  et  al.,  (2007) Statistical  modeling,   1,2,6,9,10 To  change  the  taxation   -­  US  Smokeless  Tobacco   No  information  on  this   Changes  were  
using  ACNielsen  data,   of  moist  snuff  from  an  ad   argued  the  new  tax   issue  in  this  study implemented,  even  
of  what  is  likely  to   valorem  to  a  weight-­based   system  would  raise  ‘an   though  authors  claim  
happen  to  prices  of  moist   system additional  $2  million   both  arguments  are  
snuff  and  tax  revenues   in  revenue’  and  would   flawed;;  the  authors  
following  implementation   discourage  ‘youth  from   calculate  the  revised  
of  changes  promoted  by   buying  it,’  by  raising  the   tax  system  is  actually  
US  Smokeless  Tobacco   price  of  the  cheapest   likely  to  encourage  youth  
in  New  Jersey available  snuff purchasing

Gilmore  et  al.,  (2007)** Analysis  of  tobacco   1-­7,9,10 Having  secured  a   -­  Argued  against  the   -­  Lobbying  of  government   -­  BAT  achieved  a  
industry  documents,   privatization  deal  in   imposition  of  high  taxation   officials  responsible  for   reduction  of  approximately  
other  documentary  data   Uzbekistan,  BAT  sought   rates  on  the  basis   taxation  policy. 50%  in  the  excise  tax  on  
and  some  interviews to: that  high  rates  would   -­  BAT  offered  to  help   cigarettes.
-­  introduce  protective   encourage  smuggling   officials  in  charge  of   -­  BAT  achieved  an  excise  
import  taxes;; (even  though  BAT  was   tobacco  taxation,  who   system  it  believed  would  
-­  equalize  excise  on   involved  in  smuggling). were  unsure  of  the  issues   benefit  its  brands  and  
imports  and  domestic   -­  Argued  its  excise  system   involved  and  who  were   disadvantage  those  of  its  
production;; proposals  would  minimize   inexperienced.  Effectively,   competitors  (particularly  
-­  ensure  the  proper   smuggling  and  optimize   BAT  created  “a  symbiotic   Philip  Morris),  this  
control  and  collection   government  revenue   relationship”  between   included  the  introduction  
of  taxes,  particularly  on   (even  though  BAT  internal   BAT  and  the  Ministry  of   of  tax  stamps  in  1996,  a  
competitors’  import  (e.g.   docs  indicate  the  driving   Finance. licensing  requirement  for  
through  the  introduction   force  was  to  achieve  the   -­  BAT  staff  produced   import  and  export,  as  well  
of  a  tax  stamp  system,   best  possible  market   papers  on  smuggling,   as  wholesale  and  retail  
from  which  BAT  would   position  for  BAT  and  that   which  fed  into  the  above   distribution.
hopefully  be  exempted) the  company  was  aware   negotiations. -­  “The  price  of  cigarettes  
-­  achieve  a  reduction   its  recommendations   -­  BAT  bought  up  local   in  Uzbekistan  is  now  the  
in  the  excise  tax  on   perhaps  weren’t  always   TI  to  achieve  market   lowest  of  all  countries  
cigarettes  (even  though   the  best  deal  for  the   dominance  and  political   in  the  World  Health  
rates  were  already  low);; government) influence Organization’s  Europe  
-­  achieve  the   region,  including  
implementation  of  an   those  with  which  
excise  system  to  benefit   it  is  economically  
BAT’s  brands  and   comparable”.
disadvantage  those  of  its   Overall:  “BAT  thoroughly  
competitors  (particularly   redesigned  Uzbekistan’s  
Philip  Morris).  This   tobacco  taxation  system  
involved  a  mixed  excise   to  advance  corporate  
system,  which  would   objectives”  (achieved  all  
ensure  high-­end  brands   its  objectives,  bar  one  
(such  as  Marlboro)  were   –  which  it  still  hoped  to  
hit  through  maintaining  an   achieve  at  the  end  of  the  
ad  valorem  tax  on  inputs,   study)
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

71
72
Table  3.3.  Summary  of  studies  concerning  tobacco  industry  (TI)  tax-­related  lobbying.  Closely  related  studies  are  assessed  together.  
Numbers  in  the  column  “CA  criteria  met”  represent  the  quality  criteria  that  each  study  met;;  see*  at  the  end  of  the  table  for  further  details.

Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Gilmore  et  al.,  (2007)**   and  which  also  involved  


(contd) having  a  specific  element  
for  imports  to  try  to  reduce  
cheaper  imports  (ideally,  
BAT  hoped  this  rate  would  
not  apply  to  them).
IARC  Handbooks  of  Cancer  Prevention

-­  an  ad  valorem  domestic  


system  of  40%  on  
filtered  and  25%  on  plain  
cigarettes.  This  was  of  
benefit  to  BAT,  which  
was  focusing  on  the  local  
filterless  brand  Astra,  and  
planned  to  later  introduce  
other  cheap  local  brands.
-­  a  requirement  for  a  
license  to  import  and  
export  cigarettes,  as  well  
as  to  provide  wholesale  
and  retail  distribution

Nakkash,  (2007)** Analysis  of  tobacco   1-­6,8-­10 -­  TTCs  lobbied  to   -­  BAT  claimed  its  plan   (This  review  only  notes   -­  BAT  appears  to  have  
industry  documents,  plus   influence  tobacco  taxation   would  “afford  some   mechanisms  listed   been  successful  in  
secondary  documentary   policy  in  Lebanon. protection  to  local   in  relation  to  TI  tax   influencing  tax  structure:  
sources  and  20  semi-­ -­  PM  sought  to  achieve  a   manufacture;;  […]  swell  the   lobbying  –  more  general   “In  May  1995,  Macleod  
structured  interviews   simplified  excise  system,   government’s  tax  revenue   mechanisms  of  TI   reported  an  unconfirmed  
with  key  informants with  a  unified  flat  charge   [and]…  […]  improve   influence/lobbying  are   report  that  the  Lebanese  
per  case,  effectively   balance  of  payments   also  discussed  in  this   Regie  has  finally  come  
changing  the  system  from through  import thesis): down  on  the  side  of  an
ad  valorem  to  specific   substitution/local  value   -­  Lobbying  of  key  officials,   ad  valorem  structure  
excise  (circa  early-­mid   added.” e.g.  BAT  set  out  to  “[p] and  has  submitted  a  
1980s). -­  A  BAT  study  warned   repare  lobby  plan  for   recommendation  to  the  
-­  PM  and  BAT  were  both   that  “significant  and  too   Faoud  Seniora  Minister  of   Ministry  of  Finance”
concerned  about  possible   frequent  tax  increases  will   Finance  (known  to  BATCo   -­  But  taxes  were  
government  intentions   encourage  a  resurgence   consultant).” increased:  “In  April  
to  raise  tax  rates  as  a   of  contraband  on  the  one   -­  Says  BAT  plan  for  excise   1999,  tobacco  taxes  
control  measure,  and   hand  and  discourage  any   reform  had  support  from   substantially  increased  
Philip  Morris  lobbied  on   outflow  of  goods  from  the   IMF  and  implies  BAT   from  54%  to  90%  plus  an  
“the  dangers  of  excessive   market  on  the  other.”  Tax   helped  secure  this  support additional  48%  as  local  
taxation  and  how  a  rise   reform,  it  was  claimed,   consumption  tax  (total  
in  tax  levels  could  run   would  “curb  smuggling” 138%).”
counter  to  their  prime   -­  BAT  argued  against  the   -­  However,  the  April  1999  
objective.” specific  system  Philip   tax  increase  was  later  
Morris  supported   revoked,  following  claims
Study Methods CA  criteria  met* Key  findings

Aim  of  TI Arguments  used Mechanisms  employed Success  of  TI

Nakkash,  (2007)**   -­  BAT  wanted  to  avoid   by  implying  it  could   that  the  rise  resulted  in  
(contd) the  specific  structure   exacerbate  smuggling  and   further  smuggling  and  
being  promoted  by  Philip   reduce  the  government’s   losses  to  the  Treasury
Morris  and  instead  secure   revenue.
the  introduction  of  a  tax   -­  TI  argued  reducing  
structure  which  would   taxes  could  help  reduce  
render  a  similar  return   smuggling
on  both  premium  and  
low  priced  imports,  as  it  
believed  this  would  be  
beneficial  to  its  products  
over  the  longer  term.
-­  BAT  also  wanted  to  lobby  
against  any  restrictions  
on  “imports  through  
increases  in  import  duties”

*  The  following  critical  appraisal  (CA)  criteria  were  used  to  appraise  all  of  the  included  studies  (the  numbers  listed  for  each  study  in  the  CA  column  in  Table  3.3,  above,  indicate  the  criteria  for  which  that  study  met  positively):
1.  How  clear  is/are  the  research  question(s)  and/or  aim(s)?
2.  Was  the  methodology  appropriate  for  addressing  the  stated  aims  of  the  study?
3.  Where  applicable,  was  the  recruitment/search  strategy  appropriate  and/or  was  an  adequate  sample  obtained  to  support  the  claims  being  made  (i.e.  was  the  data  collection  adequate  and  appropriate)?
4.  Were  the  methods  of  data  analysis  appropriate  to  the  subject  matter?
5.  Is  the  description  of  the  findings  provided  in  enough  detail  and  depth  to  allow  interpretation  of  the  meanings  and  context  of  what  is  being  studied?  [Are  data  presented  to  support  interpretations,  etc?]
6.  Are  the  conclusions  justified  by  the  results?
7.  If  applicable,  are  the  theoretical  developments  justified  by  the  results?
8.  Have  the  limitations  of  the  study  and  their  impact  on  the  findings  been  considered?
9.  Do  researchers  discuss  whether  or  how  the  findings  can  be  transferred  to  other  contexts  or  consider  other  ways  in  which  the  research  may  be  used?
10.  If  the  answer  to  9  is  ‘yes’,  do  you  agree  these  suggestions  are  appropriate,  based  on  the  research?
**  indicates  that  studies  also  touch  briefly  on  lobbying  around  tobacco  excise  rates
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

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Table  3.4.  Summary  of  the  foci  of  North  American  studies  to  highlight   Tobacco  industry  efforts  to  keep  
potential  overlap
tobacco  taxes  low  and  prevent  
earmarking
North  American  policy  development  /  
References  focusing  
tobacco  industry  tactic  (categorised   Total
on  this  development
according  to  main  focus  of  article) Tobacco  industry  arguments  to  keep  
tobacco  taxes  low
TI  alliances  with  labour  and  minority   (Yerger  and  Malone,  2002;;  Levenstein  et   6
groups  in  USA  to  counter  tax  increases   al.,  2005;;  Balbach  and  Campbell,  2009;;  
(mostly  earmarked) Balbach  et  al.,  2006;;  Campbell   The   arguments   employed   by   the  
and  Balbach,  2009;;  Raebeck  et  al.,  2009)
industry   to   prevent   tobacco   excise  
TI  establishment  and  use  of  front   (Givel,  2007;;  Campbell  and  Balbach,   2 increases   or   achieve   reductions   in  
groups  to  counter  tax  increases  (mostly   2008) current  rates  were  relatively  consistent  
earmarked)
and   (in   order   of   prominence   with  
Various  –  US  federal-­  and  state-­level   (Givel  and  Glantz,  2001;;  Morley  et  al.,   5
lobbying  to  counter  tax  increases  (some   2002;;  Alamar  and  Glantz,  2004;;  Givel,  
which  they  featured  in  the  studies  in  
of  which  covered  various  specific  policy   2006;;  Lum  et  al.,  2009) this  review)  involved:
developments  in  this  table  –  many  were  
earmarked)
Emphasizing  the  regressive  nature  of  
Proposition  99  in  California  (earmarked) (Begay  et  al.,  1993;;  Traynor  and  Glantz,   3
tobacco  taxation
1996;;  Balbach  et  al.,  2000)
Proposition  200  in  Arizona  (earmarked) (Bialous  and  Glantz,  1999) 1
The   argument   employed   by   the  
Measure  44  in  Oregon  (earmarked) (Goldman  and  Glantz,  1999) 1
industry   most   often   in   the   studies  
Question  1  in  Massachusetts   (Koh,  1996;;  Heiser  and  Begay,  1997) 2 included   in   this   review   involved  
(earmarked)
pointing   out   that   tobacco   excises  
Failed  initiative  in  Montana  (earmarked) (Moon  et  al.,  1993) 1
are   regressive   and   consequently  
Tax  increases  in  Canada  in  early  1990s (Breton  et  al.,  2006;;  Kelton  and  Givel,   2
claiming  that  higher  taxes  are  unfair  
2008)
on  poorer  and  more  marginal  groups  
TI  lobbying  of  excise  structure  for  moist   (Delnevo  et  al.,  2007) 1
tobacco in   society   (Koh,   1996;;   Traynor   and  
Glantz,   1996;;   Heiser   and   Begay,  
Total 24 1997;;   Yerger   and   Malone,   2002;;  
Levenstein   et   al.,   2005;;   Balbach   et  
al.,   2006;;   Campbell   and   Balbach,  
2008,   2009;;   Balbach   and   Campbell,  
Table  3.5.  Geographic  breakdown  of  studies 2009;;   Raebeck   et   al.,   2009).   In  
some   cases,   the   industry   went  
No.  of  studies   No.  of  studies   as   far   as   arguing   that   tobacco   tax  
No.  of  studies   examining  industry   examining  industry  
Geographic  focus increases   would   contribute   to   class  
overall influence  on  excise   influence  on  excise  
rates structures warfare,   pitting   upper-­middle-­class  
USA liberals   (mostly   white)   against   lower-­
22 21 1
middle-­class   working   people   (mostly  
Canada 2 2 0 minority)   (Koh,   1996).   By   employing  
EU  countries* 2* 2* 1  (Hungary) this   argument,   the   tobacco   industry  
was   able   to   forge   partnerships   with  
Former  Soviet  Union 3 1 3
non-­traditional   allies,   such   as   labour  
China 1 0 1 groups  (unions,  etc.)  and  organizations  
Lebanon 1 1 1
representing   minority   ethnic   groups  
in   their   campaigns   against   tobacco  
Total 31 27 7
tax   increases   (see   below).   Although  
*One  covered  Hungary  which  was  not  at  that  time  an  EU  Member  State;;  the  other  covered  the  
tobacco   taxes   represent   a   higher  
United  Kingdom  and  Sweden percentage   of   the   income   of   poorer  
consumers   (Chaloupka   et   al.,   2001;;  
Cnossen,  2006)  and  because  poorer  
groups   tend   to   consume   more  

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tobacco  products,  the  tax  burden  on   the   studies   refer   generically   to   the   smokers  with  excessive  taxes  (Givel,  
these   groups   is   higher   (Chaloupka   “industry”,   it   should   not   of   course   2006,  2007).  Such  arguments  ignore  
et   al.,   2001;;   Cnossen,   2006),   this   be   assumed   that   every   tobacco   the   fact   that   nicotine   is   addictive  
argument   ignores   research   which   company,   major   or   minor,   took   part   (Advisory  Group  of  the  Royal  College  
finds  that  tobacco  tax  increases  tend   in   the   smuggling,   or   other   activities   of   Physicians,   2000)   and,   therefore,  
to   be   progressive   (Chaloupka   et   al.,   that   are   the   subject   matter   of   these   that   smoking   is   not   a   ‘choice’.  
2001;;   Gruber   &   Koszegi,   2008).   studies  and  the  others  referred  to  in   Indeed,   research   has   repeatedly  
This   is   explained   further   in   Chapter   this  chapter.   demonstrated  that  most  smokers  do  
7.   When   promoting   this   argument,   In  one  study  (Traynor  and  Glantz,   not   want   to   smoke   (Robinson   and  
one  study  (published  as  two  articles)   1996),   the   authors   found   that   the   Bugler,  2008;;  Gallup,  2010).
even   reported   that   the   industry   had   industry   used   arguments   about  
involved  itself  in  a  campaign  calling  for   smuggling   to   claim   that   tobacco   tax   Denying  links  between  price  and  
tax   increases   on   large   corporations   increases   would   therefore   lead   to   consumption
rather   than   on   consumer   products   broader  crime-­related  problems,  such  
such  as  tobacco  (Balbach  et  al.,  2006;;   as  more  money  being  spent  on  guns   One  study  in  the  USA  found  that  the  
Balbach   and   Campbell,   2009).   This   and  drugs,  with  police  attention  being   industry   was   denying   the   existence  
is  despite  the  fact  that  large  tobacco   diverted   away   from   other   crimes   to   of   credible   evidence   that   increasing  
companies   have   themselves   been   tackle   tobacco   smuggling.   Working   taxes   on   cigarettes   reduces  
involved   in   efforts   to   avoid   paying   through   a   front   group   it   had   helped   consumption  (Campbell  and  Balbach,  
high   rates   of   corporate   tax   (Knorr,   establish,  Californians  Against  Unfair   2009).  Another,  in  Canada,  found  that  
1985;;   Batuke,   1992;;   Burgess,   1993;;   Tax   Increases   (CAUTI),   the   industry   following   tax   decreases   there   was  
O’Callaghan,  1998)  and  are  members   was   able   to   secure   endorsements   an   increase   in   smoking   rates   among  
of   organizations,   such   as   the   US   for   these   arguments   from   the   young  people,  but  the  industry  argued  
Chamber   of   Commerce   (Murray,   Californian   Sheriffs’   Association   that   these   were   unrelated   to   the  
1989;;   Molinelli,   1999),   that   are   and   the   California   Peace   Officers’   change  in  price  (Breton  et  al.,  2006).  
actively   pushing   for   lower   corporate   Association,   which   lent   credibility   Such   arguments   were   made   despite  
taxes   (US   Chamber   of   Commerce,   to   such   claims   (Traynor   and   Glantz,   the   overwhelming   evidence   on   this  
2011). 1996).   However,   various   factors   issue   (see   Chapters   4   to   7)   and   the  
eventually   undermined   this   element   fact,  as  detailed  earlier  in  this  chapter,  
Linking  higher  taxes  to  illicit  trade   of  the  industry’s  campaign,  including   that   the   tobacco   company   internal  
and  organized  crime an   official   report   that   concluded   the   documents   show   how   the   industry  
effect   of   the   increase   on   smuggling   was   fully   aware   of   the   relationship  
The   second   most-­popular   argument   was   likely   to   be   negligible,   and   between   price   and   consumption   and  
employed   by   the   tobacco   industry   which   criticized   an   advertising   was  using  such  evidence  to  plan  the  
in   this   review   involved   claiming   that   campaign   that   CAUTI   had   funded   nature   and   timing   of   price-­related  
tax   increases   lead   to   higher   rates   which   highlighted   this   argument   marketing   campaigns   (Chaloupka   et  
of   illicit   trade   (Koh,   1996;;   Traynor   (the   report   led   to   police   groups   that   al.,  2002).
and   Glantz,   1996;;   Heiser   and   had   supported   the   industry   position  
Begay,   1997;;   Joossens   and   Raw,   dropping  their  support)  (Traynor  and   Tobacco  industry  arguments  
2003;;   Szilágyi   and   Chapman,   2003;;   Glantz,  1996). to  prevent  earmarking
Alamar   and   Glantz,   2004;;   Breton  
et   al.,   2006;;   Gilmore   et   al.,   2007;;   Claiming  tobacco  taxes  are  unfair  to   Where  proposals  to  increase  tobacco  
Nakkash,   2007;;   Kelton   and   Givel,   smokers taxes  included  plans  to  earmark  the  
2008).   Such   arguments   were   use   taxes   to   pay   for   health   programmes  
in   spite   of   extensive   evidence   that   The   industry   also   argued,   quite   (particularly  tobacco  control  initiatives  
the  industry  has  itself  been  involved   simply,  that  high  tobacco  taxes  were   and   health   care   programmes),   the  
in   global   smuggling   operations   unfair  to  smokers  (Koh,  1996;;  Breton   industry  also  consistently  argued  that  
(see   Chapter   8)   and   specifically   in   et  al.,  2006;;  Lum  et  al.,  2009)  and,  by   (again,  arguments  are  listed  in  order  
promoting   smuggling   following   tax   claiming   that   smoking   was   a   matter   of  prominence  in  the  studies  included  
increases,  as  explored  further  below   of   individual   (adult)   choice,   insisted   in  this  review):
(Kelton   and   Givel,   2008).   Although   it   was   unreasonable   to   burden  

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The  extra  funds  would  be  diverted/ Claiming  that  earmarking  would   see   Figure   3.4   (Moon   et   al.,   1993;;  
misused result  in  spending  cuts  for  specific   Koh,  1996;;  Traynor  and  Glantz,  1996;;  
programmes Heiser  and  Begay,  1997;;  Bialous  and  
Many  of  the  studies  found  the  tobacco   Glantz,   1999;;   Goldman   and   Glantz,  
industry,  and  various  groups  it  lobbied   The   same   study   found   evidence   of   1999;;  Balbach  et  al.,  2000;;  Givel  and  
through,   claimed   that   earmarked   the  industry  arguing  that  earmarking   Glantz,  2001;;  Levenstein  et  al.,  2005;;  
funds   would   be   used   in   ways   which   would   lead   to   cuts   in   spending   on   Balbach   et   al.,   2006;;   Givel,   2006,  
the   public   did   not   support   or   which   programmes   that   were   currently   2007;;   Campbell   and   Balbach,   2008;;  
differed   from   those   described   in   the   funded  by  tobacco  tax,  even  though   Raebeck  et  al.,  2009).
original  proposal  (Moon  et  al.,  1993;;   this   was   not   true   (Goldman   and   Such   groups   were   used   both   to  
Koh,  1996;;  Traynor  and  Glantz,  1996;;   Glantz,  1999). promote   arguments   directly   (Moon  
Heiser   and   Begay,   1997;;   Bialous   et  al.,  1993;;  Koh,  1996;;  Traynor  and  
and   Glantz,   1999;;   Goldman   and   Tobacco  industry  tactics  to  keep   Glantz,   1996;;   Heiser   and   Begay,  
Glantz,   1999;;   Lum   et   al.,   2009).   In   tobacco  taxes  low  and  prevent   1997;;   Bialous   and   Glantz,   1999;;  
the  context  of  the  USA,  where  health   earmarking Goldman  and  Glantz,  1999;;  Balbach  
care   is   largely   private,   the   industry   et  al.,  2000;;  Givel  and  Glantz,  2001;;  
used   proposals   to   use   some   of   the   The   tactics/mechanisms   employed   Levenstein  et  al.,  2005;;  Givel,  2006,  
earmarked   funds   for   health   care   of   by   the   tobacco   industry   campaigns   2007;;   Raebeck   et   al.,   2009)   and   to  
poorer   groups   to   emphasize   this   to   counter   excise   increases   mirror   help   recruit   credible   allies   (Traynor  
issue,   framing   these   developments   industry  activities  on  a  range  of  other   and   Glantz,   1996;;   Levenstein   et   al.,  
as  a  diversion  of  the  funds  to  doctors,   issues   (see,   for   example,   Feldman   2005;;  Balbach  et  al.,  2006;;  Campbell  
hospitals  and  health  care  companies   and   Bayer,   2004;;   World   Health   and   Balbach,   2008;;   Balbach   and  
rather   than   to   the   uninsured   public   Organization,  2009).  These  included   Campbell,   2009),   a   tactic   discussed  
(Bialous   and   Glantz,   1999;;   Traynor   (in   order   with   which   they   feature   in   in  more  detail  in  the  following  section.
and   Glantz,   1996).   Such   efforts   the  studies  included  in  this  review):
were   helped   by   the   fact   that   health   Working  with  credible  allies
care/insurance   organizations   often   Use  of  front  groups
did   want   to   divert   the   funds   towards   In   addition   to   creating   front   groups,  
healthcare   costs   and   also   worked   To   obscure   its   own   economic   the   industry   was   able   to   ally   itself  
(sometimes   in   collaboration   with   the   interests   in   promoting   many   of   the   with  a  wide  range  of  pre-­existing  and  
tobacco   industry)   to   try   to   achieve   arguments   outlined   above   and   credible   public   interest   groups   not  
this   (Begay   et   al.,   1993;;   Traynor   &   thereby   increase   their   credibility,   normally   associated   with   tobacco,  
Glantz,  1996;;  Balbach  et  al.,  2000). the   studies   reveal   that   the   industry   thereby   increasing   the   perceived  
frequently  established  “front  groups”;;   credibility  of  key  arguments  (Begay  et  
Arguing  that  policies  requiring  
smokers  to  subsidise  policies  
Figure  3.4.  Front  groups  identified  in  the  studies
benefiting  others  are  unfair

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the   use   of   earmarked   funds   from   associated  with  the  tobacco  industry)  (Levenstein  et  al.,  2005;;  Balbach  et  al.,  2006;;  
tobacco   taxes   to   pay   for   healthcare-­ Balbach  and  Campbell,  2009;;  Campbell  and  Balbach,  2009;;  Raebeck  et  al.,  2009),

related  costs  as  equating  to  a  tax  on   ‡&DOLIRUQLDQVIRU6PRNHU¶V5LJKWV %DOEDFKet  al.,  2000),

smokers  to  pay  for  services  for  others,   ‡(QRXJKLV(QRXJK %LDORXVDQG*ODQW] 


which  it  argued  was  unfair  to  smokers   ‡1R0RUH7D[HV %LDORXVDQG*ODQW] 
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‡&LWL]HQV$JDLQVW0RUH7D[DQG%XUHDXFUDF\ 0RRQet  al.,  1993),
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76
Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

al.,  1993;;  Moon  et  al.,  1993;;  Traynor   groups   representing   medics   and   police  and  was  also  a  part-­time  actor  
and   Glantz,   1996;;   Balbach   et   al.,   healthcare  organizations  in  the  USA   (Traynor  and  Glantz,  1996).
2000;;  Givel  and  Glantz,  2001;;  Yerger   (Begay   et   al.,   1993;;   Balbach   et   al.,  
and  Malone,  2002;;  Levenstein  et  al.,   2000). Mounting  legal  and  other  official  
2005;;   Balbach   et   al.,   2006;;   Breton   challenges
et   al.,   2006;;   Givel,   2006;;   Campbell   Traditional  lobbying
and   Balbach,   2008,   2009;;   Lum   et   Seven   studies   reported   industry  
al.,   2009;;   Raebeck   et   al.,   2009).   Ten   of   the   studies   also   reported   efforts  to  mount  legal  or  other  official  
By   emphasizing   the   regressive   evidence   of   the   tobacco   industry   challenges  to  proposed  and  existing  
nature   of   tobacco   taxes,   the   using   more   traditional   lobbying   excise  legislation  (Koh,  1996;;  Traynor  
industry   was   able   to   entice   various   techniques  by  targeting  key  decision-­ and  Glantz,  1996;;  Heiser  and  Begay,  
labour   and   minority   ethnic   groups   makers,   both   directly   and   indirectly   1997;;   Bialous   and   Glantz,   1999;;  
(which   it   commonly   approached   (e.g.   via   consultants,   campaign   Goldman   and   Glantz,   1999;;   Givel,  
via   the   Tobacco   Institute’s   Labour   groups,   business   organizations,   etc)   2007;;  Lum  et  al.,  2009).  For  example,  
Management   Committee   and   an   (Begay   et   al.,   1993;;   Traynor   and   where  earmarked  tax  increases  were  
industry-­created   front   group   known   Glantz,   1996;;   Bialous   and   Glantz,   being   pursued   via   a   public   ballot  
as   the   Consumer   Tax   Alliance;;   see   1999;;  Balbach  et  al.,  2000;;  Morley  et   system   (a   method   which   gained  
below)   to   argue   against   tobacco   tax   al.,  2002;;  Joossens  and  Raw,  2003;;   popularity   among   public   health  
increases  (Yerger  and  Malone,  2002;;   Levenstein   et   al.,   2005;;   Balbach   et   communities   in   eligible   American  
Levenstein   et   al.,   2005;;   Balbach   et   al.,  2006;;  Givel,  2006,  2007). states  from  the  late  1980s  onwards,  
al.,   2006;;   Campbell   and   Balbach,   in   light   of   an   apparent   reluctance  
2008,  2009;;  Balbach  and  Campbell,   Media  campaigns by   state   legislators   to   pass   such  
2009;;  Raebeck  et  al.,  2009). legislation),   one   study   reported   that  
Groups   that   were   successfully   Nine   of   the   studies   found   evidence   the   industry   legally   challenged   the  
recruited   to   argue   against   tobacco   of   the   tobacco   industry   using   mass   draft   proposal   on   the   basis   that   it  
tax   increases   included   the   Coalition   media  and  other  publicity  campaigns   violated   the   state   constitution,   filed  
of   Labour   Union   Women   (CLUW)   to   raise   public   awareness   of   policy   subsequent   legal   challenges   at  
(Balbach   et   al.,   2006;;   Balbach   and   proposals  and  create/increase  public   later   stages   and   also   tried   to   use  
Campbell,   2009),   Citizens   for   Tax   support   for   the   industry   positions   a   signatures   expert   to   disqualify  
Justice   (Campbell   and   Balbach,   (Koh,   1996;;   Traynor   and   Glantz,   signatures   supporting   the   ballot  
2009),  Citizen  Action  (Campbell  and   1996;;   Heiser   and   Begay,   1997;;   proposal   (Heiser   and   Begay,   1997).  
Balbach,   2009),   Women   Involved   in   Goldman   and   Glantz,   1999;;   Breton   As  a  result  of  this  latter  tactic,  several  
Farm   Economics   (Givel   and   Glantz,   et   al.,   2006;;   Givel,   2007;;   Campbell   studies   reported   that   the   supporters  
2001),   the   National   Taxpayers   and   Balbach,   2008;;   Campbell   and   of   later   policy   proposals   insured  
Conference  (Givel  and  Glantz,  2001),   Balbach,   2009;;   Raebeck   et   al.,   themselves  against  this  by  collecting  
the   Congressional   Black   Caucus   2009).   One   study   reported   that   the   substantially   more   signatures   than  
(Yerger   and   Malone,   2002)   and   the   most   effective   media   campaign   the  law  required  (Traynor  and  Glantz,  
National   Black   Police   Association   undertaken   by   industry   groups   1996).
(Yerger   and   Malone,   2002).   The   involved   an   advert   featuring   an  
industry  also  used  claims  that  tobacco   alleged   undercover   police   officer   Commissioning  supportive/
tax  increases  would  lead  to  increases   discussing   the   crime   implications   of   informative  research
in  smuggling  to  ensure  the  support  of   the   proposed   tobacco   tax   increases  
business   groups   such   as   retailers’   (more   time   would   be   spent   on   Six  of  the  studies  reported  evidence  
associations   (Moon   et   al.,   1993;;   smuggled  cigarettes,  hence  less  time   of   the   industry   commissioning  
Breton  et  al.,  2006)  and  police  groups   on   other   issues,   and   the   increased   studies   to   support   and   inform  
(Traynor  and  Glantz,  1996;;  Breton  et   criminal   money   from   smuggling,   industry  positions  on  tobacco  excise  
al.,  2006).  Finally,  in  seeking  to  divert   etc.   would   be   spent   on   drugs   and   debates   (Moon   et   al.,   1993;;   Yerger  
earmarked  funds  away  from  tobacco   guns)   (Traynor   and   Glantz,   1996).   and   Malone,   2002;;   Balbach   et   al.,  
control  programmes  (see  below),  the   However,   it   was   eventually   revealed   2006;;   Breton   et   al.,   2006;;   Lum   et  
industry   was   able   to   ally   itself   with   that  the  “undercover  policeman”  had   al.,   2009;;   Raebeck   et   al.,   2009).  
private  healthcare  organizations  and   nothing   more   than   a   desk   job   in   the   This   included   market-­research   to  

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assess:   (i)   whether   it   was   worth   subsidies  for  uninsured  groups  (Begay   increase  which  the  industry  managed  
challenging   a   given   proposal,   and   et   al.,   1993;;   Koh,   1996;;   Traynor   and   to   defeat,   the   industry   linked   the  
(ii)   how   best   to   challenge   particular   Glantz,  1996;;  Heiser  and  Begay,  1997;;   proposed   tobacco   tax   increase   with  
proposals.   For   example,   one   study   Bialous   and   Glantz,   1999;;   Goldman   proposals   for   property   tax   increases  
found   the   industry   was   undertaking   and   Glantz,   1999;;   Balbach   et   al.,   in   rural   areas   that   were   happening  
telephone   research   to   assess   the   2000).  This  approach  not  only  helped   simultaneously  (Moon  et  al.,  1993).
possible   impact   of   various   campaign   the   industry   to   limit   state   tobacco  
themes  (Moon  et  al.,  1993).  A  review   control   activities   that   had   potential   Proposing  alternative  legislation
of   state-­level   efforts   to   achieve   to   further   reduce   consumption,   but  
earmarked   tobacco   excise   increases   also  provided  evidence  to  support  the   Four   studies   found   evidence   of  
via   public   ballots   in   the   USA   found   industry   argument   that  the   funds  are   industry  efforts  to  promote  alternative  
the   industry   had   increasingly   begun   likely   to   be   used   in   ways   other   than   (weaker  or  irrelevant)  proposals/public  
to   undertake   a   significant   amount   of   those   stated   and/or   which   the   public   ballots  to  distract  attention  and  energy  
research   before   deciding   whether   to   did  not  support  (see  above). from  the  original  proposal  (Koh,  1996;;  
invest  significantly  in  efforts  to  defeat   Traynor   and   Glantz,   1996;;   Heiser  
the   proposed   legislation   (Lum   et   al.,   Paying  or  providing  gifts  to  policy-­ and   Begay,   1997;;   Goldman   and  
2009).   In   addition,   the   industry   paid   makers Glantz,   1999).   One   study   (Goldman  
for   studies   that   supported   some   of   and   Glantz,   1999)   found   that   while  
the   arguments   outlined   in   the   above   Several  of  the  studies  found  evidence   signatures   were   being   collected   to  
section,  such  as  a  series  of  studies  by   of   the   industry   paying   or   giving   gifts   qualify   the   proposal   for   a   ballot   the  
labour  groups  and  political  caucuses,   to   officials   and   political   parties   or   tobacco   industry   began   contributing  
including   CLUW,   which   highlighted   campaigns   to   help   attract   political   money   to   a   different   ballot   measure  
the   regressive   nature   of   tobacco   support  for  the  industry’s  positions  on   campaign   in   order   “to   disrupt   the  
taxes   (Yerger   and   Malone,   2002;;   taxation  (Begay  et  al.,  1993;;  Balbach   signature-­gathering   process”,   for  
Balbach  et  al.,  2006;;  Raebeck  et  al.,   et   al.,   2000;;   Yerger   and   Malone,   the   Oregon-­based   proposal   (known  
2009).   The   Tobacco   Institute   also   2002;;  Givel,  2006).  Key  officials  most   as   Measure   44),   and   “to   divert   the  
produced   some   economic   studies   to   likely  to  be  able  to  influence  decisions   energy  and  financial  resources  of  the  
support  its  claims  about  taxes  (Yerger   about  tobacco  taxation  were  targeted   health   insurers”.   Likewise,   a   study  
and  Malone,  2002). (Begay   et   al.,   1993;;   Balbach   et   al.,   of   a   similar   proposal   in   California  
2000),  and  funds  were  often  provided   reported   that   an   industry-­funded  
Employing  consultants   via   third   parties,   such   as   advertising   group  circulated  its  own  petition  at  the  
and  public  relations  staff/firms agencies,   so   it   was   not   obvious   that   same  time  as  signatures  were  being  
they   originated   from   the   industry   gathered  in  support  of  the  earmarked  
Several   studies   demonstrate   that,   (Balbach  et  al.,  2000). tax   proposal   as   a   way   of   reducing  
to   gain   advice   on   and   assistance   the   pool   of   available   paid   signature-­
with   lobbying,   the   tobacco   industry   Confusing  debates  about  tobacco  tax   gatherers  (by  paying  them  more)  and  
has   used   a   range   of   consultancy   increases  with  broader  tax  debates confusing   voters   about   the   official  
and   public   relations   firms   and   other   proposal  (Traynor  and  Glantz,  1996).  
lobbyists   (Begay   et   al.,   1993;;   Koh,   Four  studies  reported  industry  efforts   Two  other  studies  of  similar  state-­level  
1996;;   Traynor   and   Glantz,   1996;;   to   frame   debates   about   tobacco   policy   proposals   found   the   industry  
Bialous   and   Glantz,   1999;;   Givel,   excise   increases   within   broader   put   forward   compromise   proposals  
2006,  2007;;  Raebeck  et  al.,  2009). debates   about   general   tax   increases   that   involved   smaller   tax   increases  
to   confuse   the   issue   and   to   help   and   fewer   funds   being   allocated   to  
Working  to  divert  earmarked  funds garner   opposition   to   proposals   for   tobacco   control   programmes   (Koh,  
tobacco   tax   increases   (Moon   et   al.,   1996;;  Heiser  and  Begay,  1997).
Some  of  the  studies  found  that  where   1993;;   Balbach   et   al.,   2006;;   Lum   et  
earmarked   tobacco   excise   increases   al.,  2009;;  Raebeck  et  al.,  2009).  This   Using  friendly  “experts”
were   being   pursued,   the   tobacco   tactic  was  apparently  supported  by  the  
industry   had   worked   to   divert   funds   industry’s  own  market  research  (Lum   Three   studies   found   evidence   of  
away  from  tobacco  control  measures   et  al.,  2009).  In  one  of  the  few  studies   the   industry   using   friendly   experts  
to   other   causes   such   as   healthcare   focusing  on  a  policy  proposal  for  a  tax   to   present   industry   positions   and  

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Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

bolster   the   credibility   of   industry   have   been   relatively   successful,   has   in   completely   preventing   excise  
arguments   (Traynor   and   Glantz,   with   the   Canadian   government   increases   (Begay   et   al.,   1993;;   Koh,  
1996;;   Goldman   and   Glantz,   1999;;   responding  “to  the  influx  of  smuggled   1996;;   Traynor   and   Glantz,   1996;;  
Alamar  and  Glantz,  2004).  Examples   tobacco   that   culminated   after   the   Heiser   and   Begay,   1997;;   Balbach  
included   Wall   Street   analysts   who   tax   increases   by,   in   1994,   returning   et   al.,   2000;;   Lum   et   al.,   2009).   The  
had   been   directly   briefed   by   the   taxes   to   their   original   level”   (Kelton   industry’s   success   in   doing   this  
tobacco   industry   before   presenting   and  Givel,  2008).  The  study  goes  on   in   turn   provides   support   for   one  
their  opinions  to  officials  but  who  did   to   note   that   although   the   intention   of   the   industry’s   most   frequently  
not  disclose  this  (Alamar  and  Glantz,   of   the   tax   reduction   was   to   alleviate   used   arguments   used   to   counter  
2004),  a  high-­profile  dentist  (Goldman   the   growing   illicit   trade   in   tobacco   future   proposals   for   earmarked   tax  
and   Glantz,   1999)   and   an   alleged   products,  it  did  not  succeed  because   increases,  namely  that  revenue  from  
undercover   police   officer   (who   was   ‘the  illegal  activity  was  more  than  just   earmarked   taxes   will   be   diverted   or  
later   found   to   be   a   desk   officer   and   a  result  of  high  taxation’  (Kelton  and   misused.   Indeed,   part   of   the   reason  
part-­time  actor,  as  described  above)   Givel,  2008). this  argument  has  been  so  effective  is  
(Traynor  and  Glantz,  1996). that  there  is  a  great  deal  of  evidence  
to  support  this  claim;;  in  several  of  the  
Trying  to  undermine  tobacco  control   The  success  of  tobacco  industry   US  states  that  introduced  earmarked  
experts efforts  to  keep  tobacco  taxes  low   tax   increases,   the   revenue   was  
and  prevent  earmarking used   for   purposes   other   than   those  
One  study  reported  that  the  tobacco   described  in  the  original  proposal.  In  
industry   had   wrongly   targeted   and   In   the   USA,   the   industry   has   had   some   cases,   the   industry   was   found  
tried  to  undermine  the  credibility  of  a   some  success  in  preventing  proposed   to   have   played   a   key   role   in   helping  
key  tobacco  control  academic  (Givel,   earmarked   excise   increases   (Moon   to  ensure  funds  were  diverted,  which  
2007).  This  involved  alleging  (but  not   et   al.,   1993;;   Lum   et   al.,   2009),   helped  the  industry  from  the  point  of  
proving)  that  University  of  California– although   many   such   proposals   did   view  of  limiting  spending  on  tobacco  
San  Francisco  Professor  of  Medicine   pass  (Begay  et  al.,  1993;;  Koh,  1996;;   control   activities   and   providing  
Stanton   Glantz   had   misused   grant   Traynor  and  Glantz,  1996;;  Heiser  and   evidence   to   shore   up   this   argument  
funds   for   illegal   political   purposes   Begay,   1997;;   Bialous   and   Glantz,   in   future   debates.   However,   the  
and  lobbying. 1999;;   Goldman   and   Glantz,   1999;;   industry   alone   cannot   be   blamed   for  
Balbach   et   al.,   2000;;   Lum   et   al.,   the   success   of   this   argument;;   all   of  
Stimulating  smuggling  in  the  event  of   2009).   Key   contextual   factors   that   the  studies  that  highlighted  this  issue  
tax  increases appear   to   have   assisted   passage   found   that   a   range   of   other   actors,  
and   implementation   of   earmarked   notably  healthcare  providers,  worked  
One   of   the   two   studies   of   tobacco   tobacco   tax   increases   include:   (i)   to   divert   funds   away   from   tobacco  
excise   increases   in   Canada   in   coherent   and   adequately   funded   control   programmes.   As   Bialous  
the   early   1990s,   which   were   later   campaigns   by   coalitions   favouring   and   Glantz   (1999)   point   out,   this  
revoked,   claims   that   the   industry   the   tobacco   tax   increase   (in   many   highlights  the  importance  of  focusing  
itself   helped   promote   smuggling   (via   of   the   studies   included   here,   these   on   the   longer-­term   implementation  
Native  American  reservations,  which   campaigns   were   partially   funded   of   tobacco   control   policies   as   well  
are   not   subject   to   the   same   taxation   by   voluntary   health   groups,   such   as   as   on   their   development   and   official  
laws)   during   the   period   in   which   the   the   American   Cancer   Society,   and   acceptance  into  law.
tax   increases   were   in   place   (Kelton   healthcare   organizations);;   and   (ii)   However,   when   assessing   the  
and   Givel,   2008).   The   authors   claim   budgetary   deficits,   which   worked   success   of   the   tobacco   industry   in  
the   industry   did   this   both   because   it   to   increase   legislative   support   for   preventing   the   numerous   state-­level  
enabled  them  to  maintain  or  increase   proposals. proposals  for  earmarked  tax  increases  
profit  margins  despite  the  tax-­related   Overall,   the   studies   included   in   that  emerged  in  the  USA  from  the  late  
price   increases   and   because   it   this   review   suggest   that   the   industry   1980s   onwards,   it   should   be   noted  
provided   support   for   the   industry’s   has   been   more   successful   in   that   there   appears   to   have   been   a  
claim   that   the   tax   increases   led   to   a   diverting  earmarked  funds  away  from   research  and  publication  bias  towards  
rise   in   illicit   trade   (Kelton   and   Givel,   tobacco   control   activities,   usually   proposals   that   succeeded.   Hence,  
2008).   This   approach   appears   to   at   the   implementation   stage,   than   it   this  review  includes  seven  studies  of  

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IARC  Handbooks  of  Cancer  Prevention

successful   proposals   (three   studies   In   contrast   to   the   studies   that   the   other   studies   in   this   section  
of   Proposition   99   in   California,   two   concerning   USA   state-­level   efforts   of   the   review   reveal   almost   nothing  
of   Question   1   in   Massachusetts,   to   increase   and   earmark   tobacco   about,   because   very   few   comment  
and   one   each   of   Proposition   200   in   taxes,  most  of  the  studies  on  industry   on   the   extent   to   which   different  
Arizona  and  Measure  44  in  Oregon)   efforts   to   prevent   national/federal   tobacco   companies   worked   together  
and  only  one  of  a  similar  initiative  in   level   tax   increases,   or   to   secure   tax   to   influence   policy.   This   company  
Montana   which   was   unsuccessful.   decreases   at   this   level,   found   the   differentiation,   however,   features  
This  is  a  ratio  of  seven  studies  of  four   industry   was   successful.   Studies   somewhat   more   in   the   studies  
successful   proposals   compared   to   report   the   industry   was   successful   exploring  industry  efforts  to  influence  
only   one   study   of   one   unsuccessful   in   defeating   both   the   McCain   Bill   tobacco   excise   structures   (see  
proposal.   Yet,   Lum   and   colleagues   (Alamar   and   Glantz,   2004)   and   the   following  section).
(2009)  report  that  between  1988  and   Clinton   administration’s   healthcare   The  remaining  studies  concerning  
2008  the  industry  attempted  to  defeat   proposals   in   the   USA   (Campbell   tobacco   industry   efforts   to   prevent/
14   out   of   22   state-­level   earmarked   and   Balbach,   2009),   although   the   undermine  tobacco  excise  increases  
tax   proposals   and   was   successful   tobacco   industry   was   clearly   not   the   all   focus   on   assessing   how   the  
in   8   cases,   giving   a   57%   success   only   interested   party   involved   in   the   industry  worked  to  persuade  credible  
rate   (8   out   of   14   attempts)   where   it   defeat  of  these  bills.  The  industry  was   interest  groups  to  support  the  industry  
attempted   to   challenge   and   a   36%   also   found   to   have   helped   reduce   position   on   tobacco   taxes   (Yerger  
rate  at  blocking  state-­level  proposals   the   levels   of   federal   tobacco   tax   and  Malone,  2002;;  Levenstein  et  al.,  
for   tobacco   tax   increases   overall   (8   increases   implemented   in   1990   and   2005;;  Balbach  et  al.,  2006;;  Campbell  
out  of  22  proposals). 1993  (Campbell  and  Balbach,  2008).   and   Balbach,   2008,   2009;;   Balbach  
In   terms   of   assessing   which   Studies   also   report   the   industry   was   and   Campbell,   2009;;   Raebeck   et  
arguments   and   tactics   were   most   successful  in  achieving  tax  decreases   al.,   2009).   These   studies,   which   all  
successful   in   defeating   these   in   Canada   (Joossens   &   Raw,   2003;;   focus   on   the   USA,   report   that   the  
state-­level   tax   increases,   Lum   and   Breton  et  al.,  2006;;  Kelton  and  Givel,   industry   was   generally   successful  
colleagues   (2009)   claim   that   the   2008),   Sweden   (Joossens   and   Raw,   in   recruiting   credible,   existing   public  
amount   of   resources   invested   in   2003),  Lebanon  (Nakkash,  2007)  and   interest   groups   with   an   interest   in  
lobbying   by   the   industry   was   a   poor   some   former   Soviet   Union   countries   the   issue   between   the   1980s   and  
indicator   of   success.   Instead,   the   (Gilmore  et  al.,  2007).  In  all  of  these   early   2000s.   In   most   cases,   these  
authors   argue   that   industry   success   successful   lobbying   efforts,   the   groups   already   had   at   least   some  
was   associated   with   the   extent   studies   report   that   a   key   argument   commitment   to   lobbying   against  
to   which   it   was   guided   by   market   employed   by   the   industry   involved   regressive   taxation,   although   most  
research  (the  authors  report  that  after   claiming  that  tax  increases  would  fuel   were  not  actively  lobbying  on  tobacco  
1998,   the   industry   made   increasing   or   were   already   fuelling   illicit   trade.   tax   issues   before   being   encouraged  
use  of  voter  segmentation  models  and   This  argument  was  also  identified  by   to  do  so  by  tobacco  industry  groups.  
market   research   to   decide   whether   one  of  the  USA  state-­level  studies  as   Recruiting   the   support   of   such  
state-­level   excise   proposals   were   being   particularly   effective   (Traynor   organizations   was   achieved   by  
worth  challenging;;  once  the  industry   and  Glantz,  1996). taking   three   main   approaches:   (1)  
took   this   approach,   its   success   rate   However,  the  illicit  trade  argument   emphasizing   arguments   concerning  
increased).  The  same  study  suggests   was  also  used  in  the  only  example  of   the   regressive   nature   of   tobacco  
that   the   industry   fared   better   when   a  study  reporting  that  the  industry  did   taxes,   to   demonstrate   why   this   was  
it   combined   arguments   concerning   not  succeed  in  preventing/limiting  tax   an  issue  of  interest  to  labour  and  civil  
the  diversion  of  funds  to  health  care   increases   at   the   national   level.   This   rights  organizations;;  (2)  approaching  
providers   with   arguments   relating   study   involved   industry   lobbying   in   the   groups   indirectly   via   a   union  
to   the   unfairness   of   the   proposals   Hungary   in   the   1990s   (Szilágyi   and   organization   that,   despite   having  
on  smokers,  pointing  out  that  “when   Chapman,   2003);;   in   this   example,   been   established   and   funded   by   the  
either  of  the  t wo  arguments  was  used   Philip   Morris’   efforts   to   prevent   an   Tobacco  Institute,  was  not  obviously  a  
alone,  the  tobacco  industry  lost  three   excise  increase  appear  to  have  failed   tobacco  industry  organization;;  and  (3)  
out   of   four   elections,   but   when   they   because   of   the   “divided   position   of   offering  to  support  targeted  groups  in  
were   combined,   they   won   three   out   the  industry”  (Szilágyi  and  Chapman,   a  range  of  ways,  including  on  issues  
of  four  elections”  (Lum  et  al.,  2009). 2003).   This   is   an   interesting   factor   that   the   industry   had   no   interest   in,  

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to   develop   the   relationship.   All   of   2007)   to   protect   a   dominant   market   McKee  2004b.;;  Gilmore  et  al.,  2007).  
the   studies   suggest   the   industry’s   position.   In   contrast,   when   BAT   and   In  this  context,  officials  are  therefore  
success   in   recruiting   these   kinds   of   Philip  Morris  had  not  yet  achieved  a   likely   to   have   been   far   more   open   to  
groups   in   the   USA   is   likely   to   have   significant  market  share  in  a  country,   tobacco   company   arguments   than  
aided  efforts  to  prevent  tax  increases   they   both   lobbied   for   lower   import   might  otherwise  have  been  the  case.
because   it   provided   far   greater   duties/fewer   restrictions   (O’Sullivan   It   is   unclear   to   what   extent   the  
credibility   to   arguments   concerning   and   Chapman,   2000;;   Szilágyi   and   approaches  taken  to  lobbying  on  this  
the   unfair   and   regressive   nature   of   Chapman,  2003;;  Nakkash,  2007). issue  were  informed  by  the  fact  that  
tobacco   excise   taxes.   This   allowed   As   far   as   it   is   possible   to   discern   most   of   the   countries   involved   were  
the   industry   to   claim   that   one   of   its   any   patterns   from   this   limited   data,   at  that  time  undergoing  a  process  of  
key  arguments  was  widely  supported,   arguments   that   different   tobacco   political  and  economic  transition  and/
and   it   also   facilitated   the   lobbying   of   companies   use   to   promote   their   or   were   undemocratic   (O’Sullivan  
officials  and  politicians  who  would  not   preferred  structures  seem  to  focus  on   and   Chapman,   2000;;   Szilágyi   and  
normally  be  expected  to  side  with  the   claims   that   their   particular   approach   Chapman,   2003;;   Gilmore   and  
industry  (e.g.  liberal  Democrats). will   increase   government   revenue   McKee,  2004b;;  Gilmore  et  al.,  2007;;  
(Gilmore  and  McKee,  2004b;;  Delnevo   Nakkash,   2007).   More   research   is  
Studies  concerned  with  tobacco   et   al.,   2007;;   Gilmore   et   al.,   2007;;   required   to   better   understand   what  
industry  efforts  to  influence   Nakkash,   2007)   and   reduce   illicit   different  parts  of  the  tobacco  industry  
tobacco  excise  structures trade   (Gilmore   and   McKee,   2004b;;   aim  to  achieve  in  relation  to  tobacco  
Gilmore  et  al.,  2007;;  Nakkash,  2007).   excise  structures  and  how  they  lobby  
From   the   limited   available   evidence   The   lobbying   on   this   issue   that   was   on   this   issue   beyond   the   countries  
concerning   tobacco   industry   revealed  by  these  studies  tended  to  be   that  have  been  studied.
efforts   to   influence   tobacco   excise   behind-­the-­scenes,   mainly   involving  
structures,   we   know   that   different   direct   lobbying   of   relevant   officials,   Discussion  and  conclusions
companies  favour  different  structures   although  this  was  sometimes  directed  
in  different  contexts.  From  the  studies   via   third   parties   such   as   consultants   This  systematic  review  suggests  that  
included   in   this   review,   it   appears   (Gilmore  and  McKee,  2004b;;  Gilmore   the   different   parts   of   the   tobacco  
Philip   Morris   (which   produces   the   et   al.,   2007).   Two   studies   suggest   industry   tend   uniformly   to   lobby  
high-­end   Marlboro   cigarettes)   tends   particular   companies   may   have   also   against   significant   tobacco   excise  
to  favour  specific  taxes  (Szilágyi  and   actively   sought   support   for   their   increases   and,   in   particular,   against  
Chapman,   2003;;   Nakkash,   2007),   preferred   excise   structures   from   tobacco   excise   increases   that   are  
whereas   British   American   Tobacco   international   financial   organizations   to  be  earmarked  for  tobacco  control  
(which,   historically   at   least,   had   a   such   as   the   IMF   (Nakkash,   2007)   activities.   In   challenging   such  
far   more   diverse   brand   portfolio   and   American   trade   organizations   proposals,   the   arguments   employed  
including   mid-­price   and   cheaper,   (O’Sullivan   and   Chapman,   2000).   In   most  often  and  most  successfully  by  
local  brands)  tends  to  support  mixed   former   Soviet   Union   countries,   BAT   the   industry   involve   claims   that   tax  
excise   structures,   incorporating   an   appears   to   have   been   able   to   create   increases   are   socially   regressive,  
ad   valorem   element   (Szilágyi   and   a   symbiotic   relationship   between   and   that   they   increase   illicit   tobacco  
Chapman,   2003;;   Nakkash,   2007;;   itself  and  finance  ministries,  in  which   trade   and   therefore   contribute   to  
Gilmore   et   al.,   2007).   One   reason   finance   ministers   perceived   the   broader   crime   problems.   Yet   these  
BAT  may  prefer  a  mixed  structure  is   company  as  a  source  of  expert  advice   and   the   other   most   frequently   used  
because  of  the  competitive  advantage   on  excise  issues  (Gilmore  and  McKee,   arguments   (e.g.   that   tobacco   taxes  
it  confers  over  Philip  Morris  (Gilmore   2004b;;   Gilmore   et   al.,   2007).   This   is   are   unfair   on   smokers   and   that   tax  
et  al.,  2007;;  Nakkash,  2007). likely  to  have  been  made  far  easier  by   rises   do   not   lead   to   reductions   in  
Other  attempts  to  influence  excise   the  fact  that  officials  in  former  Soviet   consumption)   all   have   flaws,   as  
structures   in   ways   which   would   give   Union   countries   were,   at   that   time,   outlined  above  and  explained  further  
one   company   an   advantage   over   unused  to  regulating  and  dealing  with   in  other  chapters.  The  most  effective  
others   included   promoting   the   use   free-­market   corporations   and   had   argument   used   against   earmarked  
of   tax   stamps   (Gilmore   et   al.,   2005;;   little  if  any  experience  of  dealing  with   tax  increases  has  been  to  claim  that  
Gilmore   et   al.,   2007)   and   lobbying   tobacco  excise,  which  had  previously   the   revenue   from   earmarked   taxes  
for  high  import  duties  (Gilmore  et  al.,   been  dealt  with  centrally  (Gilmore  and   will   be   diverted   or   misused,   and  

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because  this  has  occurred,  in  part  as   on   tax-­related   lobbying   is   needed   mass   media   campaigns   (Axeland   et  
a   result   of   tobacco   industry   efforts,   in   other   geographical   areas   and   in   al.,  1994),  legal  challenges  (Neuman  
such  arguments  carry  weight. particular   to   better   understand   what   et  al.,  2002),  the  commissioning  and  
Favoured   industry   tactics   to   different  parts  of  the  tobacco  industry   use   of   supportive   research   (Barnes  
influence   policy   decisions   about   aim  to  achieve  in  relation  to  tobacco   and  Bero,  1996;;  Grüning  et  al.,  2006),  
tobacco   excise   increases   include   excise  structures. the   use   of   professional   consultants  
traditional   lobbying   of   relevant   One   argument   that   anecdotal   and   public   relations   services   (Ong  
officials   (direct   and   indirect),   allying   evidence   reports   the   industry   and  Glantz,  2001,  Smith  et  al.,  2010),  
with   credible   political   groups   that   employing   to   counter   tax   increases   paying   or   providing   gifts   to   policy-­
have   (or   can   be   persuaded   to   (Chaloupka  et  al.,  2001;;  Kyriss  et  al.   makers   (Saloojee   and   Dagli,   2000),  
have)   a   shared   interest   in   tobacco   2008)  but  which  was  not  highlighted   proposing   alternative   (weaker)  
taxes   (particularly   on   the   basis   of   in  the  included  studies  is  that  higher   legislation   (Neuman   et   al.,   2002),  
the   perceived   regressive   nature   tax   rates   will   lead   to   a   decline   in   and  using  friendly  “experts”  (Grüning  
of   tobacco   tax   increases),   and   consumption   and   thereby   contribute   et  al.,  2006).
establishing  industry  “ front  groups”  to   to   job   losses   in   the   tobacco   sector,   There   was   also   no   evidence  
lobby  against  tobacco  tax  increases. reducing   the   industry’s   contribution   of   tobacco   industry   support   for  
From   the   limited   available   to  the  economy.  It  is  possible  that  this   incremental  tax  increases  (other  than  
evidence   concerning   tobacco   argument   was   used   by   the   industry   in   relation   to   support   for   alternative,  
industry   efforts   to   influence   tobacco   in   some   of   the   policy   developments   weaker   proposals   than   those   on  
excise   structures   (seven   papers   in   covered   by   this   review   but   did   not   offer).   However,   as   studies   of  
seven   different   countries/regions),   feature   in   the   studies.   Alternatively,   tobacco   company   pricing   strategies  
we  observe  that  different  companies   it   may   not   have   been   employed   suggest  that  tobacco  companies  may  
favour   different   tax   structures,   either   because:   (i)   it   undermined   use   tax   increases   as   opportunities  
with   Philip   Morris   tending   to   prefer   another   argument   which   was   used,   to   increase   their   own   profit   margins  
100%   specific   structures   and   BAT   that   tax   increases   would   not   reduce   (Van   Walbeek,   2000),   it   should   not  
tending   to   prefer   mixed   structures   consumption;;   or   (ii)   the   industry   be   assumed   that   the   industry   will  
(predominantly   specific   but   also   deemed   it   less   persuasive   in   the   always   lobby   against   tax   increases,  
including   a   substantial   ad   valorem   context   of   growing   evidence   that   in   only   that   it   is   likely   to   do   so   where  
element).   As   far   as   it   is   possible   to   all   but   the   most   tobacco   dependent   such  increases  are  significant  and/or  
discern  any  patterns  from  this  limited   economies,   the   tobacco   industry   earmarked.
data,   tobacco   companies   appear   does   not   make   a   net   positive  
to   promote   their   preferred   structure   economic   contribution   (Jha   and   Policies  to  limit  industry  price  
by   claiming   that   it   will   increase   Chaloupka,  1999;;  Gruber  &  Koszegi,   manipulation
government   revenue   and   reduce   2008)   (for   further   discussion   see  
illicit  trade. Chapter  9). Article   6   of   the   WHO   Framework  
As   highlighted   earlier,   there   is   a   Most   of   the   tactics   the   industry   Convention   on   Tobacco   Control  
significant   geographical   bias   in   the   used   in   its   efforts   both   to   counter   (FCTC)   calls   on   Parties   to   adopt  
studies  that  met  the  inclusion  criteria   (planned   and   actual)   tobacco   tax   and   maintain   tax   and   price   policies  
for  this  review,  with  far  more  evidence   increases  and  to  try  to  influence  tax   that   will   contribute   to   the   health  
being   available   in   relation   to   North   structures   mirror   those   reported   by   objectives.   To   achieve   this,   this  
America   than   anywhere   else.   Given   studies   of   tobacco   industry   efforts   chapter   illustrates   that   governments  
that   North   America   is   one   of   the   to   influence   policy   more   generally.   need   to   understand   and   address  
world’s  most  economically  developed   For   example,   the   industry’s   use   of   industry   pricing   and   price-­related  
and   wealthiest   regions,   and   that   front   groups   (Apollonio   and   Bero,   marketing   strategies.   The   example  
tobacco  excise  rates  are  lower  there   2007;;   Smith   et   al.,   2010)   and   third-­ of   the   USA   indicates   that   collecting  
than   in   other   high-­income   countries   party   allies   (Ong   and   Glantz,   2001;;   data  (ideally  monthly  to  track  industry  
(World   Health   Organization,   2010),   Neuman   et   al.,   2002;;   Smith   et   al.,   responses  to  policy  interventions)  on  
it   should   not   be   assumed   that   the   2010)  have  both  been  widely  reported,   industry   marketing   expenditure   by  
industry  has  (or  will)  necessarily  take   as   have   more   traditional   lobbying   category  (thus  including  price-­based  
the  same  approaches  elsewhere.  It  is   approaches   focusing   on   targeting   promotions)   would   be   a   useful   first  
clear,  therefore,  that  further  research   officials  (Barnoya  and  Glantz,  2002),   step  and  one  that  would  be  in  line  with  

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Article   5.3   of   the   FCTC   (see   Figure   Figure  3.5.  Extract  from  the  Guidelines  for  implementation  of  Article  5.3,  
3.5).   Furthermore,   governments   WHO-­FCTC
also  require  detailed  brand  or  price-­
category   specific   data   on   tobacco   “Parties   should   require   the   tobacco   industry   and   those   working   to   further   its   interests  
pricing   to   determine   effective   to   periodically   submit   information   on   tobacco   production,   manufacture,   market   share,  
market   expenditure   and   any   other   activity,   including   lobbying,   philanthropy,   political  
policies,   and   such   data   should   be   contributions  and  all  other  activities  not  prohibited  or  not  yet  prohibited  under  Article  13  of  
made   available   to   researchers   to   the  convention”  (Recommendation  5.2).  “Parties  should  require  rules  for  the  disclosure  or  
identify  the  empirical  research  deficit   registration  of  the  tobacco  industry  activities,  affiliated  organizations  and  individual  acting  
on  their  behalf  including  lobbyists”  (Recommendation  5.3).
identified  in  this  chapter.
Beyond   data   collection   and  
research,   the   chapter   illustrates   related   promotion—price-­reducing   Price  regulation  and  minimum  
the   need   to   develop   and   implement   promotions   (e.g.   voucher   schemes),   pricing
effective   strategies   to   prevent   price-­ price-­based   promotions   (e.g.   price-­
related   marketing   and   industry   marked   packaging)   and   retailer   The   broader   economic   literature  
pricing   schemes   from   undermining   incentive  schemes. details   two   reasons   for   using  
tax  and  other  tobacco  control  efforts.   In  this  respect  it  is  worth  noting  that   minimum   prices:   to   facilitate  
Potential   actions   fall   into   two   broad   while  bans  on  all  in-­store  promotions,   collusion  (price  fixing)  between  firms  
categories:   (1)   bans   or   restrictions   including  placing  cigarettes  below  the   by  preventing  price  wars  and  to  help  
on   price-­related   promotions   and   (2)   counter,   would   limit   the   opportunity   maintain  profit  margins  thus  providing  
regulation  of  tobacco  prices  including   for   price-­based   promotions   to   be   sufficient  funds  for  marketing.  In  line  
the   setting   of   minimum   retail   prices   communicated  to  the  consumer  (and   with  this,  most  minimum  pricing  rules  
on   tobacco   products.   This   section   thus   likely   limit   the   effectiveness   of   on   tobacco   have   been   implemented  
reviews   the   (very   limited)   available   retailer   incentive   schemes),   as   long   to   protect   businesses   rather   than  
literature   exploring   each   of   these   as   packaging   remains   unregulated,   health.  Yet  minimum  prices  may  also  
policy   approaches.   Then   in   light   of   prices   could   be   communicated   to   be  used  for  public  health  purposes—
the   evidence   presented   above   on   consumers   in   this   way   as   recently   to   prevent   low-­cost   selling   from  
industry   efforts   to   influence   and   documented   (Moodie   &   Hastings,   existing   firms   and   to   prevent   new  
undermine   taxation   policies,   it   turns   2009).   In   other   words,   preventing   all   firms   coming   into   the   market   with  
to   explore   interventions   to   reduce   price-­based  marketing  would  require   lower-­priced   offers—and   several  
industry  influence  on  policy  in  the  form   bans   on   point-­of-­sale   marketing   countries   have   now   implemented  
of  Article  5.3  of  the  WHO  Framework   and   standardised   packaging   in   line   such   rules   for   this   purpose.   Yet,   as  
Convention  on  Tobacco  Control. with   Article   13   of   the   WHO   FCTC   we   explore   below   using   a   recent  
guidelines. example   from   the   EU,   such   rules  
Restrict  or  ban  price-­related   Although,   as   outlined   in   section   may  find  themselves  in  contravention  
promotional  activities (b),   a   large   number   of   countries   of  trade  treaty  rules  (including  the  EU  
have   now   implemented   some   form   Treaty)   on   non-­discrimination   (see  
Comprehensive  bans  on  price-­related   of  control  on  price-­related  marketing   also  Chapter  2).
and   price-­reducing   promotions   and   we   only   found   one   (US-­based)   Minimum   pricing   rules   on  
retailer   incentive   schemes   would,   study   that   specifically   evaluated   tobacco   now   exist   in   a   variety   of  
if   enforced,   inevitably   help   prevent   the   impact   of   restrictions   on   price-­ jurisdictions.   These   include   half   of  
these  forms  industry  promotion.  The   based  marketing,  and  this  was  limited   US   states   (where   they   originated  
evidence   presented   in   this   chapter   enough   in   its   focus   and   design   to   between   the   1940s   and   1960s   and  
would   suggest,   in   line   with   broader   preclude   inclusion   (Feighery   et   al.,   were   meant   to   protect   businesses  
evidence   that   the   industry   simply   2009).  It  is  important  to  note,  however,   and   not   public   health)   (Michael,  
shifts  its  marketing  expenditure  from   that   there   is   good   evidence   for   the   2000),  a  small  number  of  EU  Member  
one   area   to   another   when   faced   effectiveness   of   comprehensive   States1   (where   the   rationale   again  
with   marketing   restrictions   (Saffer,   marketing   restrictions   on   reducing   was   largely   to   protect   retailers),  
2000),   that   such   schemes   would   consumption  (Blecher,  2008). and   Malaysia   where   they   were  
need   to   cover   every   type   of   price-­ implemented   in   January   2010   (for  

1
 However,  following  a  recent  ECJ  ruling,  these  minimum  pricing  rules  are  now  or  have  already  been  ended

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public   health   purposes,   to   reduce   In  the  USA  advocates  of  minimum   price-­discounts   (F.   Van   Driessche,  
cigarette   purchases   by   children   prices   argue   that   minimum   prices   personal  communication).
and   low-­income   smokers)   along   are   based   on   percentage   mark   ups   Where   an   EU   Member   State  
with   prohibition   of   words   that   mean   on  wholesale  prices  (in  the  EU,  most   chooses   to   introduce   minimum  
discount   or   cheap   sale.   The   US   minimum  prices  are  a  percentage  (e.g.   prices,   it   must   comply   with   its  
minimum   pricing   rules   are   limited,   95%)   of   the   weighted   average   price)   obligations   under   the   EU   Treaties,  
however,   as   most   allow   cigarette   and,   therefore   minimum   prices   will   more   particularly   with   the   rules   on  
company   promotional   incentives   rise   as   the   manufacturer’s   price   rise   the  free  movement  of  goods  (Articles  
offered   to   retailers,   such   as   buy-­ over   time   (thereby,   keeping   up   with   34   and   36   of   the   Treaty   on   the  
downs  and  Retail  Leaders  Programs,   inflation).   In   contrast,   excise   taxes,   Functioning  of  the  European  Union),  
to  be  added  into  the  formula  that  sets   when   wholly   specific   (e.g.   cigarette   the   rules   on   competition   (Articles  
the  minimum  price. excises   in   the   USA)   lose   their   value   101  TFEU  in  conjunction  with  Article  
To  evaluate  the  effect  of  minimum   as   inflation   occurs.   However,   this   is   4,   paragraph   3   of   the   Treaty   of   the  
pricing   on   tobacco   control,   two   not   a   problem   when   specific   taxes   European  Union)  and  relevant  case-­
questions   must   be   answered:   (i)   do   are   inflation-­adjusted   on   a   regular   law   of   the   Courts   of   the   European  
minimum   price   laws   raise   cigarette   basis   or   when   ad   valorem   taxes   are   Union.   However,   national   rules  
prices  and  prevent  cut-­price  offers  and   imposed   in   addition   (as   is   required   fixing   retail   prices   may   be   justified  
(ii)  are  they  effective  in  the  presence   in   the   EU).   Opponents   of   minimum   on   grounds   of,   inter   alia,   protection  
of   promotional   incentives?   The   first   pricing   argue   that   excise   taxes   of   human   health,   provided   that   they  
question   looks   at   the   effectiveness   generate  government  revenues  while   do   not   constitute   means   of   arbitrary  
of   minimum   pricing   in   general,   but   prices  raised  through  minimum  price   discrimination   or   a   disguised  
we   found   no   studies   addressing   laws   benefit   the   wholesaler   and/or   restriction  on  trade  between  Member  
this   topic.   The   second   examines   the   retailer.   That   is,   minimum   prices   States   (Article   36   TFEU)   and   that  
effectiveness   when   minimum   price   benefit   tobacco   sellers   rather   than   they   are   proportionate   to   the   aim  
laws   allow   promotional   incentives   governments   and   publicly-­funded   pursued.   Proportionality   requires   a  
to   be   deducted   from   formulas   for   programmes.   This   is   an   issue   that   measure  to  be  necessary  to  achieve  
establishing   the   minimum   cigarette   deserves  more  attention,  as  minimum   the   objective,   and   that   the   objective  
price   (as   is   the   case   in   most   US   pricing   policies   may   leave   the   cannot   be   achieved   by   any   less  
states).   The   only   study   on   this   topic   industry   with   more   money   to   invest   trade-­restrictive  means,  for  example,  
(Feighery  et  al.,  2005)  suggests  that   in  marketing  research  and  innovative   whether   the   same   public   health   aim  
when   such   incentives   are   included,   ways  to  attract  more  customers. could   not   be   equally   ensured   by  
minimum   pricing   is   not   effective;;   In   the   EU   Member   States   that   increasing   excise   duties.   The   EU  
net   cigarette   prices   did   not   differ   implemented   minimum   prices   directive   that   covers   the   structure  
between   stores   in   eight   states   with   on   cigarettes   (Austria,   France,   of   tobacco   taxation   (95/59/EC)   also  
minimum  price  laws  and  seven  states   Italy,   Belgium   and   Ireland),   their   stipulates   that   manufacturers   or  
without,  a  finding  likely  explained  by   implementation  had  been  advocated   importers  of  tobacco  “shall  be  free  to  
the   fact   that   nearly   all   the   minimum   by  the  Ministries  of  Finance  (because   determine  the  maximum  retail  selling  
price   laws   in   the   study   allowed   of  their  high  ad  valorem  excise  duties   price”  for  their  products.
promotional   incentives.   Separate   which   create   greater   price   ranges)   It   is   perhaps   unsurprising  
comparisons   with   New   York,   the   as   well   as   by   the   manufacturers   of   therefore   that   the   European   Court  
one   state   which   did   not   allow   these   premium  brands  (e.g.  PMI).  Moreover,   of   Justice   found   that   the   setting  
incentives,   showed   that   cigarette   the   retail   sector   supported   the   of   a   minimum   retail   selling   price  
prices   were   significantly   higher   in   measures  as  their  margin  is,  in  most   for   tobacco   in   Austria,   France   and  
New  York  than  in  the  24  other  states,   Member  States,  a  fixed  percentage  of   Ireland   was   illegal   under   the   EU  
although   the   number   of   New   York   the  maximum  retail  price  determined   Treaties2   as   it   limited   the   freedom  
stores  participating  in  the  study  was   by   the   manufacturer   or   importer.   of   producers   and   importers   to  
small,   and   the   study   did   not   control   Only  in  Ireland  were  minimum  prices   determine   their   maximum   retail  
for  differences  in  cost  of  living  across   an  initiative  of  the  Ministry  of  Health   selling   prices,   distorted   competition  
states. to   prevent   the   industry   offering   and   simply   benefited   cigarette  

2
 Judgment  of  the  Court  (Third  Chamber),  4  March,  2010,  in  cases  C-­197/08  Commission  v  France,  C-­198/08  Commission  v  Austria  and  C-­  221/08  Commission  v  Ireland.

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Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

manufacturers   by   safeguarding   their   A   key   concern   the   European   Tobacco  Control  agreed  upon  Article  
profit   margins.   However,   the   Court   Commission   had   with   minimum   5.3,   which   requires   that   “in   setting  
stated  that  the  Member  States  could   pricing   was   that   it   distorted   and  implementing  their  public  health  
prohibit   the   sale   of   manufactured   competition   and   benefitted   tobacco   policies   with   respect   to   tobacco  
tobacco  products  at  a  price  below  the   manufacturers   by   further   increasing   control,   Parties   shall   act   to   protect  
sum   of   the   cost   price   and   all   taxes   their  profits.  Yet  other  forms  of  price-­ those   policies   from   commercial   and  
(i.e.  they  could  prevent  producers  or   regulation  are  allowed  under  the  EU   other  vested  interests  of  the  tobacco  
importers  from  selling  them  at  a  loss   treaty  and  widely  used,  for  example,   industry  in  accordance  with  national  
by   absorbing,   even   temporarily,   the   in   the   utilities   sector.   A   proposal   for   law.”  If  properly  implemented,  Article  
impact   of   taxes   on   the   retail   selling   price  regulation  in  the  tobacco  sector   5.3   has   the   potential   to   reduce  
price   of   manufactured   tobacco   (Gilmore   et   al.,   2010)   has   recently   industry  influence  on  policy  and  thus  
products).   Belgium   has   removed   its   been  made  that  would  be  compatible   to  prevent  the  inappropriate  influence  
minimum   pricing   rule   and   a   further   with   EU   treaty   rules   and   would,   in   on  excise  policy  documented  above.  
case  is  pending  against  Italy. theory  at  least,  address  many  of  the   However,   implementation   and  
The   above-­mentioned   cases   key  problems  outlined  in  this  chapter.   enforcement   will   be   difficult   and  
were   based   on   the   application   of   An  alternative  might  be  a  windfall  tax   require   considerable   political   will.  
Article   9   of   EU   Directive   95/59/EC   on  profits  with  a  provision  to  prevent   The  industry  has  already  been  using  
which  relates  to  the  price  determined   this   being   passed   onto   consumers.   complex   arguments   to   justify   its  
by  the  manufacturer  or  the  importer.   A   surcharge   on   tobacco   industry   inclusion  in  the  policy  process  (Smith  
In   other   judgments   (on   minimum   profits   was   implemented   in   Canada   et  al.,  2009)  and  it  is  particularly  likely  
prices   for   alcohol),   the   court   has   in   1994   to   recoup   losses   from   to  do  so  in  relation  to  taxation  policy  
ruled   that   national   rules   fixing   retail   industry   involvement   in   smuggling.   on  the  basis  that  can  be  considered  
prices   could   constitute   measures   Although  this  surcharge  was  passed   primarily   an   economic   rather   than  
having   an   equivalent   effect   to   onto   customers,   its   implementation   health   policy.   It   is   therefore   also  
quantitative   restrictions   on   imports   illustrates  that  such  interventions  are   essential   that   policymakers   and   the  
(Article   34).   This   would   be   the   case   feasible.  The  problems  with  industry   public  are  made  aware  of  the  flawed  
if  imported  products  were  placed  at  a   pricing   outlined   in   this   chapter   nature  of  the  arguments  the  tobacco  
disadvantage  in  relation  to  domestic   suggest   that   such   proposals   should   industry  uses  against  excise  policies  
products,   for   example,   because   be  given  serious  consideration. (as   outlined   in   this   chapter).   Finally,  
competitive   advantage   conferred   by   ensuring  that  earmarked  taxes,  once  
lower   cost   prices   were   eliminated.   Preventing  industry  lobbying passed,   are   properly   implemented  
However   this   implies   that   minimum   (i.e.   that   money   is   not   diverted   from  
prices   are   not   per   definition   against   In   light   of   overwhelming   evidence   the   proposed   policy   areas)   will  
the  Treaty. of   the   tobacco   industry’s   efforts   to   eliminate   one   argument   from   the  
undermine  public  policy,  the  parties  to   industry’s  armament.
the  WHO  Framework  Convention  on  

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IARC  Handbooks  of  Cancer  Prevention

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Moodie   C,   Hastings   G   (2009).   Making   the   Rooke   C,   Cheeseman   H,   Dockrell   M   et   Szilágyi   T,   Chapman   S   (2003).   Tobacco  
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Nakkash  R  (2007).  Tobacco  industry  strategies   Slater   S,   Chaloupka   FJ,   Wakefield   M   (2001).   Van   Walbeek   CP   (2000).   Industry   responses  
in   lebanon:   an   analysis   of   internal   tobacco   State   variation   in   retail   promotions   and   to  the  recent  tobacco  excise  rate  increases  in  
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Tobbaco  industry  pricing,  price-­related  marketing  and  lobbying

Appendix  

Literature  Search  strategy  and  results   ECLAS   (European   Commission   Web  of  Knowledge
(searches   undertaken   between   Library  Catalogue) Searched   on   Medline   and   BIOSIS  
October  2009  and  March  2010) Searched   for:   ‘(tobacco   OR   cigar*   for:   ‘(tobacco   OR   cigar*   OR   snus  
OR  snus  OR  «Philip  Morris»  OR  JTI   OR   «Philip   Morris»   OR   JTI   OR  
Electronic  databases OR   «R.J.   Reynolds»   OR   Gallaher)   «R.J.   Reynolds»   OR   Gallaher)   AND  
Academic   Search   Premier,   ECLAS   AND  (taxation  OR  tax  OR  excise  OR   (taxation   OR   tax   OR   excise   OR  
(European   Commission   Library   price   OR   pricing)   AND   (polic*   OR   price   OR   pricing)   AND   (polic*   OR  
Catalogue),   ESRC   Society   Today,   intervention  OR  lobb*  OR  influence)’   intervention  OR  lobb*  OR  influence)’  
Intute,   Web   of   Knowledge,   Ovid   in  ‘All  Fields’ in  ‘Title’  or  ‘Topic’
(Embase,   Econlit,   Social   Policy   &  
Practice),   Index   to   Theses,   IBSS,   Results:  36  references Results:  480  references
Business  Source  Premier,  European  
Sources   Online,   JSTOR,   National   ESRC  Society  Today Searched   in   all   other   Web   of  
Library   for   Health,   Periodicals   Searched   for:   ‘(tobacco   OR   cigar*   Knowledge   databases   for:   ‘(tobacco  
Archive  Online OR  snus  OR  «Philip  Morris»  OR  JTI   OR   cigar*   OR   snus   OR   «Philip  
OR   «R.J.   Reynolds»   OR   Gallaher)   Morris»  OR  JTI  OR  «R.J.  Reynolds»  
Websites AND  (taxation  OR  tax  OR  excise  OR   OR   Gallaher)   AND   (taxation   OR   tax  
GLOBALink,  http://www.escholarship. price   OR   pricing)   AND   (polic*   OR   OR  excise  OR  price  OR  pricing)  AND  
org/uc/ctcre_tcpmus,   intervention  OR  lobb*  OR  influence)’   (polic*  OR  intervention  OR  lobb*  OR  
http://escholarship.org/uc/ctcre_tcpmi   in  ‘ESRC  Awards  &  Outputs’ influence)’  in  ‘Title’  or  ‘Topic’

Search  Strategies Results:  16  references Results:  563  references


Academic  Search  Premier
Searched   for:   ‘(tobacco   OR   cigar*   Intute Ovid  (Embase,  Econlit,  Social  Policy  
OR  snus  OR  «Philip  Morris»  OR  JTI   Searched   for:   ‘(tobacco   OR   cigar*   &  Practice)
OR   «R.J.   Reynolds»   OR   Gallaher)   OR  snus  OR  «Philip  Morris»  OR  JTI   Searched   for:   ‘(tobacco   OR   cigar*  
AND  (taxation  OR  tax  OR  excise  OR   OR   «R.J.   Reynolds»   OR   Gallaher)   OR  snus  OR  «Philip  Morris»  OR  JTI  
price   OR   pricing)   AND   (polic*   OR   AND  (taxation  OR  tax  OR  excise  OR   OR   «R.J.   Reynolds»   OR   Gallaher)  
intervention  OR  lobb*  OR  influence)’   price   OR   pricing)   AND   (polic*   OR   in   ‘Abstract’   AND   ‘(taxation   OR   tax  
in  ‘Title,  abstract  or  keywords’. intervention  OR  lobb*  OR  influence)’   OR   excise   OR   price   OR   pricing)’   in  
in  ‘All  Fields’ Abstract  AND  ‘(polic*  OR  intervention  
Results:  407  references OR  lobb*  OR  influence)’  in  Abstract
Results:  3  references

89
IARC  Handbooks  of  Cancer  Prevention

Searched   for:   ‘(tobacco   OR   cigar*   Business  Source  Premier National  Library  for  Health
OR  snus  OR  «Philip  Morris»  OR  JTI   Searched   for:   ‘(tobacco   OR   cigar*   Searched   for:   ‘(tobacco   OR   cigar*  
OR   «R.J.   Reynolds»   OR   Gallaher)’   OR  snus  OR  «Philip  Morris»  OR  JTI   OR  snus  OR  «Philip  Morris»  OR  JTI  
in   Title   AND   ‘(taxation   OR   tax   OR   OR   «R.J.   Reynolds»   OR   Gallaher)   OR   «R.J.   Reynolds»   OR   Gallaher)  
excise  OR  price  OR  pricing)’  in  Title   AND  (taxation  OR  tax  OR  excise  OR   AND  (taxation  OR  tax  OR  excise  OR  
AND   ‘(polic*   OR   intervention   OR   price   OR   pricing)   AND   (polic*   OR   price   OR   pricing)   AND   (polic*   OR  
lobb*  OR  influence)’  in  Title intervention  OR  lobb*  OR  influence)’   intervention  OR  lobb*  OR  influence)’  
in  Title,  Abstract  &  Keywords in   Evidence   Based   Reviews,  
Results:    420 Specialist  Collections  and  Books  and  
Results:  398 Journals
Index  to  Theses
Searched   for:   ‘(tobacco   OR   cigar*   European  Sources  Online Results:  15
OR  snus  OR  «Philip  Morris»  OR  JTI   Searched   for   ‘tobacco   tax’   and  
OR   «R.J.   Reynolds»   OR   Gallaher)   ‘tobacco  excise’  in  ‘keywords’  and  in   Periodicals  Archive  Online
AND  (taxation  OR  tax  OR  excise  OR   ‘title’ Searched   for:   ‘(tobacco   OR   cigar*  
price   OR   pricing)   AND   (polic*   OR   OR  snus  OR  «Philip  Morris»  OR  JTI  
intervention  OR  lobb*  OR  influence)’   Results:  9 OR   «R.J.   Reynolds»   OR   Gallaher)  
in  ‘All  Fields’ AND  (taxation  OR  tax  OR  excise  OR  
JSTOR price   OR   pricing)   AND   (polic*   OR  
Results:  21 (tobacco   OR   cigar*   OR   snus   OR   intervention  OR  lobb*  OR  influence)’  
«Philip   Morris»   OR   JTI   OR   «R.J.   in  Article,  Title  &  Keyword(s)
IBSS Reynolds»   OR   Gallaher)   AND  
Searched   for:   ‘(tobacco   OR   cigar*   (taxation   OR   tax   OR   excise   OR   Results:  9
OR  snus  OR  «Philip  Morris»  OR  JTI   price   OR   pricing)   AND   (polic*   OR  
OR   «R.J.   Reynolds»   OR   Gallaher)   intervention   OR   lobb*   OR   influence)  
AND  (taxation  OR  tax  OR  excise  OR   in  Abstract  &  Title
price   OR   pricing)   AND   (polic*   OR  
intervention  OR  lobb*  OR  influence)’   Results:  89
in  ‘All  Fields’

Results:  172

90

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