> I think this is a relatively minor issue, but if necessary, penalty taxes/fees can alleviate the concerns of people legitimately bothered by this.
It is not minor at all. Depending on how you look at it, smoking either costs the health care industry billions (in treatment of the living) or saves them billions (on premature death). Compound this by: diet, exercise, stress, and socialization problems and you see that the lottery has a lot of knobs and buttons, most of which will only be effective if people get effective health care their entire life.
>Third, Collins and Lapsley estimate the net costs of smoking, taking into account both those costs that are made greater and those that are reduced because of current and past tobacco use. For example, smoking increases some health care costs because of the higher prevalence of diseases caused by smoking (in smokers and ex-smokers who are still alive). These are the gross health care costs attributable to smoking. However, certain other health care costs are lower than they otherwise would be because of the premature deaths of many people who smoked over the past 40 years. These people did not live to use health care that they otherwise would have, so Collins and Lapsley subtract the costs that would have been incurred from the gross health care costs attributable to smoking in order to estimate the net cost. Similarly, in terms of labour (production) costs first costs that are made greater by smoking are estimated. For example, the time spent undertaking domestic duties because a home-maker is ill or has died prematurely is costed assuming domestic help will be hired. Then, savings due to reduced consumption—for example, household spending on food and clothing—are subtracted because these costs will be lower when there are fewer people in the household as a result of smokers dying earlier.
>Collins and Lapsley estimated that in 2004–05 the total cost of smoking in Australia was $31.5 billion
That would be an interesting analysis: savings of premature deaths from smoking vs long terms costs of people that smoke and don't die and costs of treating those early deaths before they die. Intuition says the costs probably outweigh the benefits there. Even so it feels pretty macabre (and species threatening at the extreme [1]) to consider someone dying before they need medical care a savings.
[1] Considering killing someone before they're born saves the cost of them and any children they would statistically have. So if we wiped out everyone we'd save all the money ever spent on healthcare.
The high taxes for cigarettes (and similarly alcohol) should also be taken into account when considering net gains/losses. According to this [1] in the uk at least the taxes more than cover it for tobacco
Here in the US the taxes are much lower for a large portion of the country [1] so it probably doesn't come out so much in favor. Though long term health care is also more expensive here so it might all come out as even or similar enough.
It creates enormous social pressure to increase cigarette and alcohol taxes. In Canada both are quite high and the general population supports it due to the public healthcare burdens.
For health issues I think this type of pressure is a positive social force.
How is [1] distinct from rational control of population (eg birth control by default), which will presumably be necessary to avoid food and resource waste (or war/starvation)? Health care seems to be just another factor affecting population cap.
[1] Differs from normal population control in it's extreme application of reducing costs by any means. Also population control has additional concerns beyond just reducing costs by not having people to deal with like sustainability of resource consumption and to me there's a large difference between a person never being born and dying early. Really my [1] wasn't meant to be seriously at all.
Another way to think about this is if a person comes into existence, then BI demands their immediate universal right to the resources to sustain their life comfortably without any contribution from that body.
So really, those who multiply the fastest win the resource war of the future? Or having kids is somehow constrained now through other hoops, like a "procreation license."
> Or having kids is somehow constrained now through other hoops, like a "procreation license."
Possibly, though better educated and better off people tend to have fewer children so there are other ways to limit population beyond strict China or Ender's Game style limits.
Or maybe asteroid mining will finally break and crash the whole materials economy making everything but space, food, and water extremely cheap.
My point is this: universal BI requires some level of population control (to prevent poverty and misery), and eventually some level of reproductive planning.
Really we'll need either population control or (more likely and) to drastically limit consumption (or the impact of it maybe more closed cycle recycling) with or without BI.
It is not minor at all. Depending on how you look at it, smoking either costs the health care industry billions (in treatment of the living) or saves them billions (on premature death). Compound this by: diet, exercise, stress, and socialization problems and you see that the lottery has a lot of knobs and buttons, most of which will only be effective if people get effective health care their entire life.