E-cig taxes were adopted in ten states and two large counties between 2011 to 2018, with the taxes ranging from $0.05 per ml to $1.82 per fluid ml by the end of 2018. Cigarette taxes meanwhile increased in 21 states and five counties over the same time period.

2/12
We study the effect of these tax changes using #brfss and #nhis data for over 4 million adults.

3/12
In a Census research data center, we estimate diff-in-diff-like regression models, controlling for demographics, other policies, county fixed effects, and time fixed effects.

4/12
A $1.00 increase in the cigarette tax reduces adult daily smoking by 5.3%. A $1.00 increase in the e-cigarette tax (per fluid ml) reduces the probability of adult daily vaping by 14.2%.

5/12
Increasing the tax on one product increases usage of the other. #substitution. A $1.00 increase in the cigarette tax increases daily vaping by 14.2% and a $1.00 increase in the e-cigarette tax increases daily smoking by 5.3%.

6/12
We find evidence that most of the own- and cross-tax responsiveness is driven by younger adults under 40 years of age.

7/12
The House of Representatives has passed a bill to implement a national e-cigarette tax of $1.65 per fluid ml, exceeding the tax per pack of cigarettes of $1.01.

If this becomes law, we estimate it will cause 2.5 million extra adult daily smokers.

https://www.congress.gov/bill/116th-congress/house-bill/2339

8/12
This study supports the conclusion from many other studies that regulating e-cigarettes has large unintended effects of raising cigarette use in youth, adults, and pregnant women.

https://bit.ly/2XrIQzb .
https://twitter.com/JCMecon/status/1226874665705959425

9/12
Since #ecigs are thoughts by most researchers to be substantially safer products than cigarettes, this is particularly concerning. #HarmReduction

10/12
Special thanks to @NIDAnews for R01 funding and @AtlantaFed and @NCHStats for data support.

12/12
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