WEBVTT

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HEALTH.$8.2 BILLION PER YEAR. THAT'SWHAT INDIANA BUSINESSES ANDTAXPAYERS INCUR BECAUSE OF TWO

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MAJOR HEALTH PROBLEMS IN OURSTATE.BARBARA LEWIS HAS MORE IN THEBUSINESS OF HEALTH.

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BARB?>>THAT'S 8-POINT-TWO BILLIONDOLLARS, EACH YEAR. THE MONEY

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IS SPENT ON DEALING WITH TOBACCOUSE AND OPIOID ADDICTION ININDIANA. THAT STAGGERING AMOUNTWAS DETERMINED BY SEVERAL RECENT

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RESEARCH STUDIES. JOINING MEKNOW TO TALK ABOUT THE COST OFADDICTION IN INDIANA IS PAULHALVERSON THE FOUNDING DEAN OF

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THE RICHARD M FAIRBANKS SCHOOLOF PUBLIC HEALTH AT IUPUI ANDCLAIRE FIDDIAN GREEN, PRESIDENTAND CEO OF THE FAIRBANKS

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FOUNDATION.THANK YOU SO MUCH BOTH FOR BEINGHERE.>> THANK YOU.

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>> THAT'S A HUGE AMOUNT.>> A VERY LARGE NUMBER.>> WHAT ALL ARE YOU INCLUDING INTHAT?

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>> IF WE LOOK AT THE$6.8 BILLION FOR SMOKING RELATEDCOSTS, ABOUT $2.9 BILLION ISMEDICAL COSTS ALONE.

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JUST IN ONE YEAR.AND IF WE LOOK, THEN, AT$1.3 BILLION, THAT'S HOW MUCH ISINCURRED FOR MEDICAL COSTS

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RELATED TO SECOND-HAND SMOKE.THESE ARE PEOPLE THAT WEREN'TSMOKING THEMSELVES, BUT WEREAFFECTED BY SMOKE.

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AND THEN $2.6 BILLION IS RELATEDTO THE LOST PRODUCTIVITYCALCULATED BY INDIANA SMOKERS.IF WE ADD IT UP, $6.8 BILLION

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PER YEAR, WHICH IS PAID AND ISMONEY THAT CAN'T BE SPENT FORSOMETHING ELSE.BUT IMPORTANT NEWS IS THIS IS

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ALMOST ENTIRELY PREVENTIBLE.IF WE ADD THEN TO $1.4 BILLION AYEAR, THIS WAS JUST RELATED TOTHE MEDICAL COSTS RELATED TO

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OVERDOSE-RELATED DEATHS, MEDICALCOSTS, AS WELL AS LIFETIME NONMEDICAL PRODUCTIVITY LOSSES.SO, EACH YEAR, IT'S A

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SUBSTANTIAL SUM THAT GOES TO THECOST RELATED TO THESE TWOADDICTIONS.>> AND CLAIRE THIS SOUNDS LIKE A

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CALL TO ACTION AND SOUNDS PRETTYHOPELESS, FOR THE BUSINESSCOMMUNITY, IS THERE ANYTHINGTHAT WE CAN DO?

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>> I'M SO GLAD YOU ASKED, ASPAUL MENTIONED, TOBACCO IS THELEADING CAUSE OF PREVENTIBLEDEATHS IN INDIANA.

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THERE IS A LOT WE CAN DO.EMPLOYERS CAN TAKE ACTION BYJOINING LOCAL HEALTH COALITIONS,WITHIN THEIR OWN PLACES OF

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EMPLOYMENT.THEY CAN MAKE SURE THIS THEY'REPROVIDING EDUCATION ON ANONGOING BASIS, BOTH ABOUT OPIOID

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ABUSE AND TOBACCO.THEY CAN MAKE SURE THAT THEIRWELLNESS PROGRAMS ARE PROVIDINGINFORMATION ABOUT PROVEN

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PROGRAMS THAT CAN HELP PEOPLEWHO ARE ADDICTED QUIT AND GETTHE COMPREHENSIVE TREATMENT THEYNEED.

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THERE IS A LOT EMPLOYERS CAN ANDSHOULD BE DOING TO TRY TO ASSISTIN ADDRESSING BOTH OF THESEEPIDEMICS.

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>> AND THERE'S A LOT OF HOPE ATLEAST ON THE TOBACCO SIDE.THE OPIOID IS DIFFERENT.>> AND THAT'S THE GOOD NEWS.

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IT'S COSTING US A LOT OF MONEY,THE GOOD NEWS IS WE KNOW HOW TOFIX THIS.THERE IS INCREDIBLY STRONG

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SCIENTIFIC EVIDENCE THAT WOULDSUPPORT THE INTERVENTIONS THATWORK.WE KNOW THE MOST SUCCESSFUL WAY

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TO DECREASE TOBACCO USE IS TOINCREASE THE COST OF THEPRODUCT.THAT MEANS A TAX INCREASE,

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GENERALLY, TO BE ABLE TO RAISETHE PRICE OF THE PRODUCT.AND, WE KNOW THAT THAT HAS ASUBSTANTIAL IMPACT.

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WE CAN REDUCE THE INCIDENCE OFSMOKING FROM 3 TO 5%.FOR EVERY 10% WE INCREASE THEPRICE OF THE PRODUCT.

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IF WE THEN COMBINE THAT WITHINCREASING THE AGE BY WHICHSOMEONE COULD PURCHASE THEPRODUCT.

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MANY STATES NOW AND COMMUNITIESARE MOVING TO INSTEAD OF AGE 18,MOVING TO AGE 21.THE REASON WHY THANK YOU FOR

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YOUR PATIENCE IMPORTANT IS WEKNOW THAT OVER 96% OF THE PEOPLETHAT SMOKE START SMOKING BEFORETHEY'RE 18.

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SO THE IDEA HERE, EXCUSE ME,BEFORE 19.THE IDEA IS IF WE CAN GET THEMTO STOP -- TO NEVER START, AND

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REDUCE THE INCIDENCE, OR THEOPPORTUNITY TO START, WE CANHELP REDUCE.THE THIRD THING IS WE REALLY ARE

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SUBSTANTIALLY UNDERFUNDINGTOBACCO PREVENTION AND CONTROLIN INDIANA.LESS THAN ONE-TENTH OF WHAT'S

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RECOMMENDED BY THE CDC.WE NEED TO FULLY FUND IT.AND LAST, THERE'S THE WHOLEISSUE RELATED TO THE TOBACCO

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BILL OF RIGHTS, WHICH IS KIND OFUNIQUE TO INDIANA, THAT FRANKLYPUTS A LOT OF UNREASONABLERESTRICTIONS IN TERMS OF WHAT

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EMPLOYERS AND COMMUNITIES CAN DOIN TERMS OF HELPING TO STOPSMOKING, SO THOSE ARE THE FOURIMPORTANT WAYS THAT WE CAN BEGIN

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TO WORK.>> OKAY.SO THANK YOU TO BOTH OF YOU.THANK YOU FOR THE STUDY, AND

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WE'LL LOOK FORWARD TO AS YOUWORK TOWARD THE SOLUTION, HAVING