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CHAPMAN: Should we pay Indigenous Australians to stop smoking? 

Jump to full article: Crikey (au), 2008-03-31
Author: Simon Chapman

Intro:

Kevin Rudd has announced a $14.5m injection of funds to lower smoking in Indigenous communities. . . .

A paper in last week's Lancet poses an intriguing question.

In a report from Mexico, the Oportunidades program, which sees dirt poor Mexican villagers given "Conditional Cash Transfers" (CCTs) if they comply with a set of requirements such as attending health care, using free food supplements and enrolling kids in school, has seen remarkable improvements in increased height for age, reduced stunting, and reduced obesity. . . .

With smoking, those who want to keep the habit can, while those interested in being paid to stop could sign on and be assisted with evidence-based cessation products to quit (although more than 85% of smokers stop without any formal assistance).

Payment could be staggered to ensure that temporary quitting lasted more than a few days or weeks. Smoking status is easily checked by a simple salivary test for cotinine, a metabolite of nicotine. Health insurance companies have of course been doing something very similar for decades: giving customers massive discounts if they don't smoke.

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