1.6万亿烟草利税背后的健康账：戒烟门诊何以“门可罗雀”？

Core Viewpoint - The article discusses the paradox of rising tobacco production and tax revenue in China, while smoking cessation clinics remain underutilized, highlighting the challenges in achieving public health goals related to smoking reduction [2][8]. Tobacco Industry and Tax Revenue - China's tobacco production has rebounded after a brief decline following tax increases, with the industry projected to achieve a total tax revenue of 16.57 billion yuan in 2025, a 3.5% increase year-on-year [2]. - The total fiscal revenue from the tobacco industry is expected to reach 15.8 billion yuan in 2025, marking a 2.3% increase from the previous year, and a nearly 45% increase since the tax hike in 2015 [2][6]. - The World Health Organization emphasizes tobacco taxation as a key strategy for reducing smoking rates, with evidence showing that price increases can deter youth from starting to smoke and encourage current smokers to quit [3][4]. Smoking Cessation Clinics - Despite the increase in tobacco production and tax revenue, smoking cessation clinics in China are struggling, with many clinics seeing very few patients, often described as "empty" [8][9]. - The average clinic sees about 150 patients a year, which is considered a good performance, leading to a mismatch between hospital investment and output [8]. - Public perception of smoking as a non-medical issue and the addictive nature of smoking contribute to the low utilization of cessation services [9][10]. Challenges in Smoking Cessation Efforts - The smoking cessation rate in China has increased from 16.88% to 22.65%, but it remains below the global average of 40% [9]. - The financial burden of cessation treatments, which are often not covered by insurance, poses a significant barrier for smokers seeking help [11]. - Experts suggest that integrating smoking cessation services into regular healthcare practices and increasing public awareness about the dangers of smoking are essential for improving cessation rates [12][14]. Recommendations for Improvement - Experts advocate for a dedicated funding mechanism to support smoking cessation services, similar to health taxes used in other countries [13][14]. - There is a call for a "health tax" mechanism that would allocate a portion of tobacco tax revenues to public health initiatives, including smoking cessation programs [14]. - Enhanced public education on the specific harms of smoking and the benefits of cessation is necessary to increase awareness and utilization of cessation services [14].