Punishing safer nicotine alternatives backfires on public health

December 17, 2025 by reason.org

Punishing safer nicotine alternatives backfires on public health

Washington state implements harm reduction policies for opioids and HIV prevention but contradicts this approach by imposing a 95% wholesale tax on nicotine pouches, potentially hindering smokers from switching to a safer alternative to cigarettes. The tax may lead to unintended consequences such as continued cigarette use. Unlike tobacco, nicotine itself is not carcinogenic, thus taxing all tobacco products equally, including safer options, may not be beneficial for public health. Evidence from Sweden demonstrates the effectiveness of low-risk nicotine alternatives in reducing smoking rates. Taxing nicotine products indiscriminately could impede smoking cessation efforts, particularly for low-income individuals. Washington's taxation strategy contrasts with successful harm reduction practices, raising concerns about its effectiveness.


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14.10% of the adult population are current smokers. There are approximately 39.8 million current smokers in United States 17.10% of men are current smokers but only 11.10% of women.
SOURCE: GSTHR


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