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Indiana Plans to Give Providers Easier Access to Patients’ Opioid Prescription Histories—What Comes Next?

Alex Cohen is the Director of Learning and Evaluation for the Richard M. Fairbanks Foundation. A patient visits a doctor. He suffers from chronic pain. In fact, he’s been suffering for a while, and he’s been receiving painkillers for months. And recently, he’s been upping his dosage and visiting multiple doctors to get enough. But the doctor he’s seeing today doesn’t know this. If she knew about his prescription history, she might engage him in a conversation about his opioid use, suggest alternative pain remedies or even refer him to substance abuse treatment. Instead, she writes him a prescription, and he leaves. Making patients’ opioid prescription histories readily accessible to […]

Blowing Smoke: Does Tax Evasion via Cross-Border Sales Erode the Impact of Cigarette Taxes?

Alex Cohen is the Director of Learning and Evaluation for the Richard M. Fairbanks Foundation. Smokers, like all people, respond to incentives. One powerful incentive is price. When something becomes more expensive, people are less likely to consume that item. This fact is borne out in the extensive literature on the impact of cigarette taxes on smoking: As prices rise through taxes, fewer people smoke. This happens by keeping non-smokers, including youth, from starting in the first place and by encouraging current smokers to quit. But do increases in cigarette taxes in one state incentivize smokers (or tobacco retailers and wholesalers) to cross the border into neighboring states where cigarettes […]