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A return on investment analysis for the 2017 increase in alcohol excise taxation in Lithuania - P4H Network

A return on investment analysis for the 2017 increase in alcohol excise taxation in Lithuania

A recent study published in Addiction by Jürgen Rehm, Pol Rovira, Ahmed S. Hassan, Claire de Oliveira, Shannon Lange, Mark J. Thompson, Ilona Tamutienė, Vaida Liutkutė-Gumarov, and colleagues evaluates the impact of Lithuania’s 2017 alcohol excise tax increase. The policy raised taxes by 112% for beer, 111% for wine, and 23% for spirits, significantly reducing alcohol affordability. Using public data and World Health Organization methods, the authors conducted a return on investment (ROI) analysis from a societal perspective.

The study found that tax revenues rose by over €100 million, while productivity losses dropped by €35.3 million due to declines in alcohol-attributable mortality. Healthcare costs also decreased, although childcare and legal costs slightly increased. Overall, the ROI was estimated at €420 for every €1 invested, with sensitivity analyses ranging between €292 and €530. The findings demonstrate the policy’s effectiveness in improving health outcomes and delivering strong economic benefits to Lithuania.

Reference
Jürgen Rehm, Pol Rovira, Ahmed S. Hassan, Claire de Oliveira, Shannon Lange, Mark J. Thompson, Ilona Tamutienė, Vaida Liutkutė-Gumarov, Lukas Galkus, Mindaugas Štelemėkas, A return on investment analysis for the 2017 increase in alcohol excise taxation in Lithuania, Addiction, Wiley Online Library, 06 May 2025