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Which of these items is the cheapest?


                    Hint: It’s not always the water



Pre Budget Submission 2012
Alcohol in Ireland
Finding the right measure



                                                  www.alcoholireland.ie
The following organisations support
minimum pricing for alcohol:



·   Barnardos

·   Focus Ireland

·   Rape Crisis Network Ireland

·   The Ballymun Local Drugs Taskforce

·   The Irish Cancer Society

·   The Irish Heart Foundation

·   The Irish Medical Organisation

·   The ISPCC

·   The National Youth Council of Ireland

·   The North West Alcohol Forum
€3.7 billion in avoidable alcohol-
related health and crime costs

Over €4 billion in austerity cuts
We need to:

•	     Restore excise duty to 2009 levels -
	      earn the Exchequer €178 million in
	      additional revenue

•	     Introduce minimum floor price for alcohol


Five things you need to
know about minimum pricing

It will not affect the price of drink in pubs, clubs and restaurants

It will not affect the majority of drinkers, only the heaviest
and youngest drinkers

It will not lead to job losses

It will not influence rates of cross-border shopping

The minimum price of a drink is directly linked to the
amount of alcohol it contains




                                                    Crime Costs

                                                    Alcohol has been identified as
                                                    a contributory factor in 97% of
                                                    public order offences as recorded
                                                    under the PULSE system

                                                    (Hope, 2008)
Counting the Cost                                                          The financial burden of alcohol-related harm runs to
                                                                           an average of €3,318 for each taxpayer in Ireland – yet
                                                                           the previous government cut excise duties in Budget
Cheap alcohol in Ireland is fuelling a growing health                      2010 potentially depriving the country of €178 million
and crime crisis that is costing us over €3.7 billion a                    in much needed tax revenue1.
year in health, crime/ public order and ancillary costs
including workplace absenteeism. As the country                            Add this to the fact that the cost of €3.7 billion in
faces into a significant period of budget austerity and                    alcohol-related harm represents 1.9% of GDP in
cuts to frontline services in the region of €4 billion, it is              Ireland, almost 50% more than the EU average of
important to remember that these €3.7 billion alcohol-                     1.3% of GDP.
related costs are avoidable costs.
                                                                           On a wider economic level it is estimated that we lose
According to the Chief Medical Officer of Ireland, a                       €527 million a year in alcohol-related absenteeism and
30% reduction in alcohol-related harm would result in                      alcohol-related accidents in the workplace. Ireland
a cost saving to the Exchequer of €1 billion.                              relies heavily on external investment and is in direct
                                                                           competition with other lower cost base locations

‘A 30% reduction in alcohol-                                               to attract this investment. What is the damage then
                                                                           to the “Ireland” brand when major financial media
related harm would result in a                                             report on Ireland topping the European binge drinking
                                                                           league?
cost saving to the Exchequer
of €1 billion’                                                             The alcohol industry often makes the point that any
                                                                           increase in excise on alcohol, or reduction in alcohol
                                                                           consumption, will be bad for the economy, causing
At a time when we need to do more with less, we
                                                                           job losses and lost revenue. This argument is based
cannot afford the current price of cheap alcohol – a
                                                                           on the false assumption that money not spent on
woman can reach her low risk weekly drinking limit
                                                                           alcohol somehow disappears from the economy,
for €6.30 and a man for under a €10, the averaged
                                                                           rather than it being spent on other goods or services.
equivalent of an hour’s work on minimum wage.



                                                          Counting the Costs2

                                                                                                                              €million 	   % of total costs
                                                         Alcohol-related illnesses                                 	          1,200 	      32%
                                                         Alcohol-related crime                             	                  1,189	       32%
                                                         Alcohol-related road accidents                                     	 526      	   14%
                                                         Output lost due to alcohol-related
                                                         absence from work 	                                                 330      	 9%
                                                         Alcohol-related accidents at work                         	         197 	       5%
                                                         Alcohol-related suicides                                   	        167    	    5%
                                                         Alcohol-related premature mortality                   	             110      	 3%
                                                         Total                                                          	    €3,719    	 100%




1. The figure is based on the Department of Finance’s Tax Strategy Group 2010 alcohol-related excise calculations
2. Counting the Costs figures from Byrne, S. (2010) Costs to Society of Problem Alcohol Use in Ireland. Dublin: Health Service Executive
Pre Budget Submission 2012
                 alcoholIreland
                  Alcohol in
                             action
                                             ireland
                     Finding the right measure
   the national charity for alcohol related issues


Health Costs
                                                                            Lives Lost
Alcohol currently costs the health service €1.2 billion
a year, around 8.5% of the current health budget                            One person dies every seven hours
(€14bn). The Chief Medical Officer of Ireland recently
                                                                            from an alcohol-related cause in
outlined the impact of alcohol on the health services:
                                                                            Ireland
alcohol is responsible for 100 deaths per month, 2,000
beds occupied every night in hospitals around the
country, 30% of emergency department attendances
                                                                            One in four deaths in young men
and 7% of GP consultations. A 30% reduction in                              (15-34) is due to alcohol
alcohol-related harms would save 30 lives per month
and 600 overnight hospital admissions per day.                              There are almost twice as many
                                                                            deaths due to alcohol in Ireland
                                                                            than due to all other drugs
                                                                            combined

                                                                            Alcohol-related deaths almost
                                                                            doubled between 1995 and 2004*




                                                Counting the Cost3:
                                                Health costs


                                                Costs of hospital care to alcohol-related illnesses 	          €500 million 	 42%
                                                Costs of GP and related services               		              €574 million 	 49%
                                                Costs to mental health services                		              €104 million 	 9%
                                                Total Health Costs                           			               €1.18bn		      100%




                            3. Counting the Costs figures from Byrne, S. (2010) Costs to Society of Problem Alcohol Use in
                            Ireland. Dublin: Health Service Executive
                            * Calculation based on number of overall alcohol-related deaths in Ireland; deaths in young men
                            statistic taken from Chief Medical Officer’s speech at Alcohol Action Ireland conference 2010; alcohol
                            versus other drugs based on calculations from National Drug-Related Deaths Index; Mongan et al
                            (2007) Health-Related Consequences of Problem Alcohol Use/ Health Research Board
                                                                                                                                     03
Crime Costs                                                        committed in their area4. Affordability and accessibility
                                                                   are two of the key factors fuelling alcohol-related
                                                                   youth crime.
After alcohol-related health costs, alcohol-fuelled
crime and public order costs are making the biggest
dent in the public purse - with €1.2 billion of tax                85% of the Garda Youth
payers’ money being spent on dealing with anti-social
behaviour, violence and vandalism.                                 Diversion Projects put
Of course, it is communities and families having to
                                                                   alcohol-related crime as
cope with this behaviour that are paying the heaviest              first on the list of offences
price: 85% of the Garda Youth Diversion Projects put
alcohol-related crime as first on the list of offences             committed in their area




                                                      Counting the Cost5:
                                                      Crime costs

                                                      Total Costs of Crime in Ireland            	       €million
                                                      Criminal justice system costs             	        319 million    	27%
                                                      Property/ health and victim services costs         435 million 	 37%
                                                      Costs in anticipation of crime                     	 64 million
                                                                                                         2             	 22%
                                                      Crime cost of lost productive output      	        171 million 	 14%
                                                      Total Crime Costs                                 	1.19 billion	   100%




                                                    Counting the Cost6:
                                                    Criminal Justice System Costs


                                                    Cost of Garda Siochana resources
                                                    devoted to alcohol-related crime      	           €191 million 	 60%
                                                    Cost to prison service of alcohol-related crime 	€51 million    	 16%
                                                    Cost to the courts of alcohol-related crime     	 €77 million   	 24%
                                                    Total Cost of alcohol-related crime
                                                    on Criminal Justice System            	           €319 million 	 100%




                       4. According to a 2009 study, Designing Effective Local Responses to Youth Crime by the Irish Youth Justice Service.
                       5&6. Counting the Costs figures from Byrne’s. S (2010) Costs to Society of Problem Alcohol Use in Ireland. Dublin:
                       Health Service Executive
Pre Budget Submission 2012
                                 alcoholIreland
                                  Alcohol in
                                             action
                                                                                    ireland
                                        Finding the right measure
   the national charity for alcohol related issues



Price and Alcohol, what’s                                                                                                   become 50% more affordable than it was 15 years
                                                                                                                            ago7. Furthermore alcohol prices in Ireland are falling
the link?                                                                                                                   while average prices are rising. According to Central
                                                                                                                            Statistics Office figures, average prices rose by 2.6%
There is robust and extensive evidence from the
                                                                                                                            in the year to September 2011, while alcohol prices
World Health Organisation to show that one of the
                                                                                                                            fell by 1% in the same period.
most effective actions a government can take to
reduce alcohol-related harms and costs is to increase
                                                                                                                            As previously stated, a woman in Ireland can reach
the price of alcohol. According to the World Health
                                                                                                                            her low-risk weekly drinking limit of 14 units for
Organisation - when price increases, consumption
                                                                                                                            just €6.30 and a man his low-risk weekly limit of 21
levels fall, leading to decreases in alcohol-related
                                                                                                                            units for around €10. When offset against even the
harms and costs. As already stated, a 30% reduction
                                                                                                                            lowest paid in Irish society - an average social welfare
in alcohol-related harm would result in a cost saving
                                                                                                                            payment of €180 or at €8.65 an hour minimum wage
to the Exchequer of €1 billion.
                                                                                                                            - then the affordability of alcohol becomes even
                                                                                                                            more pronounced. A woman need only work an hour
‘Alcohol in Ireland is 50%                                                                                                  to earn enough money to buy her weekly low-risk
                                                                                                                            alcohol limit.
more affordable than it
was fifteen years ago’                                                                                                      ‘There is indisputable
One of the myths surrounding alcohol in Ireland                                                                             evidence that the price
is that we have among the least affordable alcohol
in Europe. Affordability factors in the relationship
                                                                                                                            of alcohol matters. If the
between price and disposable income. Ireland is                                                                             price of alcohol goes up,
one of six countries in the EU where alcohol has
                                                                                                                            alcohol-related harm goes
                                                                                                                            down’
                                                                                                                            World Health Organisation, 2009




7. Rabinovich et al (2009) The Affordability of Alcoholic Beverages in the European Union: Understanding the link between

alcohol affordability, consumption and harms. Prepared for the European Commission DG SANCO by RAND Europe
                                                                                                                                                                                   05
In the retail sector cheap
alcohol is being used as
a draw by the big multiples
in order to attract customers
into their stores
Pre Budget Submission 2012
                  alcoholIreland
                   Alcohol in
                              action
                                            ireland
                      Finding the right measure
     the national charity for alcohol related issues


Large multiple retailers can sell alcohol very cheaply        •	   Reducing consumption levels will reduce
and can easily absorb tax increases by spreading               	   pressure on essential services –
additional costs onto other products. Small scale,            	    30% A&E admissions are alcohol-related
independent retailers lose out because they cannot
compete with the multiple retail giants. The consumer         The Department of Finance’s Tax Strategy Group
loses out because while it appears they might be              calculated the anticipated yield of a range of excise
getting a good deal financially at the till on alcohol,       increases on alcohol products. Based on these 2010
the retailers generally maximize their profits in other       estimates, a restoration of excise duties to 2009 levels
parts of the store on essentials such as food. What           could yield a total of €178 million.
consumers’ till receipts do not show is the alcohol-
related crime and health costs of which each tax              An increase in excise duty complements a minimum
payer is picking up a €3,318 tab.                             pricing initiative. Large multiple retailers can absorb
                                                              tax increases on alcohol and spread the costs across
Therefore Alcohol Action Ireland, the national                other products so that alcohol can still be sold
charity for alcohol-related issues, proposes two key          relatively cheaply. Minimum pricing sets a floor price
recommendations for Budget 2012:                              and cannot be undercut by loss-leading and below-
                                                              cost selling.


      •	   Restore excise duty to 2009
      	    levels which could earn the 	                      The price of alcohol influences the
      	    Exchequer €178 million                             amount people drink
      	    in additional taxes
                                                              In 2009, the average Irish person aged 15+ drank 11.9
      •	 Introduce minimum floor price                        litres of pure alcohol, according to provisional data.
      	 for alcohol                                           That’s the equivalent of about 45 bottles of vodka or
                                                              125 bottles of wine. Given that one in five Irish adults
                                                              don’t drink, the amount consumed per drinker is
                                                              actually a lot more.

Restore Excise Duty to 2009 Levels
There are three key benefits to restoring excise duty
to its 2009 level:

•	     An increased tax take will provide much
	      needed revenue - estimated €178 million

•	     Increasing the price of alcohol has been proven
	      both internationally, and in previous Irish budgets,
	      to reduce alcohol consumption which in turn will
	      reduce health and crime related costs




                                                                                                                     07
Reduced excise duty on alcohol                                            Time for a change
increases consumption                                                     Contrary to popular belief, there have been very few
                                                                          increases in the excise rate in the past couple of
In December 2001, excise duty on cider was subject
                                                                          decades:
to a significant increase, and cider sales in the
following year fell by 11.3%.
                                                                          •	   January 1994 The most recent excise increase
                                                                          	    on beer8
In December 2002 there was an increase in excise
                                                                          •	   December 2001 The most recent excise
duty on spirits - spirits consumption dropped by 20%
                                                                          	    increase on cider
in the following year which caused an overall drop in
                                                                          •	   December 2002 The most recent excise
alcohol consumption of 6%: the first drop in alcohol
                                                                          	    increase on spirits
consumption in Ireland in 16 years.
                                                                          •	   October 2008 The most recent excise increase
                                                                          	    on wine
Budget 2010 cut excise rates on alcohol by around
20% with a resulting rise in alcohol consumption,
                                                                          Budget 2010 cut excise on all alcohol by about 20%
from 11.3 litres in 2009 to 11.9 in 2010.

This was the first significant increase since 2001.                       Declining Value of Excise Duty
                                                                          The real value of excise duty rates (as a percentage
                                                                          of retail price) on beer, wine and whiskey has declined
                                                                          since 2000 due to ongoing trade led price increases
                                                                          and also because excise duties are set at a specific
          IMPACT OF EXCISE                                                amount rather than as a percentage of price.

          CHANGES ON
          CONSUMPTION

          Litres
                                                             Excise increase
          Alcohol                                            on cider
          15
          14
          13
          12                                                        Excise increase
          11                                                        on spirits

          10                                                                                                         Budget 2010
          09                                                                                                         cut excise on
                                                                                                                     all alcohol by
          08
                                                                                                                     about 20%
          07
          06
          05
          04



                     1960   1970   1980   1990   2000   2001    2002   2003    2004   2005   2006   2007   2008   2009   2010




8. October 2008 saw the introduction of a new 50% lower
rate for cider and beer of less than 2.8% alcohol strength by volume
Pre Budget Submission 2012
                   alcoholIreland
                    Alcohol in
                               action
                                                ireland
                       Finding the right measure
  the national charity for alcohol related issues


Minimum Pricing - rejecting alcohol
at ‘pocket money’ prices


	 Five things you need to know
                                                                           Alcoholic liver disease rates and
	 about minimum pricing
                                                                           deaths almost trebled between
                                                                           1995 and 2007. Among the 15-34
	 It will not affect the price of drink
                                                                           year age group, the rates and
	 in pubs, clubs and restaurants
                                                                           deaths increased by 247%

	 It will not affect the majority of
	 drinkers, only the heaviest and
                                                                           More than half of Irish adults
	 youngest drinkers
                                                                           are drinking in a way which is
                                                                           already causing damage to their
	 It will not lead to job losses
                                                                           health – that’s 7 in 10 men and 4
                                                                           in 10 women who drink
	 It will not influence rates of
	 cross-border shopping                                                    (SLAN 2007, Department of Health)

	 The minimum price of a drink is
	 directly linked to the amount of
	 alcohol it contains
                                                                           ‘Over half of Irish adults
Minimum pricing is a targeted way of ensuring that                         say they would support
alcohol cannot be sold at a cheap price. A minimum
price is the lowest price at which an alcohol product                      minimum pricing’
can be sold, the cost of a product based on the
number of alcohol units/grams of alcohol it contains.
Put simply, the more units/grams of alcohol in a
bottle, the stronger it is, and therefore, the higher
the price. Minimum pricing will primarily affect heavy
drinkers (i.e. those that drink most), as well as children
and young people who are more likely to consume
the cheapest alcohol. Minimum pricing policy has
popular support with over half of Irish adults saying
they would support such a measure9.




9. Alcohol Action Ireland commissioned market research firm Behaviour and Attitudes to carry out a
nationally representative survey consisting of 1,000 participants. The survey showed a 55% support
for a minimum pricing initiative (field work was carried out in September 2011)
                                                                                                               09
Hospital and GP Costs

10% of general inpatient
hospital costs, 14% of
psychiatric hospital costs,
7% of GP costs and up to
30% of emergency costs
are alcohol-related
Minimum pricing and below cost selling –
what’s the difference?

The drinks industry is fragmented in its approach to pricing. Some segments
are calling for a ban on below cost selling. Others, such as the Vintners
Federation of Ireland, the most employment intensive sector of the industry
in Ireland, support minimum pricing.



Below cost selling                           Minimum pricing	          		
                                             			
No agreed definition of how to               Price simple to calculate,
calculate and define cost price              enforce and monitor

Not clear if a ban would be                  A minimum price can be
sufficient to reduce alcohol                 calculated so as to have an
consumption as it still allows
                                             impact on alcohol consumption –
alcohol to be sold very cheaply
                                             it can also be adjusted as factors
                                             affecting its impact change
Unit cost to retailer can vary
depending on a number of factors
                                             Affects people directly in relation
Difficulties in monitoring compliance        to how much they drink
and securing convictions for below-
cost selling was a key reason
behind the repeal of the Groceries
Order in 2006

The price is not linked to the
strength of a drink – it does not
relate to the number of units/grams
of alcohol the drink contains




                                                                                   11
Health Costs

One in 10 cancers in men
and one in 33 in women
are caused by drinking

Each night, 2,000 hospital
beds are occupied for
alcohol-related reasons
Pre Budget Submission 2012
                alcoholIreland
                 Alcohol in
                            action
                                          ireland
                    Finding the right measure
  the national charity for alcohol related issues


Minimum pricing will have least                             pubs and licensed premises is sold at a price well
                                                            above the level a minimum price is likely to be set.
impact on moderate drinkers
                                                            Minimum pricing will not influence
By definition, they drink less. Moderate drinkers           rates of cross-border shopping
tend not to buy the cheapest products.
                                                            The key factor driving cross-border shopping is the
                                                            Sterling differential.
Banning below-cost selling by itself while sounding
like a sensible policy initiative is recognized as
being unworkable because of varying cost-base               ‘By adopting these
calculations, resulting in implementation difficulties. A
ban on below cost selling would not achieve the goal        proposals, Government can
of reducing alcohol-related harm and the associated
costs as a ban on below cost selling would still
                                                            choose to save frontline
allow alcohol to be sold very cheaply - especially if       services, to cut the costs
combined with another excise duty cut, which would
reduce the cost base even further. In other words,          to our health and justice
these policies are contradictory.
                                                            systems, to cut workplace
Minimum pricing won’t affect jobs                           costs to the state and
The drinks industry provided 50,000 full time
                                                            employers, and to cut the
equivalent jobs in 2010. Minimum pricing will have          cost of our emergency and
no impact on jobs. In fact, it could serve to protect
jobs in small businesses by creating a level playing        policing services’
field with the retail giants who use cut-price alcohol
to attract customers to their supermarkets rather than
buying alcohol from independent off-licences.               Summary
The Vintner’s Federation of Ireland, which represents       Government has a particular responsibility in tackling
the most employment intensive segment of the                the damage caused by alcohol use and in reducing
industry, supports minimum pricing.                         the cost of that damage. By adopting these proposals,
                                                            Government can choose to save frontline services, to
                                                            cut the costs to our health and justice systems, to cut
Minimum pricing will have no                                workplace costs to the state and employers, and to
impact on pub prices                                        cut the cost of our emergency and policing services.
                                                            These measures will provide a cost-effective return
or the price of alcohol in other licensed premises such     in a short time frame and may also contribute to
as restaurants and clubs – minimum pricing brings up        protecting jobs.
the price of the cheapest drink and so only affects
the price of cheap alcohol sold in the off-trade, such      Can we really afford to run an alcohol-related bill of
as supermarkets. The vast majority of drinks sold in        €3.7 billion in avoidable costs when frontline health
                                                            services are going to have to close due to funding
                                                            cuts – it’s a question for all of us but it is politicians
                                                            that will ultimately have to come up with the answer.



                                                                                                                     13
The Case for
Minimum Pricing
Pre Budget Submission 2012
               alcoholIreland
                Alcohol in
                           action
                                         ireland
                   Finding the right measure
 the national charity for alcohol related issues

Getting the facts right on                                            minimum price per unit/gram
minimum pricing                                                       	
The rise in alcohol-related harms and costs is linked to              number of units/grams in drink
the increased availability, affordability and marketing
                                                                      	
of alcohol. Price is a key driver in the consumption of
alcohol. This briefing sets out the case for minimum                  price
pricing, spells out the facts and dispels the myths and
misinformation.

                                                           As such, fewer resources would be needed to
What is minimum pricing?                                   administer, implement, monitor and enforce a
Minimum pricing is the lowest price at which an            minimum pricing policy.
alcohol product can be sold, the cost of a product
based on the number of units/grams it contains. To         Some of the commentators calling for a ban on below
put it simply, the more units/grams of alcohol in a        cost selling are, in fact, calling for a ban on selling
bottle, the higher the price. As such, minimum pricing     alcohol below the total taxation on a drink. i.e., below
affects people directly in relation to how much they       VAT plus excise. This is not the same as below cost
drink. This means that minimum pricing will primarily      selling as cost price (which can include costs such as
affect heavy drinkers (i.e., those that drink most), as    manufacture, packaging, transport, etc.) has not been
well as children and young people who are more likely      included in the price of the drink.
to consume the cheapest alcohol.
                                                           A ban on below cost selling would still allow alcohol
Minimum pricing will have the least impact on              to be sold very cheaply - especially if combined with
moderate drinkers, as, by definition, they drink less      another excise duty cut, which would reduce the cost
and they tend not to buy the cheapest products.            base even further. In other words, these policies are
                                                           contradictory.

Why won’t banning below cost
selling of alcohol work?                                   Why do we need minimum pricing
There is no agreed definition of below cost selling in
                                                           now?
Ireland, nor is there an agreed formula for calculating    Reducing current levels of alcohol-related harms and
cost price. Also, cost prices can change over time         costs is good news for the taxpayer. The estimated
as well as differences in wholesale price across           cost of alcohol was €3.7 billion in 2007, that’s an
retailers, depending on discounts for bulk purchasing,     average alcohol-related tax burden of €3,318 on each
product placement and promotions and other such            person paying income tax in Ireland. Alcohol-related
arrangements. Working out the cost price of alcohol        harms cost the healthcare system €1.2bn, while
would be a complex and costly exercise, making a ban       alcohol-related crime costs €1.2bn.
on below cost selling of alcohol almost impossible to
implement, monitor and enforce.                            The massive drop in the relative price of alcohol
                                                           alongside the liberalisation of licensing laws which
By contrast, the operationalisation of minimum             led to an increase in outlets selling alcohol has fuelled
pricing would be simple, as the cost of a drink can be     a growing health crisis. The real price of a drink in
calculated using the simple formula:                       Ireland has decreased dramatically due in a large part
                                                           to the rise in incomes, making alcohol 50% more
                                                           affordable than it was in 1996.


                                                                                                                   15
Alcohol has also become more available and is sold         How does it work?
in more outlets than ever before. Increased availability
has increased competition between alcohol retailers,       Minimum pricing targets the sale of alcohol at pocket
mostly in the off-trade sector. Cut price alcohol          money prices by fixing a minimum price per unit/gram
is often used as a draw, to attract customers into         at which alcohol can be sold. A different minimum
supermarkets and shops. At current prices, it’s            price per unit/gram can be set for alcohol sold in the
possible for a women to reach her weekly limit for low     on and off trades. Minimum pricing brings up the
risk drinking for just €6.30 a week while a man can        price of the cheapest alcohol, while having little or no
reach this limit with a spend of less than €10. The rise   impact on the price of other alcohol.
in the availability of alcohol alongside a drop in price
has led to vast increases in alcohol-related harms and
costs.
                                                           ‘Minimum pricing brings up
                                                           the price of the cheapest
CHEAP ALCOHOL:                                             alcohol, while having little
THE REAL COSTS                                             or no impact on the price of
                                                           other alcohol’
•	   More than half of Irish adults report a 		
	    harmful drinking pattern – that’s 7 in                But isn’t Ireland one of the most
	    10 men and 4 in 10 women who                          expensive countries in the EU for
	    drink (SLAN 2007, Department of Health)
                                                           alcohol?
•	   Between 1995 and 2004:                                This is probably one of the greatest myths about
	    • alcohol-related hospital discharges                 alcohol In Ireland. The RAND report commissioned
	    increased by 92%                                      by the DG SANCO (European Commission’s
	    • alcohol-related mortality almost doubled            Department of Health) for the European Alcohol
                                                           and Health Forum found that Ireland was one six
•	   Between 1995 and 2003, there was                      countries in the EU where alcohol has become
	    an 85% increase in the number of hospital             over 50% more affordable than it was in 1996.
	    discharges with alcohol-related intentional           Furthermore, alcohol prices in Ireland are falling
 	   injuries                                              while average prices are rising making alcohol
                                                           relatively cheaper. According to Central Statistics
•	 Between 1996 and 2002, public order 	                   Office figures, average prices rose by 2.6% in the
	 adult offences increased by 247%                         year to September 2011, while alcohol prices fell by
                                                           1% in the same period.
•	 Between 1996 and 2005 juvenile
	 offences of intoxication in a public
	 place increased 12 fold                                  ‘According to Central
                                                           Statistics Office figures,
The cost of alcohol to the Irish economy outweighs
the benefits. If we are to reduce the costs of our         average prices rose by 2.6%
alcohol use, we need to reduce the levels of alcohol
consumed – this can be best achieved by tackling the
                                                           in the year to September
price. Alcohol is not an ordinary grocery or commodity     2011, while alcohol prices fell
and should not be treated as one.
                                                           by 1% in the same period.’
Pre Budget Submission 2012
             alcoholIreland
              Alcohol in
                         action
                                    ireland
                Finding the right measure
the national charity for alcohol related issues




                                                  “In 2009, the average Irish
                                                  person drank 11.9litres of
                                                  pure alcohol a year: the
                                                  equivalent of 45 bottles
                                                  of vodka or 125 bottles of
                                                  wine. The figure in reality is
                                                  probably higher again


                                                                            17
                                                                            18
Alcohol-related crime costs
the Irish State almost
€1.2 billion a year

(Byrne, 2010)
Pre Budget Submission 2012
                  alcoholIreland
                   Alcohol in
                              action
                                            ireland
                     Finding the right measure
   the national charity for alcohol related issues


How will increasing the price of the                        ‘There is a direct relationship
cheapest drink make any difference                          between the level of alcohol
to how much people drink?                                   consumed in a country and the
The price of alcohol is directly linked to how much         levels of alcohol-related harms
people drink. When price increases, consumption             and costs’
levels fall. Increased alcohol prices reduce
consumption leading to decreases in alcohol-related
harms and costs.
                                                            Why doesn’t the Government just
                                                            increase tax on alcohol?
The World Health Organisation’s (2009) review of 32
                                                            Large multiple retailers can afford to sell alcohol at
alcohol policy measures found that alcohol policies
                                                            extremely cheap prices and have the capacity to
most effective in reducing alcohol related harms and
                                                            easily absorb tax increases by putting these increases
costs are policies which put controls on price and
                                                            on to other products. Minimum pricing sets a floor
availability, drink driving laws and brief interventions.
                                                            price and cannot be undercut by loss-leading and
                                                            below-cost selling.
Minimum pricing policy increases the price of the
cheapest drink, which is the drink that tends to
be purchased by heavy drinkers as well as young             But won’t the large supermarkets
drinkers. As such, this pricing policy has little impact    make a lot of money if minimum
on those who drink within low-risk weekly limits.           pricing is introduced?
Those weekly limits are 14 units for a woman and 21
for a man.                                                  Large supermarkets who sell a lot of alcohol at cut-
                                                            price will make the biggest relative financial gains from
                                                            customers as a result of a minimum pricing policy.
‘The price of alcohol is directly                           It is for this reason that the introduction of minimum
linked to how much people drink’                            pricing needs be considered alongside an increase in
                                                            excise duty so as to ensure the transfer of some of
What is the link between the amount                         this revenue to government.

we drink and the damage from
drink?                                                      Will minimum pricing have a
                                                            disproportionate impact in people
There is a direct relationship between the level of
alcohol consumed in a country and the levels of
                                                            on low incomes?
alcohol-related harms and costs. Increased alcohol          The simple answer is this will depend on how
prices reduce consumption which will lead to an             much alcohol someone buys. Minimum pricing,
attendant decrease in alcohol-related harms and             by definition, impacts most on those that drink the
costs.                                                      most. As we already know, a man can reach his low-
                                                            risk weekly limit for less than €10 and a woman for
                                                            €6.30 – around an hour’s work on minimum wage. If




                                                                                                                        19
someone is buying cut-price alcohol and still drinking          Who wins? Who benefits from
at moderate levels, i.e.; low risk weekly limits, they will
experience a slight increase in how much they pay for
                                                                minimum pricing?
alcohol.                                                        The benefits of minimum pricing resulting in a
                                                                reduction in consumption and associated alcohol-
It is important to remember that alcohol is not an              related harms are numerous. These include:
ordinary grocery like bread or milk, it is a luxury good.
It is also important to remember that people on low             •	   Decreases in workplace absences
incomes suffer a range of health inequalities - i.e.;           •	   Decrease in violent crime
nutrition, education, access to healthcare contingent           •	   Reductions in crime and public order offences
on ability to pay - that alcohol-related harms can              	    involving children and young people and in
further exacerbate.                                             	    the cost of responding to same
                                                                •	   Reduction in social and health harms and costs for
At what level should a minimum                                  	    the drinker and those around them
                                                                •	   Large retailers cannot simply absorb
price be set?
                                                                	    price increases as can happen with other
A minimum price needs to be set at a level the                  	    pricing policies
evidence indicates will reduce the burden of harm
from alcohol use. To do this will require an analysis
of the market, alcohol consumption and expenditure
                                                                The benefits reach a diverse range
patterns, among other data sets such as health and              of stakeholders:
crime data.
                                                                •	   Moderate drinkers, i.e. those who drink within low
                                                                	    risk limits, are least affected
To maintain effectiveness, a minimum price will need
                                                                •	   Heavy drinkers, along with children and
be reviewed on a regular basis and adjusted when
                                                                	    young people, are particularly affected
necessary to maintain its value in line with inflation.
                                                                •	   Small, independent retailers and off-licences put 	
                                                                	    on a level playing field with large multiple retailers
                                                                •	   It is likely that the decline in the volume of alcohol
                                                                	    sales will be more than offset by the unit/gram 	
                                                                	    price increase resulting in an overall increase in
                                                                	    profit for retailers
                                                                •	   Large retailers can raise alcohol prices to
                                                                	    the minimum price without running the risk
                                                                	    of losing customers to competitors*




*Based on University of Sheffield research on minimum pricing
commissioned by the Scottish Government (2009)
Alcohol Action Ireland
Butler Court
25 Gt Strand Street
Dublin 1

T: 00353 1 878 0610
F: 00353 1 874 9934

Email: info@alcoholactionireland.ie




November 2011

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Alcohol in Ireland: Finding The Right Measure

  • 1. Which of these items is the cheapest? Hint: It’s not always the water Pre Budget Submission 2012 Alcohol in Ireland Finding the right measure www.alcoholireland.ie
  • 2. The following organisations support minimum pricing for alcohol: · Barnardos · Focus Ireland · Rape Crisis Network Ireland · The Ballymun Local Drugs Taskforce · The Irish Cancer Society · The Irish Heart Foundation · The Irish Medical Organisation · The ISPCC · The National Youth Council of Ireland · The North West Alcohol Forum
  • 3. €3.7 billion in avoidable alcohol- related health and crime costs Over €4 billion in austerity cuts We need to: • Restore excise duty to 2009 levels - earn the Exchequer €178 million in additional revenue • Introduce minimum floor price for alcohol Five things you need to know about minimum pricing It will not affect the price of drink in pubs, clubs and restaurants It will not affect the majority of drinkers, only the heaviest and youngest drinkers It will not lead to job losses It will not influence rates of cross-border shopping The minimum price of a drink is directly linked to the amount of alcohol it contains Crime Costs Alcohol has been identified as a contributory factor in 97% of public order offences as recorded under the PULSE system (Hope, 2008)
  • 4. Counting the Cost The financial burden of alcohol-related harm runs to an average of €3,318 for each taxpayer in Ireland – yet the previous government cut excise duties in Budget Cheap alcohol in Ireland is fuelling a growing health 2010 potentially depriving the country of €178 million and crime crisis that is costing us over €3.7 billion a in much needed tax revenue1. year in health, crime/ public order and ancillary costs including workplace absenteeism. As the country Add this to the fact that the cost of €3.7 billion in faces into a significant period of budget austerity and alcohol-related harm represents 1.9% of GDP in cuts to frontline services in the region of €4 billion, it is Ireland, almost 50% more than the EU average of important to remember that these €3.7 billion alcohol- 1.3% of GDP. related costs are avoidable costs. On a wider economic level it is estimated that we lose According to the Chief Medical Officer of Ireland, a €527 million a year in alcohol-related absenteeism and 30% reduction in alcohol-related harm would result in alcohol-related accidents in the workplace. Ireland a cost saving to the Exchequer of €1 billion. relies heavily on external investment and is in direct competition with other lower cost base locations ‘A 30% reduction in alcohol- to attract this investment. What is the damage then to the “Ireland” brand when major financial media related harm would result in a report on Ireland topping the European binge drinking league? cost saving to the Exchequer of €1 billion’ The alcohol industry often makes the point that any increase in excise on alcohol, or reduction in alcohol consumption, will be bad for the economy, causing At a time when we need to do more with less, we job losses and lost revenue. This argument is based cannot afford the current price of cheap alcohol – a on the false assumption that money not spent on woman can reach her low risk weekly drinking limit alcohol somehow disappears from the economy, for €6.30 and a man for under a €10, the averaged rather than it being spent on other goods or services. equivalent of an hour’s work on minimum wage. Counting the Costs2 €million % of total costs Alcohol-related illnesses 1,200 32% Alcohol-related crime 1,189 32% Alcohol-related road accidents 526 14% Output lost due to alcohol-related absence from work 330 9% Alcohol-related accidents at work 197 5% Alcohol-related suicides 167 5% Alcohol-related premature mortality 110 3% Total €3,719 100% 1. The figure is based on the Department of Finance’s Tax Strategy Group 2010 alcohol-related excise calculations 2. Counting the Costs figures from Byrne, S. (2010) Costs to Society of Problem Alcohol Use in Ireland. Dublin: Health Service Executive
  • 5. Pre Budget Submission 2012 alcoholIreland Alcohol in action ireland Finding the right measure the national charity for alcohol related issues Health Costs Lives Lost Alcohol currently costs the health service €1.2 billion a year, around 8.5% of the current health budget One person dies every seven hours (€14bn). The Chief Medical Officer of Ireland recently from an alcohol-related cause in outlined the impact of alcohol on the health services: Ireland alcohol is responsible for 100 deaths per month, 2,000 beds occupied every night in hospitals around the country, 30% of emergency department attendances One in four deaths in young men and 7% of GP consultations. A 30% reduction in (15-34) is due to alcohol alcohol-related harms would save 30 lives per month and 600 overnight hospital admissions per day. There are almost twice as many deaths due to alcohol in Ireland than due to all other drugs combined Alcohol-related deaths almost doubled between 1995 and 2004* Counting the Cost3: Health costs Costs of hospital care to alcohol-related illnesses €500 million 42% Costs of GP and related services €574 million 49% Costs to mental health services €104 million 9% Total Health Costs €1.18bn 100% 3. Counting the Costs figures from Byrne, S. (2010) Costs to Society of Problem Alcohol Use in Ireland. Dublin: Health Service Executive * Calculation based on number of overall alcohol-related deaths in Ireland; deaths in young men statistic taken from Chief Medical Officer’s speech at Alcohol Action Ireland conference 2010; alcohol versus other drugs based on calculations from National Drug-Related Deaths Index; Mongan et al (2007) Health-Related Consequences of Problem Alcohol Use/ Health Research Board 03
  • 6. Crime Costs committed in their area4. Affordability and accessibility are two of the key factors fuelling alcohol-related youth crime. After alcohol-related health costs, alcohol-fuelled crime and public order costs are making the biggest dent in the public purse - with €1.2 billion of tax 85% of the Garda Youth payers’ money being spent on dealing with anti-social behaviour, violence and vandalism. Diversion Projects put Of course, it is communities and families having to alcohol-related crime as cope with this behaviour that are paying the heaviest first on the list of offences price: 85% of the Garda Youth Diversion Projects put alcohol-related crime as first on the list of offences committed in their area Counting the Cost5: Crime costs Total Costs of Crime in Ireland €million Criminal justice system costs 319 million 27% Property/ health and victim services costs 435 million 37% Costs in anticipation of crime 64 million 2 22% Crime cost of lost productive output 171 million 14% Total Crime Costs 1.19 billion 100% Counting the Cost6: Criminal Justice System Costs Cost of Garda Siochana resources devoted to alcohol-related crime €191 million 60% Cost to prison service of alcohol-related crime €51 million 16% Cost to the courts of alcohol-related crime €77 million 24% Total Cost of alcohol-related crime on Criminal Justice System €319 million 100% 4. According to a 2009 study, Designing Effective Local Responses to Youth Crime by the Irish Youth Justice Service. 5&6. Counting the Costs figures from Byrne’s. S (2010) Costs to Society of Problem Alcohol Use in Ireland. Dublin: Health Service Executive
  • 7. Pre Budget Submission 2012 alcoholIreland Alcohol in action ireland Finding the right measure the national charity for alcohol related issues Price and Alcohol, what’s become 50% more affordable than it was 15 years ago7. Furthermore alcohol prices in Ireland are falling the link? while average prices are rising. According to Central Statistics Office figures, average prices rose by 2.6% There is robust and extensive evidence from the in the year to September 2011, while alcohol prices World Health Organisation to show that one of the fell by 1% in the same period. most effective actions a government can take to reduce alcohol-related harms and costs is to increase As previously stated, a woman in Ireland can reach the price of alcohol. According to the World Health her low-risk weekly drinking limit of 14 units for Organisation - when price increases, consumption just €6.30 and a man his low-risk weekly limit of 21 levels fall, leading to decreases in alcohol-related units for around €10. When offset against even the harms and costs. As already stated, a 30% reduction lowest paid in Irish society - an average social welfare in alcohol-related harm would result in a cost saving payment of €180 or at €8.65 an hour minimum wage to the Exchequer of €1 billion. - then the affordability of alcohol becomes even more pronounced. A woman need only work an hour ‘Alcohol in Ireland is 50% to earn enough money to buy her weekly low-risk alcohol limit. more affordable than it was fifteen years ago’ ‘There is indisputable One of the myths surrounding alcohol in Ireland evidence that the price is that we have among the least affordable alcohol in Europe. Affordability factors in the relationship of alcohol matters. If the between price and disposable income. Ireland is price of alcohol goes up, one of six countries in the EU where alcohol has alcohol-related harm goes down’ World Health Organisation, 2009 7. Rabinovich et al (2009) The Affordability of Alcoholic Beverages in the European Union: Understanding the link between alcohol affordability, consumption and harms. Prepared for the European Commission DG SANCO by RAND Europe 05
  • 8. In the retail sector cheap alcohol is being used as a draw by the big multiples in order to attract customers into their stores
  • 9. Pre Budget Submission 2012 alcoholIreland Alcohol in action ireland Finding the right measure the national charity for alcohol related issues Large multiple retailers can sell alcohol very cheaply • Reducing consumption levels will reduce and can easily absorb tax increases by spreading pressure on essential services – additional costs onto other products. Small scale, 30% A&E admissions are alcohol-related independent retailers lose out because they cannot compete with the multiple retail giants. The consumer The Department of Finance’s Tax Strategy Group loses out because while it appears they might be calculated the anticipated yield of a range of excise getting a good deal financially at the till on alcohol, increases on alcohol products. Based on these 2010 the retailers generally maximize their profits in other estimates, a restoration of excise duties to 2009 levels parts of the store on essentials such as food. What could yield a total of €178 million. consumers’ till receipts do not show is the alcohol- related crime and health costs of which each tax An increase in excise duty complements a minimum payer is picking up a €3,318 tab. pricing initiative. Large multiple retailers can absorb tax increases on alcohol and spread the costs across Therefore Alcohol Action Ireland, the national other products so that alcohol can still be sold charity for alcohol-related issues, proposes two key relatively cheaply. Minimum pricing sets a floor price recommendations for Budget 2012: and cannot be undercut by loss-leading and below- cost selling. • Restore excise duty to 2009 levels which could earn the The price of alcohol influences the Exchequer €178 million amount people drink in additional taxes In 2009, the average Irish person aged 15+ drank 11.9 • Introduce minimum floor price litres of pure alcohol, according to provisional data. for alcohol That’s the equivalent of about 45 bottles of vodka or 125 bottles of wine. Given that one in five Irish adults don’t drink, the amount consumed per drinker is actually a lot more. Restore Excise Duty to 2009 Levels There are three key benefits to restoring excise duty to its 2009 level: • An increased tax take will provide much needed revenue - estimated €178 million • Increasing the price of alcohol has been proven both internationally, and in previous Irish budgets, to reduce alcohol consumption which in turn will reduce health and crime related costs 07
  • 10. Reduced excise duty on alcohol Time for a change increases consumption Contrary to popular belief, there have been very few increases in the excise rate in the past couple of In December 2001, excise duty on cider was subject decades: to a significant increase, and cider sales in the following year fell by 11.3%. • January 1994 The most recent excise increase on beer8 In December 2002 there was an increase in excise • December 2001 The most recent excise duty on spirits - spirits consumption dropped by 20% increase on cider in the following year which caused an overall drop in • December 2002 The most recent excise alcohol consumption of 6%: the first drop in alcohol increase on spirits consumption in Ireland in 16 years. • October 2008 The most recent excise increase on wine Budget 2010 cut excise rates on alcohol by around 20% with a resulting rise in alcohol consumption, Budget 2010 cut excise on all alcohol by about 20% from 11.3 litres in 2009 to 11.9 in 2010. This was the first significant increase since 2001. Declining Value of Excise Duty The real value of excise duty rates (as a percentage of retail price) on beer, wine and whiskey has declined since 2000 due to ongoing trade led price increases and also because excise duties are set at a specific IMPACT OF EXCISE amount rather than as a percentage of price. CHANGES ON CONSUMPTION Litres Excise increase Alcohol on cider 15 14 13 12 Excise increase 11 on spirits 10 Budget 2010 09 cut excise on all alcohol by 08 about 20% 07 06 05 04 1960 1970 1980 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 8. October 2008 saw the introduction of a new 50% lower rate for cider and beer of less than 2.8% alcohol strength by volume
  • 11. Pre Budget Submission 2012 alcoholIreland Alcohol in action ireland Finding the right measure the national charity for alcohol related issues Minimum Pricing - rejecting alcohol at ‘pocket money’ prices Five things you need to know Alcoholic liver disease rates and about minimum pricing deaths almost trebled between 1995 and 2007. Among the 15-34 It will not affect the price of drink year age group, the rates and in pubs, clubs and restaurants deaths increased by 247% It will not affect the majority of drinkers, only the heaviest and More than half of Irish adults youngest drinkers are drinking in a way which is already causing damage to their It will not lead to job losses health – that’s 7 in 10 men and 4 in 10 women who drink It will not influence rates of cross-border shopping (SLAN 2007, Department of Health) The minimum price of a drink is directly linked to the amount of alcohol it contains ‘Over half of Irish adults Minimum pricing is a targeted way of ensuring that say they would support alcohol cannot be sold at a cheap price. A minimum price is the lowest price at which an alcohol product minimum pricing’ can be sold, the cost of a product based on the number of alcohol units/grams of alcohol it contains. Put simply, the more units/grams of alcohol in a bottle, the stronger it is, and therefore, the higher the price. Minimum pricing will primarily affect heavy drinkers (i.e. those that drink most), as well as children and young people who are more likely to consume the cheapest alcohol. Minimum pricing policy has popular support with over half of Irish adults saying they would support such a measure9. 9. Alcohol Action Ireland commissioned market research firm Behaviour and Attitudes to carry out a nationally representative survey consisting of 1,000 participants. The survey showed a 55% support for a minimum pricing initiative (field work was carried out in September 2011) 09
  • 12. Hospital and GP Costs 10% of general inpatient hospital costs, 14% of psychiatric hospital costs, 7% of GP costs and up to 30% of emergency costs are alcohol-related
  • 13. Minimum pricing and below cost selling – what’s the difference? The drinks industry is fragmented in its approach to pricing. Some segments are calling for a ban on below cost selling. Others, such as the Vintners Federation of Ireland, the most employment intensive sector of the industry in Ireland, support minimum pricing. Below cost selling Minimum pricing No agreed definition of how to Price simple to calculate, calculate and define cost price enforce and monitor Not clear if a ban would be A minimum price can be sufficient to reduce alcohol calculated so as to have an consumption as it still allows impact on alcohol consumption – alcohol to be sold very cheaply it can also be adjusted as factors affecting its impact change Unit cost to retailer can vary depending on a number of factors Affects people directly in relation Difficulties in monitoring compliance to how much they drink and securing convictions for below- cost selling was a key reason behind the repeal of the Groceries Order in 2006 The price is not linked to the strength of a drink – it does not relate to the number of units/grams of alcohol the drink contains 11
  • 14. Health Costs One in 10 cancers in men and one in 33 in women are caused by drinking Each night, 2,000 hospital beds are occupied for alcohol-related reasons
  • 15. Pre Budget Submission 2012 alcoholIreland Alcohol in action ireland Finding the right measure the national charity for alcohol related issues Minimum pricing will have least pubs and licensed premises is sold at a price well above the level a minimum price is likely to be set. impact on moderate drinkers Minimum pricing will not influence By definition, they drink less. Moderate drinkers rates of cross-border shopping tend not to buy the cheapest products. The key factor driving cross-border shopping is the Sterling differential. Banning below-cost selling by itself while sounding like a sensible policy initiative is recognized as being unworkable because of varying cost-base ‘By adopting these calculations, resulting in implementation difficulties. A ban on below cost selling would not achieve the goal proposals, Government can of reducing alcohol-related harm and the associated costs as a ban on below cost selling would still choose to save frontline allow alcohol to be sold very cheaply - especially if services, to cut the costs combined with another excise duty cut, which would reduce the cost base even further. In other words, to our health and justice these policies are contradictory. systems, to cut workplace Minimum pricing won’t affect jobs costs to the state and The drinks industry provided 50,000 full time employers, and to cut the equivalent jobs in 2010. Minimum pricing will have cost of our emergency and no impact on jobs. In fact, it could serve to protect jobs in small businesses by creating a level playing policing services’ field with the retail giants who use cut-price alcohol to attract customers to their supermarkets rather than buying alcohol from independent off-licences. Summary The Vintner’s Federation of Ireland, which represents Government has a particular responsibility in tackling the most employment intensive segment of the the damage caused by alcohol use and in reducing industry, supports minimum pricing. the cost of that damage. By adopting these proposals, Government can choose to save frontline services, to cut the costs to our health and justice systems, to cut Minimum pricing will have no workplace costs to the state and employers, and to impact on pub prices cut the cost of our emergency and policing services. These measures will provide a cost-effective return or the price of alcohol in other licensed premises such in a short time frame and may also contribute to as restaurants and clubs – minimum pricing brings up protecting jobs. the price of the cheapest drink and so only affects the price of cheap alcohol sold in the off-trade, such Can we really afford to run an alcohol-related bill of as supermarkets. The vast majority of drinks sold in €3.7 billion in avoidable costs when frontline health services are going to have to close due to funding cuts – it’s a question for all of us but it is politicians that will ultimately have to come up with the answer. 13
  • 17. Pre Budget Submission 2012 alcoholIreland Alcohol in action ireland Finding the right measure the national charity for alcohol related issues Getting the facts right on minimum price per unit/gram minimum pricing The rise in alcohol-related harms and costs is linked to number of units/grams in drink the increased availability, affordability and marketing of alcohol. Price is a key driver in the consumption of alcohol. This briefing sets out the case for minimum price pricing, spells out the facts and dispels the myths and misinformation. As such, fewer resources would be needed to What is minimum pricing? administer, implement, monitor and enforce a Minimum pricing is the lowest price at which an minimum pricing policy. alcohol product can be sold, the cost of a product based on the number of units/grams it contains. To Some of the commentators calling for a ban on below put it simply, the more units/grams of alcohol in a cost selling are, in fact, calling for a ban on selling bottle, the higher the price. As such, minimum pricing alcohol below the total taxation on a drink. i.e., below affects people directly in relation to how much they VAT plus excise. This is not the same as below cost drink. This means that minimum pricing will primarily selling as cost price (which can include costs such as affect heavy drinkers (i.e., those that drink most), as manufacture, packaging, transport, etc.) has not been well as children and young people who are more likely included in the price of the drink. to consume the cheapest alcohol. A ban on below cost selling would still allow alcohol Minimum pricing will have the least impact on to be sold very cheaply - especially if combined with moderate drinkers, as, by definition, they drink less another excise duty cut, which would reduce the cost and they tend not to buy the cheapest products. base even further. In other words, these policies are contradictory. Why won’t banning below cost selling of alcohol work? Why do we need minimum pricing There is no agreed definition of below cost selling in now? Ireland, nor is there an agreed formula for calculating Reducing current levels of alcohol-related harms and cost price. Also, cost prices can change over time costs is good news for the taxpayer. The estimated as well as differences in wholesale price across cost of alcohol was €3.7 billion in 2007, that’s an retailers, depending on discounts for bulk purchasing, average alcohol-related tax burden of €3,318 on each product placement and promotions and other such person paying income tax in Ireland. Alcohol-related arrangements. Working out the cost price of alcohol harms cost the healthcare system €1.2bn, while would be a complex and costly exercise, making a ban alcohol-related crime costs €1.2bn. on below cost selling of alcohol almost impossible to implement, monitor and enforce. The massive drop in the relative price of alcohol alongside the liberalisation of licensing laws which By contrast, the operationalisation of minimum led to an increase in outlets selling alcohol has fuelled pricing would be simple, as the cost of a drink can be a growing health crisis. The real price of a drink in calculated using the simple formula: Ireland has decreased dramatically due in a large part to the rise in incomes, making alcohol 50% more affordable than it was in 1996. 15
  • 18. Alcohol has also become more available and is sold How does it work? in more outlets than ever before. Increased availability has increased competition between alcohol retailers, Minimum pricing targets the sale of alcohol at pocket mostly in the off-trade sector. Cut price alcohol money prices by fixing a minimum price per unit/gram is often used as a draw, to attract customers into at which alcohol can be sold. A different minimum supermarkets and shops. At current prices, it’s price per unit/gram can be set for alcohol sold in the possible for a women to reach her weekly limit for low on and off trades. Minimum pricing brings up the risk drinking for just €6.30 a week while a man can price of the cheapest alcohol, while having little or no reach this limit with a spend of less than €10. The rise impact on the price of other alcohol. in the availability of alcohol alongside a drop in price has led to vast increases in alcohol-related harms and costs. ‘Minimum pricing brings up the price of the cheapest CHEAP ALCOHOL: alcohol, while having little THE REAL COSTS or no impact on the price of other alcohol’ • More than half of Irish adults report a harmful drinking pattern – that’s 7 in But isn’t Ireland one of the most 10 men and 4 in 10 women who expensive countries in the EU for drink (SLAN 2007, Department of Health) alcohol? • Between 1995 and 2004: This is probably one of the greatest myths about • alcohol-related hospital discharges alcohol In Ireland. The RAND report commissioned increased by 92% by the DG SANCO (European Commission’s • alcohol-related mortality almost doubled Department of Health) for the European Alcohol and Health Forum found that Ireland was one six • Between 1995 and 2003, there was countries in the EU where alcohol has become an 85% increase in the number of hospital over 50% more affordable than it was in 1996. discharges with alcohol-related intentional Furthermore, alcohol prices in Ireland are falling injuries while average prices are rising making alcohol relatively cheaper. According to Central Statistics • Between 1996 and 2002, public order Office figures, average prices rose by 2.6% in the adult offences increased by 247% year to September 2011, while alcohol prices fell by 1% in the same period. • Between 1996 and 2005 juvenile offences of intoxication in a public place increased 12 fold ‘According to Central Statistics Office figures, The cost of alcohol to the Irish economy outweighs the benefits. If we are to reduce the costs of our average prices rose by 2.6% alcohol use, we need to reduce the levels of alcohol consumed – this can be best achieved by tackling the in the year to September price. Alcohol is not an ordinary grocery or commodity 2011, while alcohol prices fell and should not be treated as one. by 1% in the same period.’
  • 19. Pre Budget Submission 2012 alcoholIreland Alcohol in action ireland Finding the right measure the national charity for alcohol related issues “In 2009, the average Irish person drank 11.9litres of pure alcohol a year: the equivalent of 45 bottles of vodka or 125 bottles of wine. The figure in reality is probably higher again 17 18
  • 20. Alcohol-related crime costs the Irish State almost €1.2 billion a year (Byrne, 2010)
  • 21. Pre Budget Submission 2012 alcoholIreland Alcohol in action ireland Finding the right measure the national charity for alcohol related issues How will increasing the price of the ‘There is a direct relationship cheapest drink make any difference between the level of alcohol to how much people drink? consumed in a country and the The price of alcohol is directly linked to how much levels of alcohol-related harms people drink. When price increases, consumption and costs’ levels fall. Increased alcohol prices reduce consumption leading to decreases in alcohol-related harms and costs. Why doesn’t the Government just increase tax on alcohol? The World Health Organisation’s (2009) review of 32 Large multiple retailers can afford to sell alcohol at alcohol policy measures found that alcohol policies extremely cheap prices and have the capacity to most effective in reducing alcohol related harms and easily absorb tax increases by putting these increases costs are policies which put controls on price and on to other products. Minimum pricing sets a floor availability, drink driving laws and brief interventions. price and cannot be undercut by loss-leading and below-cost selling. Minimum pricing policy increases the price of the cheapest drink, which is the drink that tends to be purchased by heavy drinkers as well as young But won’t the large supermarkets drinkers. As such, this pricing policy has little impact make a lot of money if minimum on those who drink within low-risk weekly limits. pricing is introduced? Those weekly limits are 14 units for a woman and 21 for a man. Large supermarkets who sell a lot of alcohol at cut- price will make the biggest relative financial gains from customers as a result of a minimum pricing policy. ‘The price of alcohol is directly It is for this reason that the introduction of minimum linked to how much people drink’ pricing needs be considered alongside an increase in excise duty so as to ensure the transfer of some of What is the link between the amount this revenue to government. we drink and the damage from drink? Will minimum pricing have a disproportionate impact in people There is a direct relationship between the level of alcohol consumed in a country and the levels of on low incomes? alcohol-related harms and costs. Increased alcohol The simple answer is this will depend on how prices reduce consumption which will lead to an much alcohol someone buys. Minimum pricing, attendant decrease in alcohol-related harms and by definition, impacts most on those that drink the costs. most. As we already know, a man can reach his low- risk weekly limit for less than €10 and a woman for €6.30 – around an hour’s work on minimum wage. If 19
  • 22. someone is buying cut-price alcohol and still drinking Who wins? Who benefits from at moderate levels, i.e.; low risk weekly limits, they will experience a slight increase in how much they pay for minimum pricing? alcohol. The benefits of minimum pricing resulting in a reduction in consumption and associated alcohol- It is important to remember that alcohol is not an related harms are numerous. These include: ordinary grocery like bread or milk, it is a luxury good. It is also important to remember that people on low • Decreases in workplace absences incomes suffer a range of health inequalities - i.e.; • Decrease in violent crime nutrition, education, access to healthcare contingent • Reductions in crime and public order offences on ability to pay - that alcohol-related harms can involving children and young people and in further exacerbate. the cost of responding to same • Reduction in social and health harms and costs for At what level should a minimum the drinker and those around them • Large retailers cannot simply absorb price be set? price increases as can happen with other A minimum price needs to be set at a level the pricing policies evidence indicates will reduce the burden of harm from alcohol use. To do this will require an analysis of the market, alcohol consumption and expenditure The benefits reach a diverse range patterns, among other data sets such as health and of stakeholders: crime data. • Moderate drinkers, i.e. those who drink within low risk limits, are least affected To maintain effectiveness, a minimum price will need • Heavy drinkers, along with children and be reviewed on a regular basis and adjusted when young people, are particularly affected necessary to maintain its value in line with inflation. • Small, independent retailers and off-licences put on a level playing field with large multiple retailers • It is likely that the decline in the volume of alcohol sales will be more than offset by the unit/gram price increase resulting in an overall increase in profit for retailers • Large retailers can raise alcohol prices to the minimum price without running the risk of losing customers to competitors* *Based on University of Sheffield research on minimum pricing commissioned by the Scottish Government (2009)
  • 23.
  • 24. Alcohol Action Ireland Butler Court 25 Gt Strand Street Dublin 1 T: 00353 1 878 0610 F: 00353 1 874 9934 Email: info@alcoholactionireland.ie November 2011