['A', 'veduction', 'in', 'smoking', 'will', 'lead', 'te', 'reductions', 'in', 'the', 'costs', 'for', 'treating', 'smoking-related', 'disease,', 'while', 'possibly', 'leading', 'to', 'increases', 'in', 'costs', 'in', 'future', 'years', 'for', 'for', 'treating', 'the', 'additional', 'people', 'alive.', 'But', 'even', 'Lf', 'this', 'is', 'true,', 'however,', 'a', 'preliminary', '«nalysis', 'by', 'Lewit', 'has', 'pointed', 'out', 'that', '_', 'substantial', 'savings', 'in', 'health', 'care', 'costs', 'may', 'be', 'achieved', 'during', 'the', 'time', 'it', 'takes', 'to', 'move', 'between', 'these', 'two', 'states.', 'During', 'that', 'time', 'period', 'health', 'care', 'costs', 'will', 'be', 'less', 'than', 'what', 'they', 'would', 'have', '—', 'if', 'smoking', 'had', 'not', 'been', 'reduced', '(Lewit,', '1983).', '"3', 'Future', 'trends', 'in', 'the', 'use', 'of', 'medical', 'technology', 'and', 'changes', 'in', 'government', 'and', 'third-party', 'reimbursement', 'will', 'clearly', 'affect', 'future', 'costs.', 'Predicting', 'the', 'extent', 'of', 'these', 'changes', 'and', 'their', 'effects', 'is', 'difficult.', 'Mew,', 'more', 'expensive', 'technologies', 'may', 'become', 'more', 'widely', 'used.', 'In', 'this', 'discussion', 'of', 'smoking-related', 'disease,', 'it', 'should', 'be', 'noted', 'that', 'all', 'of', 'the', 'patients', 'who', 'have', 'received', 'the', 'experimental', 'artificial', 'heart', 'had', 'been', 'smokers29.', 'From', 'the', 'standpoint', 'of', 'the', 'Social', 'Security', 'and', 'Medicare', 'programs,', 'reduced', 'smoking', 'may', 'lead', 'to', 'increased', 'program', 'costs.', 'Changes', 'in', 'Social', 'Security', 'spending', 'are', 'aot,', '“senfesly', 'speaking,', 'economic', 'costs', 'because', 'Social', 'Security', 'is', 'an', 'income', 'transfer', 'program.', '‘Nevertheless,', 'potential', 'changes', 'in', 'the', 'number', 'of', 'beneficiaries', 'need', 'to', 'be', 'considered.', 'The', 'extent', 'of', 'these', 'changes', 'and', 'the', 'effects', 'they', 'might', 'have', 'on', 'the', 'financing', 'of', 'Social', 'Security', 'are', 'less', 'clear.', 'This', 'increase', 'may', 'require', 'changes', 'in', 'the', 'financing', 'of', 'the', 'Social', 'Security', 'system,', 'which', 'is', 'based', 'on', 'a', 'number', 'of', 'assumptions', 'concerning', 'population', 'size,', 'employment,', 'inflation,', 'etc.', 'On', 'the', 'other', 'hand,', 'reductions', 'in', 'smoking', 'will', 'also', 'increase', 'the', 'size', 'of', 'the', 'employed', 'population', 'as', 'well,', 'and', '29', 'Ravenholt', 'estimates', 'that', 'each', 'of', 'thése', 'patients', 'had', 'smoked', 'more', 'than', '250,000', 'cigarettes', 'during', 'his', 'lifetime', '(Ravenholt,', 'in', 'press).', '60', '|', '___', 'TIMN', '218235', 'ee', 'ee', 're', 'semen', 'Te', 'TIES', 'Chee', 'eS']