ISLAMABAD- The pervasive influence of Pakistan’s cigarette industry on policymaking has not only exacted a toll on both the nation’s financial well-being and public health, but also caused a staggering Rs 567 billion loss in revenue over the last decade. The alarming loss of revenue was unearthed through a comprehensive study delving into the dynamics of the cigarette sector and scrutinizing Federal Board of Revenue (FBR) data by the SDPI. According to a study by the Pakistan Institute of Development Economics (PIDE), the total costs attributable to smoking-related diseases and deaths in Pakistan for 2019 reached an additional Rs 615.07 billion ($3.85 billion), with indirect costs (morbidity and mortality) making up 70% of the total cost. However, the cigarette industry managed to influence decision making, which not only resulted in Rs 567 billion loss in potential revenue but also put extra burden on the country’s fragile healthcare system, the SDPI study reveals. In its report titled “Pakistan: Overview of Tobacco Use, Tobacco Control Legislation, and Taxation”, the World Bank has also revealed that the decline in government revenue in the 2016-2017 fiscal year was carefully planned by the powerful cigarette industry. The study brings attention to the influence of multinational companies and the introduction of a three-tier excise duty structure, raising concerns about tax evasion and its adverse effects on public health. The intricate examination of associated factors indicates that safeguarding revenue streams while prioritizing public health requires a careful reevaluation of tax policies, it said. The World Health Organization (WHO) emphasizes the need to safeguard tobacco tax policies from vested interests of cigarette companies for effective development, implementation, and enforcement of public health initiatives. However, it did not happen in Pakistan, the study said.