South Korea’s National Health Insurance Service (NHIS) lost its appeal seeking compensation from major tobacco companies after the Seoul High Court upheld a lower court ruling in favor of KT&G, Philip Morris Korea, and British American Tobacco Korea today (January 15). The court agreed that NHIS lacked legal standing to claim damages, ruling that insurance payouts made to smokers with cancer merely fulfilled statutory obligations and did not constitute a legally protected interest that could support a compensation claim.
The lawsuit, originally filed in 2014, sought 55.3 billion won ($37.6 million) to recover health insurance costs for smoking-related lung and laryngeal cancer patients, arguing tobacco firms should be held liable for the financial burden imposed on the public health system. Both the lower and appellate courts rejected claims that cigarettes were defectively designed or misleadingly marketed, and found that smoking was not the sole cause of cancer. While acknowledging the growing medical costs linked to smoking—estimated at 3.8 trillion won ($2.6 billion) annually by 2023—the appellate court ordered NHIS to bear appeal costs. NHIS said it plans to take the case to the Supreme Court, framing the issue as one of public health accountability and constitutional social rights.






