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MotherJones.com / News / Outfront

Up in Smoke
States promised to use the tobacco settlement to fight smoking -- but some are 
reinvesting
the money in Big Tobacco.

Michael Scherer
November/December 2002

When tobacco companies began paying $246 billion in 1998 to offset the cost of treating
smoking-related illnesses, state officials celebrated. The money, they promised, would 
go
to prevent smoking, a habit responsible for 1 in every 5 American deaths. States could
finally "do the things we all want to do," declared Governor Tommy Thompson of
Wisconsin, who now serves as secretary of Health and Human Services, "and that's the
cessation of smoking, especially with our young, and the improving of health care and
education of all our citizens."

But today, few states are devoting the money to fight smoking. Instead, some are 
handing
over the hard- won tobacco settlement to those who profit from tobacco. In North 
Carolina,
the nation's biggest tobacco- producing state, three-quarters of the $59 million spent 
so far
has gone to private tobacco producers. The state has paid for tobacco-curing equipment 
for
farmers, a new tobacco auction hall, a video to greet visitors to a state-funded 
tobacco
museum, and $400,000 in plumbing for a new tobacco processing plant. Virginia gave $2
million in marketing "incentives" to a cigarette company called Star Scientific, which 
took
the money and then sued the state to overturn the settlement. Seven states have 
actually
invested the settlement in stocks of the very tobacco companies they sued in the first 
place:
Texas has devoted an estimated $3.6 million to investments in major cigarette
manufacturers.

When states aren't returning the money to Big Tobacco, they're using it to fund all 
manner
of projects that have nothing to do with smoking. New York spent $700,000 on new carts
and sprinklers for a public golf course. Alabama devoted millions to build factories 
for
Honda, Mercedes-Benz, and Lockheed Martin, and gave some of the money to public
schools to fight satanic cults. Fresno County is using settlement money from the state 
of
California to build a juvenile jail, and Los Angeles is devoting much of its share to 
paving
streets.

All told, according to the National Conference of State Legislatures, less than 5 
percent of
the $33 billion already paid out by the tobacco industry has gone to prevent smoking. 
Just
four states fund antitobacco programs at the minimum levels recommended by the Centers
for Disease Control. And it's getting worse: Over the past year, states have slashed 
their
already meager tobacco-prevention efforts by 13 percent to help shore up budget 
shortfalls.

"It is moral treason," says Mike Moore, the Mississippi attorney general who settled 
the first
of the tobacco lawsuits. "If you don't use the proceeds from this to impact public 
health,
then what did we fight this fight for?"

As the economy has worsened, 13 states have cashed in all of their future settlement
payments -- nearly $3 billion -- and spent most of the money to rescue their 
cash-strapped
budgets. This summer, Wisconsin scrapped plans to spend $25 million on an antismoking
campaign, converted its entire settlement into bonds, and then spent all the money on a
onetime fix for its general budget.

"With all due respect to Wisconsin and their political dilemma, it's outrageous," says 
Heidi
Heitkamp, the former North Dakota attorney general who sued Big Tobacco. "I can't tell 
you
how disappointing it is for those of us who spent two years on this." Heitkamp's own 
state
has put water reclamation and flood- control projects before smoking prevention. With
some of the highest teen smoking rates in the nation, North Dakota has set aside $349
million of the settlement for water projects -- but spends just $2.3 million a year on
prevention, less than a third of the minimum CDC recommendation for the state.

Other states have an even worse record. Tennessee, Missouri, Michigan, and the 
District of
Columbia won't promise to spend any of their settlement money on smoking prevention,
and 14 other states have set aside minuscule amounts.

California is one of the few states that have bucked the trend, recognizing that 
antismoking
programs pay for themselves in the form of lower health care costs. The state's 
aggressive
tobacco-prevention program, which predates the settlement, has cut smoking rates by 50
percent since 1989. Given reduced costs for lung cancer and other tobacco-related 
disease,
California estimates that it is more than breaking even on its investment. Without such
programs, say health officials, states face a dire reality. At current rates, 6 
million American
children will die prematurely from a smoking-related disease, according to the CDC. "It
becomes a question of how many of those 6 million do we want to save," says Dr. Terry
Pechacek, associate director for science at the CDC's Office of Smoking and Health.

In some states, voters are fighting to steer the settlement money into smoking 
prevention
programs. Both Montana and Michigan put initiatives on the November ballot that would
require political leaders to spend the funds on efforts to curb smoking. But without 
such
restrictions, states will likely continue to burn through the tobacco settlement. North
Carolina, for instance, has spent $200,000 of the money to promote a horse park in
Raeford known for its steeplechases, polo matches, and funny-hat contests. The park
attracts tourists to one of the most economically depressed parts of North Carolina -- 
but
does little to help the 1 in 10 children in the state who are projected to die from 
smoking.



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This article has been made possible by the Foundation for National Progress, the
Investigative Fund of Mother Jones, and gifts
from generous readers like you.

� 2002 The Foundation for National Progress

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