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An “F” for a cigarette tax — the federal government’s cigarette tax is 39 cents per pack, well below the “F” standard of anything just less than 60 cents a pack.
A “D” for failing to ratify the World Health Organization’s Framework Convention on Tobacco Control, a treaty designed to limit smoking’s health risks worldwide. The Bush Administration again “neglected to submit the treaty to the Senate for ratification,” the report card said.
The report card also faulted the federal government for not doing more to increase access to smoking-cessation programs, Billings said. “While the Medicare drug program covers smoking-cessation drugs, the federal government does not require state Medicaid programs to cover cessation treatments and services for Medicaid recipients,” he said. This, despite the fact that people receiving Medicaid smoke at almost a 60 percent higher rate than the national average, he added. On the state level, no state earned a straight A. “Hawaii, Maine, Massachusetts and Rhode Island received the best grades,” Billings said. But even these states fell short in at least one grading categories, including smoke-free air laws, amount of state cigarette tax, funding for tobacco-cessation programs, and covering tobacco-cessation treatments for Medicaid recipients and state employees, Billings said. The states with the worst grades — all Fs — were Alabama, Kentucky, Missouri, North Carolina, South Carolina, Virginia and West Virginia, according to the report. Twenty-three states plus the District of Columbia and Puerto Rico have enacted comprehensive smoke-free air laws that protect almost all workers from exposure to secondhand smoke, Billings said. Fourteen states got an “F” in this category, he said. In 2008, only Massachusetts, New Hampshire, New York and the District of Columbia raised cigarette taxes. The average state tax is $1.19 per pack, Billings said. New York state has the highest tax at $2.75 a pack; South Carolina has the lowest at 7 cents a pack. Billings said that only Alaska and Delaware funded tobacco-cessation programs to the level recommended by the U.S. Centers for Disease Control and Prevention. “Tragically, 42 states received “Fs” in this category,” he said. The CDC estimates that smoking costs the U.S. economy more than $193 billion each year, including $96 billion in health-care costs and $97 billion in lost productivity, Connor said. The way to stem this loss of lives and money is through strong tobacco control laws, Connor said. But not enough is being done, he said, adding that he hopes the new Obama administration will be more active in supporting tobacco control. “Firstly, the Congress must give the U.S. Food and Drug Administration authority over tobacco products,” Connor said. “State governments must step up and fully fund tobacco-cessation programs, increase cigarette taxes, and pass comprehensive smoke-free air laws.” Reaction to the report was strong. Dr. James Rohack, president-elect of the American Medical Association, said in a prepared statement, “This new report confirms that weak government tobacco policies fail to support smokers’ efforts to quit, and fail to discourage teens from smoking.” He added, “The AMA encourages federal and state lawmakers to pass legislation that invests in tobacco prevention programs and will help Americans quit using tobacco and protect them from exposure to second-hand smoke.” Vince Willmore, vice president for communications at the Campaign for Tobacco-Free Kids, said: “This report underscores that we know how to win the fight against tobacco use in the United States, but need strong political leadership to implement proven solutions at all levels of government.” “This report lays out a roadmap for the federal and state governments to follow, beginning with Congressional enactment of FDA regulation of tobacco products,” he added. David Sutton, a spokesman for Altria Group Inc., the parent company of the tobacco giant Philip Morris, said: “We sell our products only to adult consumers. We are looking for folks who choose to smoke who are of legal age to do so. We are going to compete for their business, but we are not looking to recruit new smokers and we certainly don’t want anyone under age using tobacco products of any kind.” Sutton said Philip Morris is “opposed to excise taxes on cigarettes and tobacco products because they unfairly burden adult tobacco consumers.” The company supports the efforts of smokers who want to quit and endorses having the FDA regulate tobacco products, he said. More information: http://104Smoking.com