Broken Promises to Our Children:
A State-by-State Look at the 1998 State Tobacco Settlement 17 Years Later
Sources: State Data
State Revenue Estimates. State revenue estimates reflect our understanding of the consequences of implementing the decisions reached by the arbitration panel in the Non-Participating Manufacturers (NPM) Adjustment arbitrations in 2013, the implementation of the March 2013 settlement between 22 States and the Participating Manufacturers, and the August 2015 settlement between the Participating Manufacturers and the State of New York. As some issues remain the subject of litigation, the actual revenues might differ from these estimates.
Estimated annual tobacco company marketing in state
U.S. Federal Trade Commission (FTC), Cigarette Report for 2012, 2015, https://www.ftc.gov/system/files/documents/reports/federal-trade-commission-cigarette-report-2012/150327-2012cigaretterpt.pdf. FTC, Smokeless Tobacco Report for 2012, 2015, https://www.ftc.gov/system/files/documents/reports/federal-trade-commission-smokeless-tobacco-report-2012/150327-2012smokelesstobaccorpt.pdf. Data for top 5 manufacturers only. State total is a prorated estimate based on cigarette pack sales in the state.
Ratio of tobacco company marketing to spending
Estimated annual tobacco company marketing in state divided by state spending on tobacco prevention as reported in this new report.
Adult Smoking Rates. State adult smoking rates: 2013 BRFSS, Behavioral Risk Factor Surveillance System.
Youth Smoking Rates. State youth smoking rates: Youth Risk Behavioral Surveillance (YRBS); Youth Tobacco Surveillance (YTS); and state-specific surveys.
Smoking-Caused Deaths. Includes deaths caused by cigarette smoking but not deaths caused by other forms of combustible tobacco or smokeless tobacco products, which are expected to be in the thousands per year. CDC, Best Practices for Comprehensive Tobacco Control Programs—2014, http://www.cdc.gov/tobacco/stateandcommunity/best_practices/.
Smoking-Caused Healthcare Costs. CDC, Best Practices for Comprehensive Tobacco Control Programs—2014, http://www.cdc.gov/tobacco/stateandcommunity/best_practices/, Health costs do not include estimated annual costs from lost productivity due to premature death and exposure to secondhand smoke.
Residents' state & federal tax burden from smoking-caused government expenditures. Based on data from: CDC, Best Practices for Comprehensive Tobacco Control Programs, 2014; CDC, Data Highlights 2006; Xu, X et al., “Annual Healthcare Spending Attributable to Cigarette Smoking: An Update,” American Journal of Preventive Medicine, 48(3): 326-333, 2015; CDC, "Medical Care Expenditures Attributable to Smoking -- United States, 1993," MMWR 43(26): 1-4, July 8, 1994.
Broken Promises to Our Children