Illinois Healthcare News| January 2, 2019
Illinois 35th in hierarchy of funding tobacco use prevention for kids
Nationwide, Illinois ranks 35th in funding for programs to prevent youths from using tobacco and to help smokers quit, according to a report released in mid-December by leading public health groups.
Since the 2019 National Health Index recently released by Healthgrades ranked Chicago as the 54th best city in the country for healthcare, there is still room for improvement, and smoking policies might be a good way to do that.
Seven associations and foundations released the report
Seven associations and foundations focused on analyzing tobacco-related health issues came together to work on the report – “Broken Promises to Our Children: A State-by-State Look at the 1998 Tobacco Settlement 20 Years Later”. The Campaign for Tobacco-Free Kids, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, the Robert Wood Johnson Foundation, Americans for Nonsmokers’ Rights and Truth Initiative all contributed to the report. 2018 was chosen for the release because exactly two decades have passed since the landmark 1998 legal settlement between tobacco companies and the states. Under that agreement, the companies were obliged to pay over $200 billion within a certain period of time as compensation for tobacco-related health care costs.
The novelty of this paper is the data concerning the growing epidemic of youth e-cigarette use in America, which the present report challenges states to acknowledge. The need to do more to fight regular tobacco use is also highlighted.
Who are the Americans most affected by tobacco addiction?
Smoking is responsible for about 1 in every 5 deaths, and is the leading preventable cause of disease and death in the U.S. Health problems smokers and passive smokers experience include increased risk of developing heart attack, stroke, lung cancer and many other cancers.
Anti-smoking campaigns and regulations are proving effective, since fewer Americans are smoking and those who do smoke are smoking less than in previous years. However, the report stresses that continuous efforts are needed because 25 percent of all adults are still smoking, and so are nearly 1 in 6 young people.
Even though smoking within the US has reduced to record lows – 14 percent among adults and 7.6 percent among high school students – each year, tobacco use causes about $170 billion in health care expenses. Despite all efforts to treat tobacco-related health conditions, more than 480,000 Americans lose their lives to such conditions each year.
There are still significant disparities between the smoker and non-smoker categories, the report says that smoking rates are higher among people with lower income and less education, with the Midwest and South being more affected than other regions. Also, certain minority groups such as American Indians/Alaska Natives, members of the LGBT communities, those who are uninsured or are on Medicaid, and those with mental illness count more smokers among their numbers than the rest of the country.
E-cigarette smoking – increasing alarmingly among young people
According to the report, the e-cigarette smoking epidemic among young people skyrocketed by 78 percent this year, rising to 20.8 percent. Most of this growth was attributable to Juul, a very popular product, which comes in various flavors and is easy to dissimulate. This e-cigarette also delivers a high dose of nicotine, which makes it very desirable to high school students. In 2018, more than 3.6 million middle and high school students were smoking e-cigarettes – an alarming increase of 1.5 million in just one year.
States can decrease tobacco use nationwide by funding tobacco prevention and cessation programs at the CDC’s recommended levels. Reality check: most states are still far behind in the program, and health issues do not wait for any new regulations.
- The states will spend only 2.4 percent ($655 million) of the $27.3 billion they collect this year from the tobacco settlement and tobacco taxes, on tobacco prevention programs.
- The CDC recommends $3.3 billion to be spent on tobacco use prevention programs, but the states only budget $655 million for that. No state funds tobacco prevention programs at CDC-recommended levels, and only Alaska and California give even 70 percent of the recommended funding.
- Well-funded, sustained tobacco prevention programs do work; the numbers are clear. One of the longest-running programs, implemented in Florida, has brought the high school smoking rate down to 3.6 percent, one of the lowest rates ever reported by any state.
Almost 21 percent of Illinois high school students smoke regular or electronic cigarettes
Urgent measures are needed in Illinois also. The state of Illinois has spent $9.1 million in 2018 on tobacco prevention and cessation programs, which is just 6.7 percent of the $136.7 million recommended by the Centers for Disease Control and Prevention (CDC).
Here, 7.6 percent of high school students smoke cigarettes, while 13.2 percent use e-cigarettes, making a total of almost 21 percent of smokers. Annual tobacco use takes 18,300 Illinois lives and costs the state $5.5 billion in health care related costs.
Even though it will collect $1.1 billion in revenue this year from the 1998 tobacco settlement and tobacco taxes, Illinois will only spend 0.9 percent of it on tobacco prevention programs.
This amount seems to be almost nothing, compared to the $291.5 million tobacco companies spend each year to market their deadly and addictive products in Illinois. This spending by tobacco companies is more than 32 times what the state spends on tobacco prevention. U.S. tobacco companies spend over $1 million every hour on marketing, a whopping $9.5 billion a year.
In the current budget year, Fiscal Year 2019, the states will collect $27.3 billion from a combination of the tobacco settlement and taxes in Fiscal year 2019, but the budget for programs to prevent kids from smoking or encouraging them to quit will only get 2.4 percent of that amount.
Health advocates urge for stronger tobacco prevention programs in Illinois
Illinois needs better tobacco use prevention programs, the report says. Health advocates are also urging the incoming Legislature and Governor-elect J.B. Pritzker to enact legislation raising the tobacco sale age to 21 in 2019. Outgoing Gov. Bruce Rauner vetoed such a measure earlier this year.
“Illinois is putting kids’ health at risk and burdening taxpayers with higher tobacco-related health care costs by continuing to shortchange tobacco prevention programs,” said Matthew L. Myers, President of the Campaign for Tobacco-Free Kids. “Illinois leaders cannot let their guard down as tobacco is still the No. 1 cause of preventable death and e-cigarettes threaten to addict another generation. To help win this fight, Illinois should raise the tobacco age to 21 and do its part to make the next generation tobacco-free.”