A report on the "Tobacco Wars" and the situation in Iowa
Statement
of Attorney General Tom Miller -- June 25, 1998:
I was exceedingly disappointed when the Senate killed the comprehensive
tobacco bill last week. Just one year ago, on June 20, 1997, when forty
state attorneys general negotiated a prototype or framework for such
a comprehensive agreement, we presented the Congress with a superb foundation
for legislation to stop all tobacco marketing to children, raise the
price of cigarettes, slash youth smoking, mount a massive counter-marketing
campaign, regulate nicotine, and ensure justice. We handed the ball
off to the Congress and gave it an opportunity to forge an even better
comprehensive solution. For the moment, that opportunity is lost.
I say "for the moment" because Congress still can act. And
it must act. Make no mistake, this effort is about improving the public
health and protecting people -- especially our children.
There
are two compelling reasons why Congress must act, and why time is of
the essence:
First,
over the last year, more than one million children have begun smoking.
Second, one-third of them will eventually die prematurely from smoking-related
disease. In Iowa, 5,000 persons die each year from tobacco-related disease,
and they are replaced mainly by children who face a similar fate. We
cannot tolerate this kind of harm to our people and burden on our taxpayers.
I applaud
Sen. Harkin and Sen. Grassley for supporting the comprehensive legislation,
and I wish them all good fortune in efforts to revive a good bill in
Congress. It would be unconscionable for the Congress to quit without
tackling tobacco.
What
about Iowa? Our lawsuit, which was filed on November 27, 1996, continues.
It will come to trial next year, assuming no comprehensive settlement
in Washington. It contains several important causes of action that we
are pursuing aggressively, including consumer fraud and conspiracy.
However, a key part of the lawsuit was rejected by the Iowa Supreme
Court, namely the common law indemnity claim to recover the huge costs
that Iowa taxpayers pay in Medicaid to care for low-income Iowans suffering
tobacco related illnesses. If there is no comprehensive settlement,
I will again ask the Iowa Legislature to enact a clear, direct statutory
cause of action that would aid us in recovering these Medicaid costs.
Four
other states have settled their cases (FL, MS, TX, MN) for about $36
billion over 25 years. More than a billion dollars are at stake in Iowa
-- money that could be used to combat teen smoking, to cut taxes, or
to accomplish a hundred other worthy goals in our state.
Every
month, Iowa taxpayers spend millions of dollars to care for Medicaid
patients suffering from tobacco-related disease -- while tobacco companies
reap huge profits from tobacco sales, money that should be used to pay
these costs, instead of Iowa taxpayers. (Iowa taxpayers are paying twice,
in fact! Iowa smokers are paying 10-20 cents more per pack to cover
the four states' settlements, and we all are paying state Medicaid costs.)
No
state should be left behind in recovering such Medicaid funds. And I
believe no state will be left behind. Some states have received favorable
court rulings (e.g., MA and WI) and are poised for success in court
or settlement. Others received unfavorable court decisions and then
have enacted the statutes (first FL, then VT and MD) that put those
states in a strong position. Ultimately, I believe no state will be
left behind, and I will be there to ask the Iowa Legislature to make
sure this is so.
Meanwhile,
our other efforts continue on every front where we think we can have
an impact -- strengthening enforcement, and improving State laws, such
as prohibiting vending machines and requiring behind-the-counter sales
to cut shop-lifting and illegal sales.
I want
to applaud the tireless and effective efforts of our allies in the health
community, who are kindling grass roots efforts that both help cut smoking
and keep the heat on Congress -- despite Big Tobacco's $40 million public
relations campaign to scuttle the national bill.
I am
not discouraged, but I am resolved -- resolved to see this struggle
to a successful conclusion here in Iowa and in the Nation. We wage this
struggle for Iowa taxpayers, for our kids, and for our future. And I
am confident we will succeed.
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