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Review Magazine - Politics

The Debate Over Proposal Four

 

by Robert  E. Martin

 

One of the more critical proposals on the Michigan ballot this

November is the controversial Proposal 4.  In the interest of better

informing the electorate, we present the following analysis on 'Prop 4',

beginning with the actual wording.
A PROPOSED CONSTITUTIONAL AMENDMENT TO REALLOCATE THE "TOBACCO SETTLEMENT

REVENUE" RECEIVED BY THE STATE FROM CIGARETTE MANUFACTURERS
The proposed constitutional amendment would:
 Annually allocate on a permanent basis 90% (approximately $297 million) of

"tobacco settlement revenue" received by state from cigarette manufacturers

as follows: $151.8 million to nonprofit hospitals, licensed nursing homes,

licensed hospices, nurse practitioners, school-linked health centers and

Healthy Michigan Foundation; $102.3 million to fund programs to reduce

tobacco use, Health and Aging Research Development Initiative, Tobacco-Free

Futures Fund, Council of Michigan Foundations and Nurses Scholarship

Program; and $42.9 million to the Elder Prescription Drug Program.
Guarantee recipients funding at 2001 appropriation levels plus additional

state funds on an escalating basis for nonprofit hospitals, licensed

nursing homes, licensed hospices and nurse practitioners.
Vocal Opposition
Opponents to this Proposal assert that some of the country's most

powerful lobbies are aiming to reach deeper into the pockets of taxpayers

and take back the Michigan Merit Award Scholarship money that the

legislature allocated from the tobacco settlement and that has been

promised to students since 1999.
The award is granted to Michigan high school students who pass the Michigan

Educational Assessment Program test. Students are given up to $2,500 to

attend in-state colleges and universities and $1,500 for out-of-state

schools. Some students opt to split the award money between their freshman

and sophomore years of college.
Because the legislature, which consists of elected representatives, decided

to allocate tobacco settlement money to educational programs designed to

alleviate the burden of higher education on middle class families,

opponents claim that private organizations are trying to get their hands on

90% of the annual $300 million of tobacco settlement funds through a

constitutional amendment that subverts the power of elected officials to

allocate funds.  Moreover, there are no provisions for oversight of those

funds.
Because no strings are attached to the tobacco money, the legislature of

each state determines allocations, and it does not have to attach to health

initiatives of any kind.  Some of the funds have also been spent on health

research as well as to the general fund for police protection, but it is

important to understand that there is no 'mandate' as to how any state must

spend the money.  For example, in the state of North Carolina, some of

their tobacco settlement money is spent on drying kilns for tobacco farmers.
Former attorney general Frank. J. Kelley is perhaps the most vocal opponent

of Proposal 4, and recently joined the growing ranks of People Protecting

Kids & the Constitution, the lobbying group opposing Prop 4.
"The original idea of suing tobacco companies began in 1994 as the

brainchild of attorneys general Mike Moore of Mississippi, Hubert Humphrey

of Minnesota, myself and a few other attorneys general," explains Kelly.
"We knew full well that no one had been very successful in suing tobacco

companies in the past. Therefore, we would have to come up with a unique,

provable theory of damages to sustain a successful suit. And, as it turned

out, we did."
"We planned that each state would sue for health damage costs paid by the

state to treat its citizens and its own retirees for cancer, emphysema,

heart disease and other illnesses that the state would claim were cause by

an addiction to cigarettes and other tobacco products."
"We eventually would get 50 state and 4 territories to start suits in each

state and territory, thus forcing the tobacco companies to defend 54

multimillion-dollar lawsuits at one time - something they never had to do

before. Tobacco companies for the first time were paying many millions of

dollars a month to defend these suits."
"The threat of billions of dollars in damages that could come from these

suits proved too much to bear for the tobacco companies, and they began a

dialogue with the state attorneys general to try to settle all the

litigation," continues Kelley.
"When I started the suit for Michigan in 1996, it was on behalf of the

State of Michigan by and through Frank J. Kelley, attorney general. I had

the cooperation of Governor John Engler and the state agencies involved."
"My staff asked hospitals, health groups and other private health agencies

to help me by joining in the lawsuits and assist by proving their damages

as well as mine. NO hospital or health group would join me, help me

financially or render assistance. On a personal level, Dr. Ron Davis, who

was representing the Michigan Medical Association, endorsed my suit, and so

did Raj Weiner."
"Sparrow Hospital, which was not a part of the petition drive and current

ballot proposal, provided me a room for my initial press conference

announcing the suit."
"Other than that, as a matter of fact, no other hospital or private health

organization would help me. They gave me no encouragement. Newspapers at

the time said my effort was foolish and that I was being anti-business."
"Ironically, the very same groups who would not help me or join forced with

me in my tobacco case - and never claimed damages in the case - now want to

steal from the State Treasury my yearly damage payments that Big Tobacco is

court-ordered to pay the state for its losses - not private hospitals,"

asserts Kelley.
"Without any help or encouragement from out state's hospitals or their

administrators, I recovered the largest lawsuit damage award in our state's

history, approximately $8-1/2 billion. With interest and inflation it was

computed to go as high as possibly $16 billion. And these payments will go

on indefinitely, as long as the defendant tobacco companies are doing

business in my state."
"As a footnote, I want you to know that the people who are pushing this

greedy tobacco proposal claim that as a 501C they would account for the

money they received from this scheme to the public. That is a deliberate

misrepresentation."
"They were well aware at the drafting of the proposal that under a

published opinion of the attorney general, Volume 1989-90, Opinion No.

6563, at pages 34 and 35, it clearly points out that private bodies such as

those trying to get their hands on this money are not subject to the

Freedom of Information Act."
"As a matter of law, they would have their hands on $300 million a year of

the people's monies that should go to their public treasury. These wrongful

takers wouldn't have to publicly account for a penny of it."
Recently, the Michigan State University Board of Trustees also came out in

opposition to the so-called 'Citizens For a Healthy Michigan' proposal,

noting that it is 'unhealthy public policy.'
Voices of Support
Supporters of the Healthy Michigan Amendment claim that Michigan continues

to rank last in the nation for failing to use any of its tobacco settlement

money to protect kids from tobacco.
A coalition of health care and anti-tobacco groups is pushing for the

Healthy Michigan Amendment, which would direct 90 percent of the state's

$8.5 billion tobacco settlement toward health care programs. A large

portion of that money now is used to pay for the Merit scholarship program.
They claim if Prop 4 passes, $45 million per year will be earmarked for

tobacco prevention.
The U.S. Centers for Disease Control and Prevention (CDC) recommends that

Michigan spend a minimum of $54.8 million a year to have an effective,

comprehensive tobacco prevention program.

Recently the Michigan Legislature missed an opportunity to fund a

comprehensive tobacco prevention program when it failed to provide any

money for that purpose even while increasing the state cigarette tax by 50

cents.
"By failing to fund tobacco prevention, Michigan's leaders have let down

the state's kids and taxpayers," said Matthew L. Myers, President of the

Campaign for Tobacco-Free Kids.
Only four states - Maine, Minnesota, Mississippi and Maryland - currently

fund tobacco prevention programs at the minimum levels recommended by the

CDC.  Given this fact, supporters claim that the money was not intended to

fund any scholarship programs, but to ease the strain the state's medical

infrastructure has felt in dealing with tobacco-related diseases.
Supporters of Prop 4 also feel that lawmakers view the tobacco fund as a

way out of Michigan's budgetary problems and that the money should not be

used to patch the hole in this election year's shoddy budget.
Supporters of Prop 4 also feel that the scholarship program, while

worthwhile, only helps a limited number of students through two years of

college.  As one parent noted off-the-record, "I make $400,000 a year and

my kid got offered a $2,500 scholarship. Frankly, I find that embarrassing."
Supporters of Prop 4 also point out that some Michigan public universities

and education organizations also attacked the Healthy Michigan Amendment

because they are benefiting from the politicians' raid of the tobacco

settlement.
Michigan universities have boosted tuition 20 percent on average in the

past four years alone. They have also pocketed 20 percent increases in

state funding over the past four years, while Michigan's health care

providers have received about 3 percent more in state funding over the same

period.
Conclusion - Good Cause, Bad Precedent
While it is undeniably true that the Michigan Legislature should

have allocated more funding from the tobacco-settlement to health care

concerns, given the fact that the Engler Administration has underfunded

many health concerns such as long term care for the elderly, along with

reimbursing hospitals for Medicare payments, the thought of writing this

special dedicated funding into the Constitution sets a dangerously bad

precedent.
The fact remains that we elect our legislators to make spending decisions

and our recourse, if dissatisfied with their decisions, is found in the

voting booth.
Moreover, as former Attorney General Frank Kelley points out, a loophole

exists that these private organizations would neither have to account nor

report how they spent that money to the public.
This sets a dangerous precedent.
The bottom-line - worthwhile cause, but bad law.

 

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