Health Affairs, 23, no. 1 (2004): 177-185
doi: 10.1377/hlthaff.23.1.177
© 2004 by Project HOPE
 
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Improving Health With Tobacco Dollars From The MSA: The Arkansas Experience

Joseph W. Thompson, Fay W. Boozman, Shirley Tyson, Kevin W. Ryan, Suzanne McCarthy, Ray Scott and G. Richard Smith

Analyses of expenditures from the historic tobacco Master Settlement Agreement (MSA) demonstrate the difficulties in achieving support for long-term disease prevention and health promotion initiatives. We report as a policy case study the successful development, political execution, and program deployment of new state health programs funded by Arkansas’ MSA funds. Arkansas’ success demonstrates the need for political leadership, the development and insertion of empirical health information into the policy deliberations, in-depth knowledge of the political process, and a broad-based coalition committed to improving health.


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