As mentioned above, the so-called primary goals of WMA funding to states were Medicaid services for smoking-related diseases and educational programs aimed at reducing underage smoking. In the late 1990s, it was assumed that states would be willing and able to spend the revenues for the stated purposes. Finally, Medicaid was certainly a “budget buster” for all states and required additional revenue. In other areas of the programme, countries have benefited from the booming economy dot.com decade and most of them had budget surpluses.12 The main political problem in many countries was the extent of the reduction and/or tax savings. Warner4 said, “During a brief historical moment, the air was not filled with smoke, but with optimism that all states would soon have credible and comprehensive tobacco control programs in place.” The Master Settlement Agreement (MSA) is an agreement reached in November 1998 between the Attorneys General of 46 states, 5 U.S. territories, the District of Columbia and the four largest tobacco companies in America on the advertising, marketing and advertising of cigarettes. In addition to requiring the tobacco industry to pay billions of dollars a year to housing countries forever, the MSA has also imposed restrictions on the sale and marketing of cigarettes by participating cigarette manufacturers. More detailed studies of each country have confirmed these results of the mix of efforts and effects in general. According to the Center for Tobacco Control Research and Education, California`s tobacco policy was “stalled and stalled” between 1999 and 2001,42 with the Davis administration refusing to spend large amounts of MSA credits on anti-smoking programs for youth. Others, however, have found that California`s record has become much more positive in recent years. 25.43 in Massachusetts, 44 North Carolina (like other tobacco-producing countries) faced serious budgetary problems until 2003 because the state was unwilling to invest a large part of its MSA funds in its stock.44 North Carolina (like other tobacco-producing countries) has devoted much more of its MSA resources to tobacco producers and their municipalities than to tobacco control efforts.
that the state has used MSA funds to support North Carolina`s initiatives, a number of obesity reduction programs46 These, including physicians who work for greater public health by relentlessly reducing tobacco use, must become politically more active and realistic in their expectations of the resulting policy outcomes.