Medical University of South Carolina THE RURAL INTERDISICPLINARY PRACTICUM Lowcountry AHEC Funded by USDHHS, PHS, Bureau of Health Professions Grant No. D36HP16004 1 Cigarette Tax for Health Care: A Rural Perspective Considering the positive and negative impact on rural agriculture, communities, and health, should the South Carolina legislature increase the cigarette tax to fund health care? For example should it fund: Smoking cessation programs for youth and/or adults? Medicaid “matching funds” in order to increase Medicaid services and/or broaden eligibility criteria to increase the number of recipients? Children’s Health Insurance Program (CHIP) for children of families at or below 200% of the federal poverty level? Pprivate health insurance subsidies for low-income workers in small businesses? Research and promotion of healthy lifestyles with food grown in South Carolina? Marketing of South Carolina grown, nontobacco agricultural products by the Department of Agriculture? Maternal-child health programs by the Department of Health and Environmental Services? Proposed Legislation Cigarette Tax Increase, H. 4888, 116th Session. (2006). Retrieved May 4, 2006, from http://www.scstatehouse.net/sess116_2005-2006/bills/4888.htm Small Business Health Insurance Premium Act, H. 4850, 116th Session. (2006). Retrieved May 4, 2006, from http://www.scstatehouse.net/sess116_2005-2006/bills/4850.htm Suggested References Health Insurance Coverage Henry J. Kaiser Family Foundation. (n.d.). Health insurance coverage & uninsured: South Carolina. In Statehealthfacts.org. Retrieved May 4, 2006, from http://www.statehealthfacts.kff.org/cgi-bin/healthfacts.cgi? Henry J. Kaiser Family Foundation, The Kaiser Commission on Medicaid and the Uninsured. (2003, September). Health insurance coverage in rural America. Retrieved May 4, 2006, from http://www.kff.org/uninsured/4093.cfm Henry J. Kaiser Family Foundation, The Kaiser Commission on Medicaid and the Uninsured. (2006, January). The uninsured: A primer. Retrieved May 4, 2006, from http://www.kff.org/uninsured/7451.cfm Muskie School of Public Service. (2005, December). Out-of-pocket spending and the rural uninsured. Retrieved May 4, 2006, from http://muskie.usm.maine.edu/research/Publications/rural/wp33.pdf National Center for Health Statistics. (2006, March 27). Metropolitan/nonmetropolitan data: Health care coverage and federal programs. In Health, United States, 2005. Retrieved May 4, 2006, from http://www.cdc.gov/nchs/products/pubs/pubd/hus/metro.htm Robert Wood Johnson Foundation. (2006, April). Cover the uninsured week: Facts and figures. Retrieved May 4, 2006, from http://covertheuninsured.org/factsfigures/ Medical University of South Carolina THE RURAL INTERDISICPLINARY PRACTICUM Lowcountry AHEC Funded by USDHHS, PHS, Bureau of Health Professions Grant No. D36HP16004 Robert Wood Johnson Foundation. (2006, April). The coverage gap: A state-by-state report on access to care. Retrieved May 4, 2006, from http://www.rwjf.org/files/newsroom/CoverageGap0406.pdf Robert Wood Johnson Foundation. (2006, April). Policies and strategies. Retrieved May 4, 2006, from http://covertheuninsured.org/policycenter/ Rural Policy Research Institute. (2005). The impact of welfare reform on health insurance coverage in rural areas. Rural Policy Brief, 10(6), 1-8. Retrieved May 4, 2006, from http://www.rupri.org/healthpolicy/Pubs/PB2005-6.pdf Simpson, K. N., & Bradford, D. (2005, April 9). Economics of financing Medicaid in South Carolina. Paper presented at a public forum of the League of Women Voters of the Charleston Area, Charleston, SC. Retrieved May 4, 2006, from http://jonathan.con.musc.edu/erkelea/SCRIPT/ South Carolina Appleseed Justice Center. (n.d.) Medicaid facts (Fact Sheet). Retrieved May 4, 2006, from http://www.scjustice.org/pdfs/MedicaidFacts.pdf U.S. Census Bureau. (2006, March 2). Health insurance data. Retrieved May 4, 2006, from http://www.census.gov/hhes/www/hlthins/hlthins.html U.S. Department of Health and Human Services. (2006, March 31). Poverty guidelines, research, and measurement. Retrieved May 4, 2006, from http://aspe.hhs.gov/poverty/index.shtml Tobacco-Related Information Brimelow, P. (1994, July 4). Thank you for smoking [Electronic version]. Forbes. Retrieved May 4, 2006, from http://www.lewrockwell.com/orig/brimelow1.html Campaign for Tobacco-Free Kids. (2005, November 20). State tobacco settlement: South Carolina. Retrieved May 4, 2006, from http://www.tobaccofreekids.org/reports/settlements/state.php?StateID=SC Campaign for Tobacco-Free Kids. (2005). The toll of tobacco in South Carolina. Retrieved May 4, 2006, from http://www.tobaccofreekids.org/reports/settlements/toll.php?StateID=SC Campaign for Tobacco-Free Kids. (2006). Tobacco taxes—State (Fact Sheets). Retrieved May 4, 2006, from http://www.tobaccofreekids.org/research/factsheets/index.php?CategoryID=18 Capehart, T. C. (2003). U.S. tobacco industry responding to new competitors, new challenges. Amber Waves, 1(4), 14-21. Retrieved May 10, 2006, from http://www.ers.usda.gov/AmberWaves/September03/pdf/featuretobaccosept2003.pdf Capehart, T. (2005, November). Trends in U.S tobacco farming (Outlook Report No. TBS257-02). Retrieved May 4, 2006, from http://www.ers.usda.gov/publications/tbs/nov04/tbs25702/ 2 Medical University of South Carolina THE RURAL INTERDISICPLINARY PRACTICUM Lowcountry AHEC Funded by USDHHS, PHS, Bureau of Health Professions Grant No. D36HP16004 3 Capehart, T. (2006). U.S. tobacco sector regroups. Amber Waves, 4(1), 2. Retrieved May 4, 2006, from http://www.ers.usda.gov/AmberWaves/February06/Findings/findings_mt1.htm Durham, R. (1998, March). Tobacco farmers and conversion [Electronic version]. The Prism. Retrieved May 4, 2006, from http://www.ibiblio.org/prism/mar98/tobacco.html Fisher, L. (2000). Tobacco farming and tobacco control in the United States [Electronic version]. Cancer Causes and Control, 11, 977-979. Retrieved May 4, 2006, from http://www.hsph.harvard.edu/cancer/risk/tobacco/resources/tobacco_notes/tobacco _notes_11_997_2000.pdf McMahon, C. (2006, February 10). State cigarette excise tax rates & rankings (Campaign for Tobacco-Free Kids Fact Sheet). Retrieved May 4, 2006, from http://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf Panchamukhi, P. R. (2000, January). Agricultural diversification as a tool for tobacco control [Electronic version]. Paper presented at the WHO International Conference on Tobacco Control Law, New Delhi, India. Retrieved May 4, 2006, from http://www.who.int/tobacco/media/en/PANCHIMUKHI2000X.pdf Phillip Morris International. (2005). Tobacco farming: From seed to cure. Retrieved May 4, 2006, from http://www.philipmorrisinternational.com/PMINTL/pages/eng/ourbus/Farming.asp U.S. Department of Agriculture, Economic Research Service. (n.d.) Tobacco. Retrieved May 4, 2006, from http://www.ers.usda.gov/Browse/Crops/Tobacco.htm U.S. Department of Agriculture, Economic Research Service. (2005, October 3). Briefing room: Tobacco. Retrieved May 4, 2006, from http://www.ers.usda.gov/Briefing/tobacco/ U.S. Department of Agriculture, Economic Research Service. (2006, April 26). State fact sheets: South Carolina. Retrieved May 4, 2006, from http://www.ers.usda.gov/StateFacts/SC.htm The World Bank. (2001). The economics of tobacco control: Myths and facts. Retrieved May 4, 2006, from http://www1.worldbank.org/tobacco/faq.asp#topg Yeargin, W. W. (n.d.) Tobacco heritage. Retrieved May 4, 2006, from http://www.tobaccoheritage.com/