Using the CTT Index and its three sub-components, we examine: resources, capacity and effort to determine whether MSA`s expenditures are related to more (or lower) tobacco control. We assume that state decision-makers make decisions to satisfy citizens` preferences (for example. B median voters) – which leads to competing interests. Thus, revenue inflows can be divided into several policy objectives and cannot necessarily be fully allocated to the area for which the funds are intended. Because MSA funds are not technically affected, they are fungible and can subsidize many public programs outside of tobacco control. To examine the extent of tobacco control “leaks,” we examined whether there is a significant relationship between MSA per capita payments and State SoTC scores and sub-components. The MSA provides for a massive financial transfer of cigarette manufacturers to the United States for the cost of treating smoking-related diseases and funding for educational programs to reduce underage smoking (see Table 1 for The Diet`s Strengths). In addition to WMA funds, four states, 4 The MSA has also established a national non-profit foundation (the American Legacy Foundation) to support research into effective tobacco programs ($250 million over 10 years) and fund an anti-smoking campaign for a total of $1.45 billion over five years. , a National Tobacco Grower Settlement Trust would provide $5.15 billion over a 12-year period to compensate tobacco quota holders and farmers for expected financial losses due to an expected decline in MSA cigarette consumption. Funding for public tobacco prevention and withdrawal programs: At the time of tobacco introduced, government officials promised to spend a significant portion of their municipal funds on programs to prevent children from smoking and to help smokers quit. While overall funding for these programs has increased, especially in the early years after the MSA, many states have subsequently cut funding and almost every state has broken its promise and failed to provide adequate funding.
In September 1950, the British Medical Journal published an article that linked smoking to lung cancer and heart disease.  In 1954, the British Doctors Study confirmed the proposal on which the government indicated that smoking and lung cancer rates were linked.  In 1964, the United States Surgeon General`s report on smoking and health also began to suggest the link between smoking and cancer. In addition, the development of the CTCI measure does not significantly measure the efforts in the field (or volunteers) that have helped to improve anti-smoking measures in many countries prior to the MSA. Although such unpaid efforts, which continue to this day, have played an important role in state tobacco control efforts and contribute to tobacco control in many countries, these efforts cannot be adequately covered by the SoTC measure. Therefore, the CTCI measure included in this analysis cannot be representative of an appropriate level of actual tobacco control policy efforts that have taken place in each state, and the results of the document must therefore be interpreted with caution. To fill this gap, the National Association of Attorneys General (“NAAG”) introduced the Allocable Share Release Repealer (ASR Repealer) in late 2002, a model status that eliminated the RSA.