Securitization of tobacco settlement payments to reduce states' conflict of interest

Health Affairs
Jody Sindelar, Tracy Falba

Abstract

Securitization of the Master Settlement Agreement (MSA) payments from tobacco companies is hotly debated in states and policy circles. Securitization is issuing a bond backed by future payments in return for up-front money. Many public health advocates are strongly against securitization. However, securitization itself does not rob states of tobacco control. Rather, the issue is lack of commitment to tobacco control by states. Further, securitization can mitigate states' conflict of interest between keeping tobacco companies fiscally healthy to ensure their MSA payments and reducing tobacco sales for health reasons. States should not align with tobacco companies with the common interest of keeping tobacco companies fiscally healthy.

References

Jan 13, 2004·The New England Journal of Medicine·Steven A Schroeder

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