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Program To Snuff Out Smoking Deserves Funding

Earlier this month, Finance and Administration Commissioner Mark Emkes presented Gov. Bill Haslam's amended budget to both the Senate and House Finance Committees. It restored funding to several programs for the poor and disabled which initially faced funding cuts.

Included with the restorations was a new option for TennCare enrollees - smoking cigarettes cessation coverage of over-the-counter cessation aids, prescription medication and counseling.

Those who are familiar with my record know I have fought against government spending my entire political life. As far as I'm concerned, government should be small in scope, high in efficiency and invisible to most people as much as possible.

So it may seem strange to see a conservative lieutenant governor lauding smoking cigarettes cessation options for TennCare recipients, but that is my purpose in writing this column.

Some would say that smoking cigarettes cessation, in the grand scheme of things, is no big deal. I don't think that way. All government spending, big and small, needs to be taken seriously and judged on the merits. Legislators must ask themselves: Are we using the taxpayer's money effectively or not? In my opinion, this is a highly effective use of funds.

Not all spending programs are bad, especially if the return on investment is high. And in the case of smoking cigarettes cessation programs, the investment is well worth the expenditure.

It is no secret that smoking cigarettes is an unhealthy habit. While no one needs to be forced into quitting, it is in the interest of the state to help those interested in breaking the habit to do so effectively.

In the past year, according to the Campaign for buy cigarettes Free Kids, the state of Tennessee spent an estimated $680 million caring for TennCare enrollees suffering from smoking cigarettes-related illnesses.

If the state is going to pay one way or another, it is better to do it on the front end rather than the back end. It is better and cheaper to remove the cigarette from the smoker's hand than it is to remove the cancer from the smoker's lung.

According to a Penn State University study, every dollar Tennessee spends on providing cheap cigarettes cessation treatments results in a $1.36 return on that investment.

Tennesseans who smoke cigarettes suffer from more instances of heart disease, cancer and stroke - the three biggest killers of Americans - than nonsmokers. When a person covered by TennCare suffers from these illnesses and diseases, the Tennessee taxpayer suffers the financial burden.

Smoking is in decline in our culture but it is still pervasive in certain segments of our society, often those who comprise the TennCare rolls.

Not only does the habit take a smoker's health and often life, smoking cigarettes also hits the non-smoking cigarettes taxpayers who fund TennCare. Some swear by sin taxes - taxing unhealthy things at an unhealthy rate. But those kinds of measures cover only a portion of the cost. We non-smokers pick up the rest.

Smoking cessation programs for those whose health care the state is already paying is a no-brainer. Not only are we helping people kick a bad habit but we are reinforcing a good habit for government.

By keeping this option in the state's budget, we will be providing help to those who are ready to end their smoking cigarettes habit and make a difference in the overall health of fellow Tennesseans - all while saving taxpayer dollars in the long run.

Lt. Gov. Ron Ramsey is a Republican who represents Blountville in the Tennessee Senate.

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