© 2009 American Public Health Association DOI: 10.2105/AJPH.2008.148684
David Ahrens is with the Population Health Institute, University of Wisconsin, Madison. Correspondence: Requests for reprints should be sent to David Ahrens, MS, University of Wisconsin Population Health Institute, Madison, WI 53726 (e-mail: ahrens@wisc.edu).
In their letter in response to Franks et al.s analysis of the failure of tobacco taxes to effectively reduce smoking among lower socioeconomic status smokers,1 Farrelly and Engelen assert that concerns about the regressivity of tobacco can "easily be addressed...by earmarking revenue from cigarette excise taxes to evidence based smoking cessation interventions targeted to low income populations with the highest smoking rates."2(p582)
This is a noble sentiment, but optimistic, given political reality. After a decade of more than 100 separate state increases in tobacco taxes and strong efforts by public health advocates, there have been few instances of such an
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