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Alison Snow Jones, PhD, W. David Austin, MS, MPH, Robert H. Beach, PhD and David G. Altman, PhD

Alison Snow Jones is with the Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. W. David Austin is with the Community and Health Education Research Program of the Public Health and Environmental Division of RTI International, Research Triangle Park, NC. Robert H. Beach is with the Food and Agricultural Policy Research Program, RTI International. David G. Altman is with the Center for Creative Leadership, Greensboro, NC.

Correspondence: Requests for reprints should be sent to Alison Snow Jones, PHS/SSHP, WFUHS, Medical Center Blvd, Winston-Salem, NC 27157 (e-mail: asjones{at}wfubmc.edu).

Changing political and economic forces in 1 tobacco-dependent state, North Carolina, demonstrate how the interplay between these forces and public health priorities has shaped current allocation of Master Settlement Agreement funds. Allocation patterns demonstrate lawmakers’ changing priorities in response to changes in the economic climate; some of the agreement’s funds targeted to tobacco farmers appear to reflect objectives favored by tobacco manufacturers.

Funds earmarked for health have underfunded youth tobacco prevention and tobacco control initiatives, and spending for tobacco farmers in North Carolina has not lived up to the rhetoric that accompanied the original agreement. We discuss the implications of these findings for future partnerships between public health advocates and workers as well as tobacco control strategies.

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