Abstract
BY MOST accounts, political and public health leaders of California should be proudly blowing their horns over success of state's widely acclaimed antitobacco campaign, which some are calling the most successful public health intervention since invention of sewers. In 1988, voters of California overwhelmingly passed Proposition 99 (known as Prop 99), which raised state cigarette tax 25 cents a pack to fund a comprehensive tobacco control program. Since then, smoking prevalence has fallen nearly three times faster in California than in rest of nation. California's Tobacco Control Program is credited with reducing number of smokers by 1 million and number of cigarettes smoked by 1.1 billion packs. In addition, California Department of Health Services estimates that state saved more than $386 million in health care costs for treating tobacco-related diseases in 1993 alone. However, horns that are blowing—in
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