AUGUSTA (AP) — The assault on tobacco use is resuming on several fronts in the State House, including denying benefits for MaineCare recipients who smoke and restricting smoking in private clubs.
Details of those and other bills are not yet fleshed out, but sponsors say they want to reduce Maine's smoking rate and drive down taxpayers' costs of treating tobacco-related illnesses.
Sen. Thomas Saviello said Friday he decided to introduce a bill to keep people receiving MaineCare — the state's Medicaid program — from receiving benefits at the suggestion of a constituent who also works in a rural health care clinic.
Saviello did not identify the woman but said she's expected to testify in favor of his bill. He said she's troubled when she sees MaineCare patients who have respiratory problems and smoke heavily, because taxpayers are subsidizing treatment for illnesses that could be avoided.
Saviello said he's not sure how much money could be saved by not having to treat smoking-related illnesses, but "I suspect it could be pretty significant."
Saviello also said he's not out to punish smokers or tell them how to live their lives. Prospects of the bill are unknown just a few weeks into the session. But regardless of how it fares, Saviello said he wants to raise the point that taxpayers are paying a price in cases like the one his constituent outlined.
"I'm making a conversation I think needs to take place," he said.
Rep. Les Fossel of Alna wants to raise the minimum age to possess tobacco from 18 to 21. Fossel, a Republican, said that would address a rising youth smoking rate in Maine that was also highlighted earlier this week by the American Lung Association of Maine.
"If you don't get addicted before you're 21, you're apt not to get addicted," said Fossel, who also sees a connection between youth smoking and the ability of 18-year-olds who are in public schools to get tobacco products.
"How do you get it out of the schools? The answer is to raise the smoking age to 21, and we'll see if it works," said Fossel.
Rep. Anna Blodgett, D-Augusta, is sponsoring a bill to bar smoking in private clubs except for enclosed areas.
Current law prohibits smoking in most buildings open to the public, including restaurants and bars. However, private clubs, such as the Elks and American Legion, are not considered "public places" because they're only open to members and their invited guests, so smoking is allowed if the club so chooses.
Blodgett said the main reason for submitting the bill is that many veterans have health issues and can't be around smoke but want to be able to be active in club functions.
The lung association is pushing legislation to discourage youth smoking by raising Maine's cigarette excise tax, now $2 per pack, by $1.50 per pack to a total of $3.50. Supporters say the higher tax is the most effective way to discourage young people from smoking.
Gov. Paul LePage opposes tax increases. As a candidate for governor, he proposed a reduction in the cigarette tax if the state could make up the loss in revenue.
Anti-smoking advocates led by the lung association say Maine has the second-lowest cigarette tax in New England, behind only New Hampshire's $1.78.



Just one more control issue
I think it is ridicuous to expect that people will admit to smoking if they might lose maine care, anymore than you can expect that someone will admit to buying crack with TANF benefits. I think that something gets lost with educated people. Seriously our politions are educated people, yet the comfort they have been priviledged to has apparently cause a disconnect with reality. The "survival mode" that a lot of low- income Mainers are in would not make this a beneficial option. These people have higher levels of addiction for many reasons and this is not the way to treat the addictions. This is the way to make people sneakier about it. This will drive up fraud and open the door to creating a caste system right here in the good ole U.S. of A. You wil have those entitled to health care and those who are not. Then you will be denying coverage to future generations because of the actions of the parents. For instance, children born addicted will not be entitled to health coverage because their parents were addicts and the child's illness is a manifestation of that addiction. It won't stop with smoking; it will be obestity, depression, alcoholism, genetic risks for cancers, mental illnesses. This type of road is a slippery and dangerous one. I believe that positive reiforments are necessary for people to want to change their lives. First you start by offering an increase in benefits for those who do not use, Stipulations are placed on teh increased funding, such as, manditory random screening to maintain the benfit. If the client fails the screening, they lose the increase, but can not be denied the base benefit. There are other ways to handle this! Please put some though into it before you simply retaliate against the citizens of Maine for your own judgements.
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I see they talk about banning smoking in clubs, but they law that I have heard so much about which says smoking in public places is banned, but I noticed people are still smoking in public places such as sidewalks. Sidewalks are public places and they don't seem to care, but they stop public from smoking in places to eat, bars and other places. I would like to see the law stop the smokers from smoking while on sidewalks as I don't like the smell of the smoke I breath in when I go by them and I have breathing problems as it is.
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If this bill were to pass then the state would in fact be discriminating against an entire group of people. Not only that, if the state is so concerned about smokers and their health care costs then they could use the outrageous cigarette taxes to pay for the medical bills of smokers. The state had a settlement from the tobacco companies to help pay for medical bills, stop smoking aids, and education about the use of tobacco but where did that go??? MaineCare refuses treatment aids to help people stop smoking. If a doctor recommends one aid and its not on the accepted treatment list a person has to jump through hoops to just get denied the treatment recommended by their doctor. My question is when did the governor or other elected officials become medical professionals??? And if we are going to continue to discriminate against smokers then could someone tell me why my tax dollars are going to support people that have baby after baby after baby and yet refuse to learn how to speak English? Could someone tell me why my tax dollars are being spent on an education system that has an entire city school system failing to meet the educational standards? Could someone tell me why my tax dollars are giving tax breaks to businesses that refuse to let white Americans enter their establishments? I think Maine has bigger problems then whether smokers should lose their health benefits if they have state funded insurance.
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Tom your crazy and I voted for you you should have let Tax payers know this before the elections. Smokers in the State of Maine seem to be the butt end of the stick!!! First as a clerk in a local store I have found Leagal teen age kids seem to have the $ to buy cigs, cigars, pipes ect just like POT and rolling papers. I see every day more of the older people who smoke quit or have cut back or roll their own with pipe tobacco, becuase they just can't afford it. But the kids can. Second why don't all you people putting in bills go do some good down to earth investigations and see what clerks and people who see it everyday instead of some pole the gov. put in place. people who smoke, drink fall on hard times should not be the ones who you should be hurting. obese people so the ones who have gone and had surgery to reduce the weight and gained it all back should be targeted to, but wait thats ok. Let the drug addicted people have the clinics to go to but we will pay for that. Lets look at the people in the State of Maine who don't work and do nothing to find work (this is not about the unemployed people who can't get work becuase they are not trying) but the ones who sit back and live off this State and take advantage of the States programs that live better then I do who works and my wife works. So to all you non smokers,and reps, and haters think of that. Look into what the State will pay for if your out of work to get you to work and see how many do this. and enjoy the bennis and work for a week and find away to get fired or they just quit. Waste of Money but put it off on the smokers of Maine
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why are we so quick to let the government take our rights away, Look at NYC for example, everyone was all yeah raise the cigarette tax a pack down there is around $12 a pack $120 a carton. OK fine, no one cares because it "those nasty smokers" but now they want to tax sugar products, and ban salt in restaurants......you will notice that when the tax or ban gets closer to you it will be too late. We will go down the road where we cant have salt when we eat out because its"bad" for us. A LOT of things are bad for us, guns, cars, weather, but i woudl rather live and take a chance then let big brother save me from myself........
On the other hand....if you are going to smoke earn your keep, and pay for you self to get better or your medical treatments, if you want to eat a high fat diet, save up some money to pay for your new heart,
This still goes back to the haves thinking the have-nots should not get a free ride.
Until the point where we decide that ALL human life is valuable this will always be a sore spot, I dont like thinking im paying for others who dont care about themselfs, but in the same reguard what if i lose my job, and then find out after not drinking i have a bad liver and you all have to foot the bill. Is it my fault?
we need to stop placing blame, Everyone pays for the care, right now it is just hidden in the cost of you co-pay, or why you 15 min office visit cost 120 dollars. why a trip to the ED can cost you 400+ dollars for some pain meds.
when people on MC are smoking a cig eatting McDonald and charge the co-pay on thier meds, that bugs the hell out of me, but is it their fault?
the system is still broken. we need an audit of the state of Maine DHHS system, they can not tell us how many people are on Mainecare, i want oversight, not to stop these 'bad' people from 'wasting' my tax money but to make sure the state is making good choices to get people healthier in the long run and spending my money to get the biggest bang for my buck....only time will tell
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So if this goes thru then we should deny Maine Care to drinkers too, right? Or no, because you really don't believe that drinking causes a multitude of illnesses either? Someone on Maine Care gets drunk and has a car accident? He shouldn't get treated, let him die at the scene right? Cuz that's self inflicted too....
Then what? Ya: let's deny health care to overweight people.....that's a great thing too. Sure ya, you can believe that it's all about eating too much......might not have anything to do with the fact that eating healthy is more expensive and 1 in 3 Maine families can't afford proper food working or not. Argue with me, go ahead, doesn't make me wrong or you right, just makes you a judgemental A$$hole
REALLY?
You know, Maine is full of ignorant people and if you want to see the best of the best of that you just come right here and read the comments from the "regulars" around here on the Sun Journal....
As for me, I get so grumpy reading some of this that I need to take another break for a few months! No wonder I have always said dogs are better than people!
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So if this goes thru then we should deny Maine Care to drinkers too, right? Or no, because you really don't believe that drinking causes a multitude of illnesses either? Someone on Maine Care gets drunk and has a car accident? He shouldn't get treated, let him die at the scene right? Cuz that's self inflicted too....
Then what? Ya: let's deny health care to overweight people.....that's a great thing too. Sure ya, you can believe that it's all about eating too much......might not have anything to do with the fact that eating healthy is more expensive and 1 in 3 Maine families can't afford proper food working or not. Argue with me, go ahead, doesn't make me wrong or you right, just makes you a judgemental A$$hole
REALLY?
You know, Maine is full of ignorant people and if you want to see the best of the best of that you just come right here and read the comments from the "regulars" around here on the Sun Journal....
As for me, I get so grumpy reading some of this that I need to take another break for a few months! No wonder I have always said dogs are better than people!
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I have to wonder why the smokers are constantly being attacked when drinkers. alcoholics, political cocktail parties, etc should also be considered a health hazard. Drug users should be considered self-conceived health hazards. There are a lot of things that could be considered---do you have high blood pressure? No MaineCare for you because you are a risk. You are 98 years old? No MaineCare for you because you are a risk. How far is the government going to go to tell people what they can or can't do. People get emphasema and they have never smoked---are they a risk because they breathe our air?
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And proud of it.
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Republicans want to keep all health care for themselves like everything else. They should include fat people and they would all be looking for health insurance themselves. You would think they would consider bills that are actually possible and would actually make a difference to Maine people. Furthermore they should look at JOBS, economy, infrastructure, and possibly doing something withing the realm of possibilities regarding health-care not limiting it to those born with silver spoons.
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Awesome, that means the taxes taken out of my paycheck will go down because Maine wouldn't tax me for something I can't get. Also the cigarette tax will be no more right because Maine wouldn't use taxes as a punishment.
I say lets build on this Bill, an alcohol or drug abuse, any STDs, pregnency is a self inflected illness, living near high EMF fields, all of Rumford, going outside in the winter without a hat, being involved in a motorvehicle accident, etc. should be included. Why not just make a bill saying as long as your healthy you will have Mainecare but once you get sick its your fault and your on your own.
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Do you honestly think a person is going to "admit" to smoking in order to stay or get on MaineCare?....My private insurance asks that question and I know for a fact that people who answer "yes" get higher premiums...If the State of Maine is going to do this, then lets be fair to the "other" addicts in the State..No more "Methadone" clinics where MaineCare not only pays for that service, but will provide you with "free" transportation to get there...no more "Detox" facilities...no more "Alcohol/Drug Rehabs"...no more, no more, no more...I am not overweight, but I do take offense to people making fun of people that are...Some have "medical" reasons for it...some don't...Yes, I agree that our "Welfare System" needs a complete overhaul...but these non-sense ways that are coming out to go about it are just that..non-sense..To the "Senator" that put this bill out.."Did you get the Governor's approval to do so?"...and to the Representative that wants to raise the smoking age from 18 to 21..are you kidding me?...Kids are going to get cigarettes no matter what there age be...
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Any test of bodily fluids will reveal nicotine. Pretty easy thing to verify,
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Not if your around second hand smoke...
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I wonder what kind of SIN related diseases won't be covered under Government controlled universal health care!!! Politics and health care!!! Well Sir good news we can treat you, but first you need to get 1000 signatures on this petition and if your treatment passes referendum you'll LIVE!!!! NO DEATH PANEL here!!!!
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But it sure sounds like something a bible belt state would do... :(
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Ya cause the Feds don't already do that.
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How About NO health care for anyone in Prison!!!!
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Have at it.....
Then they can simply sue - get both healthcare and monetary damages. And you can go back to being the Commissar of Prisons in Stalinist Russia.
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Maybe we can vote to deny Disability to anyone that did drugs in the sixty's!!!
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Then I think if this happens and singleing out a group then we should also be singleing out the drug addicts and drinkers..who cost the state tons of money from alcohol additiction and drug addiction and not make the state pay for drugs to help reduce cravings and counseling to help them learn how not to do drugs and then we should raise the tax on booze as well and then the private insurance companies should do the same cuz in the end those rates affect us all , instead its easier to say blame it on smokers..I think it has been long coming that any one getting any aid from the wonderful state of Maine should be cut...like the TANF PROGRAM AND FOOD STAAMPS TOO if your going after all these people then do it right not just singleing out a few that you dont happen to agree with. I mean people sell thier foodstamsp I have seen it happen and shudder but I also shudder to think smokers are a targeted group. MAYbe when you go home and have a drink your health care should deny you ...this is crap no matter who you are and what your thinking everyone has a right...and sorry all judges we all have vices ...but maybe if we want to judge these smokers private or public insurance should be denying everyone ....cuz its all the same in the end we all pay for it one way or another...closed minds on this subject......we pay to house the guy who has private insurance when he gets caught drinking and driving and goes to jail or when someones arrested for beating their spouse and go to jail but hey he has private insurance but hey his drinking landed him in the jail cell and my tax dollar has to pay for his stay and the court and it goes on...so please in all reality we are linked and dont give me the second hand smoke line ....who are these nuts who think up these dumb laws. How about someone who comments and smokes pot...lol should we ddeny your halth insurance too private or public and should we put you in jail cuz it is illeagal and then pay to keep you there and bring you to court....please spare me and how many of these people who target these smokers smoke pot...this is priceless
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Lets target the doctors in the State. Wiat they bring in more $ so can''''t do that. has anyone noticed everytime someone new no matter the age needs a prescription. What if the State of Maine cracked down on the medical part also. Like the doctors bilking the average joe?I don't see a bill to stop them for charging or putting people on meds they don't need cuasing more health problems! but just a dumb Mainer here
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What about obese people? Just like smokers choose to smoke, obese people choose to eat... and they have just as many health issues. Or how about we take aim at drug addicts and their health related costs? I'm sure most of them receive taxpayer-funded MaineCare Benefits.
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I think it is something that should be considered, but at the same time, there should be something in the bill that will help the ADDICTED smoker to kick his/her habit.
Not just toss them out, but have a program that to help get them off the nicotine habit.
Give them a chance, work with them, then after that, if they can't or won't quit, then consider the extreme that is proposed.
We have other such programs for drug, alcohol addiction. It cracks me up that the smoking population is always at the "butt" end these decisions.
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And this is why TAX payer money and health care don't mix!!! Sooner or later someone's going to think they have the right to chose who is covered or not!!! Smokers let em die!!! Drinkers deserve liver failure, people who get STD'S Like AIDS brought it on themselves with their lifestyle!!! No health care for them either!!! Broke your leg skiing well it say's right on the back of the ticket it's a dangerous sport your on your own!!! We are sorry 1 million dollars is to expensive to only extend your life for a few years, So we gotta let you die!!!
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What about the "baby" born with "aids" or "drug addicted" because there "Mom" did drugs or had aids prior to getting pregnant?...Should we, as a society, deny that baby healthcare?...I don't think so...
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You can't deny anyone health care in this country that is willing to pay for it themselves, yet.
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but notice that it's the REPUBLICANS are slowly inching toward 'death panels' Priceless!
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yet look at all the 'disagrees' - Whaada bunch of azzhats!!!
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I think that this Proposed Bill makes great Sense. Why should Mainers foot the Bill for someone who places them selves at risk by Smoking? only to take advantage of Maine care or other health care programs. way to go Tom Governor King attempted this at one time and there was not enought support. But now I magine there will be much support. Smokers deserve no rights.
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I think you have a right to say what you said. But the next move is I hope you don't get cancer, diamencha ect becuase you won't be able to get Mainecare in the future. So whats your vice ice cream, chocolete, pound cake, driving, healthy food Wait I got it. You just hate smokers!!!! No one in your faimly smokes? Well at least you don't know about it .
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Why target just Mainecare recipients? I'd go a step further - deny health benefits to all smokers with a taxpayer funded health plan. That would include everyone covered by Maine State Employee Health Insurance plans.
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Next, these geniuses should target the fat people who still eat!
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