Do the math. Even if you disregard the alleged productivity losses, those figures show that the expense/cost side to healthcare are over 20 times what they make from the MSA. And a good portion of the HC costs are born out in state costs at some point.
Let's put it this way: if I give you 100 bucks, but increase your costs by 2,000 bucks, did you get a deal by focusing on that 100 bucks revenue and are you trying to increase it? Or are you trying to reduce the 2,000 buck costs?
Remember we're talking congress critters and BT and FDA and big deals here. National costs, big picture.
Also, yet another way, do you really think they're not focusing on the 500,000 smoking related deaths per year? They are, but they aren't admitting it yet. You watch. It will unfold.