Voters also should be concerned about the lack of accountability under Proposition 29. The nine-member board of the new agency would comprise representatives from three University of California campuses and three of the state's federally recognized cancer centers, as well as a physician from an academic medical center and two members from advocacy groups. It would have no one representing the public, no one to stand up for the idea that taxpayer money should be spent efficiently and fairly, to ensure that salaries aren't exorbitant and that money doesn't get sent out of state, among other things. Although there are rules preventing a board member from voting on a grant application from his or her own organization, there is too much opportunity for mutual hand-washing when it comes to awarding funds. This came up as a criticism of the stem-cell agency when, by 2010, nearly $1 billion had been granted to institutions with seats on the board. The tobacco research agency would be audited annually, but what would be the point? The state would be powerless to change the agency's ways even if it found serious problems.