Kicking Butt:
The International Jihad Against Tobacco
By William Salatan, Slate, August 17,
2007
I hate smoking. It's a filthy habit. It kills hundreds
of millions of people, including bystanders. Just being around it makes
me nauseous. Cities, states, and countries all over the world are
banning smoking in public, and I couldn't be happier.
In fact, it's such a rout, it's getting out of hand.
The problem with tobacco all along was that politicians and the
public didn't recognize it as a drug. They called it a tradition, a
"crop," and a "legal product." As though coca and marijuana weren't
crops. As though a product's legality should decide its morality,
instead of the other way around. When it came to smoking, culture
overpowered reason.
Now public opinion and governments have turned against tobacco. But
the anti-smoking jihad, born of science, is beginning to outrun it.
Culture is trampling reason again, this time in the other direction.
Nonsmoking areas in restaurants haven't worked too well. The smoke
just drifts from one area to the other. To fix this, European countries
are now isolating smokers in sealed rooms with separate ventilation.
Lest any waitress encounter a toxic cloud, Holland, Slovenia, and other
countries have outlawed eating in the smoking rooms. That's pretty
harsh. I thought we were trying to remove smoke from eaters, not food
from smokers.
Likewise, the point of recognizing tobacco as a drug was to regulate
it as strictly as comparable drugs, not more so. Five months ago, a
report by a British commission found that the financial health costs of
alcohol and tobacco were equal. Tobacco was by far the bigger killer,
but when the analysis moved beyond self-destruction to harming others,
the annual death toll from alcohol-related car accidents exceeded the
toll from secondhand smoke in the workplace. Drinking, unlike smoking,
played a role in 78 percent of assaults and 88 percent of criminal
damage. The commission concluded that if legal drugs were classified
like illegal ones, alcohol would be judged more serious than tobacco.
Instead, British law allows advertising of booze but not cigarettes.
The strangest thing about the current round of smoking bans is its
focus on pubs. All over the world, reporters have been interviewing bar
patrons about the merits of expelling tobacco. "It means I can drink and
not come out [of] the bar stinking like an ash-tray," one guy in Hong
Kong told Agence France-Presse after a night of partying. There's
nothing more annoying than a stinking cigarette when you're trying to
get stinking drunk.
Tobacco myopia isn't just a British problem. In South Korea, a
university president has proposed to permit booze but "remove smoking
students from our school." In Amsterdam, coffee shop patrons will soon
be allowed to smoke marijuana but not tobacco, despite evidence that two
joints cause as much noncancerous lung damage as five to 12 cigarettes.
In the private sector, the tobacco crusade has turned personal.
According to a recent survey, 1 percent of companies refuse to hire
smokers. Some use random urine or breathalyzer tests to spot nicotine.
If you flunk the test or refuse to take it, you're out. Officially, the
rationale is that smokers cost companies too much money in health
insurance. But some policies go further. One company forced out several
smokers, including at least one who wasn't on the company health plan.
By her account, employees were told that the ban applied even to
nicotine gum and patches, which don't produce secondhand smoke or drive
up insurance premiums.
Urine tests are a warning sign that the war on smoking is morphing
into a war on nicotine. The latest target is snus, a tobacco product
that delivers nicotine without smoke. Despite studies showing it's far
safer than cigarettes, most European countries allow smoking but
prohibit snus. In the U.S., sponsors of legislation to regulate tobacco
under the FDA are resisting amendments that would let companies tell
consumers how much safer snus is. The president of the Campaign for
Tobacco-Free Kids complains that snus will "increase the number of
people who use tobacco," letting "the big companies win no matter what
tobacco products people use." But the goal shouldn't be to stamp out
tobacco or make companies lose. The goal should be to save lives.
The bill's opponents are no better. They'd rather stick with the
idiotic current policy of letting the FDA regulate nicotine in gum and
patches-its safest delivery vehicles-but not in cigarettes. They insist
tobacco products can't be made safer or less addictive. That's just
wrong. In addition to snus, one biotech company has already engineered
tobacco plants that are almost nicotine-free.
A year ago, when a study showed an increase in cigarette nicotine
levels, anti-smoking activists accused the tobacco industry of boosting
its narcotic dosage to make people smoke more. But against the FDA bill,
which would reduce nicotine levels, activists are making the opposite
argument: that in order to get the same nicotine fix, people will be
forced to smoke more cigarettes. Either way, they think manipulation is
the problem. In the past, that was true. But today, manipulation is the
solution.
Instead of indiscriminately vilifying tobacco, we should reengineer
it. Bypass the combustion, purge the tar, dial down the
nicotine-whatever serves public health. We could even use it to cure
people. Two years ago, Henry Daniell, a biologist at the University of
Central Florida, proved that an anthrax vaccine could be grown in
genetically engineered tobacco. Tobacco was a logical vehicle, he said,
because it was prolific and wouldn't end up in the food supply. Last
month, he reported progress in growing a protein to prevent diabetes,
but he had to do it in lettuce-a food supply risk-"due to the stigma
associated with tobacco." When the war on smoking has come to this, it's
time to step back and take a deep breath.