I didn'twrite this but it one of the over 200 studies and articles I have on hand to firht smoking bans. This guy has got it right. It's long but worth reading.
Dangers Of Smoking Joe Jackson
Two or three years ago I considered giving up my own moderate enjoyment of Tobacco because of the constant barrage of horrific statistics. But antismoking propaganda in the USA (I was living mostly in New York) seemed so overblown, so hysterical, that I became skeptical. So instead of giving up smoking, I started doing research.
At first my mind was pretty open; I half expected to find that smoking was even worse than I thought, and I decided that, since I wasn't a hardcore nicotine junkie, I could live without it. Instead, I've been astonished, again and again, by how flimsy much of the antismoking evidence really is. By now I'm absolutely convinced that the dangers of smoking (and `secondhand smoke ' in particular) are being greatly exaggerated, for a number of reasons, many of which have less to do with health than with politics, money and fashion.
People used to be guided by intuition, experience, observation, moderation, pleasure, folklore, the testimony of friends and acquaintances, and their family history. Increasingly , though, we're expected to be guided by Government Statistics. The problem is that so much of what we're told is politicised, out of context, out of proportion, or just plain false. The bald statement `Smoking Kills!' makes us skeptical right away, since we can see for ourselves that in most cases, it doesn 't.
One good example of this lack of balance and perspective is the way we 're told that smokers have a higher risk of lung cancer, without being told what the overall `baseline ' risk is in the first place. The statistics always sound alarming; we're told that smokers have a `600% increased risk', for instance, because this sounds worse than six. Other sources (the majority, it seems) insist that smokers are actually ten (1000%) times more likely to get lung cancer. Others quote the pioneering studies of Sir Richard Doll, who reckoned that 166 in 100,000 smokers die from lung cancer, as opposed to 7 in 100,000 nonsmokers, so you have a 24 times higher risk of getting lung cancer if you smoke.
Antismokers aren't lying when they tell you that smokers are, statistically, more likely to die of lung cancer. But they don't tell you, for instance, that only a minority of those deaths could be considered `premature.' They also don't point out a basic statistical fact: that a large increase on a very small number can still be a very small number. (Think of it this way: if you buy twenty Lottery tickets instead of one, your chances of winning would go up by 2000% but could still be infinitesimal). So, if you're good at maths you can figure this out for yourself: even if you accept Prof. Doll's numbers, your chances of NOT getting lung cancer are still more than 99%! Besides, we still don't actually know what causes cancer or how to cure it, and lung cancer (with, incidentally, about 40 risk factors in addition to smoking) is particularly hard to treat. This understandably drives doctors and scientists crazy, and they are anxious to bring down lung cancer rates in any way they can. Targeting smoking - something quite a few people viscerally dislike anyway - seems like a good bet, especially when smokers are a minority. And the more smoking is targeted, the fewer resources are allocated to lung cancer research. Health professionals have `closed ranks' on this issue, and like Nancy Reagan, they're trying to make a problem go away by telling us to `just say no.' As for nonsmoking lung cancer victims ...well, too bad.
We are also told `Smoking Causes Heart Disease' even though there are something like 300 risk factors for that, and some very large studies (for instance, the well-known study of the citizens of Framingham, Massachussets, which has been going on since 1948) have shown the link with smoking to be rather weak. Still, such is the imperative to demonise smoking, these and other diseases are labeled `smoking- related' and every death from them just added to the `smoking- related' tally - whether or not the sufferers smoked! At the same time, the large number of smokers (more than half) who die of these diseases at normal (i.e.,old) ages have their deaths attributed to smoking even when this cannot be proven. Still no one puts this all into perspective and points out that a majority of us will live into our 70s and die of either some sort of cancer, some sort of heart trouble, or some other `smoking-related' disease whether we smoke or not. Cancer, especially, is mostly a disease of the old, and the main reason it looms so large these days is that we're living longer.
We are told that an `estimated' third of all smokers will die of the habit, and then this mysteriously goes up to a half, and then the `estimated' starts to be dropped in favour of just a statement of `fact'. Still we're never told what exactly is meant by a `smoker'. In many cases it's only people who've smoked over 20 cigarettes a day for decades - more moderate cigarette smokers or cigar or pipe smokers don't count. In other studies a `smoker' is anyone who has smoked 100 cigarettes in their lifetime; in others, someone who quit 5 months ago is a `nonsmoker,' while in others someone is called a `smoker' when they quit 20 years ago! Estimates of deaths from smoking are based mostly on speculative mathematical projections and should be treated with much more skepticism than is currently the case. For instance, until very recently, a completely arbitrary 13% of cervical cancer deaths were attributed to smoking, but it has now been proven that almost 100% are caused by a virus.
Most of us can't think of more than one person we've known who has died from smoking - and even then, the chances are that they died in their 70s, and that if we think about it, we can't be absolutely sure they didn't die from a combination of factors, some unknowable. It simply cannot possibly be true that anywhere near a half of everyone who ever smokes is doomed to a premature death. If that were true we would have worked it out long ago from our own experience, and hardly anyone would smoke, and tobacco would be illegal. But still the statistics grind on. We are told that 120,000 people a year in the UK are `estimated ' to die from `smoking-related diseases.' Yet the number of death certificates which declare `cause of death: smoking' is actually only a few hundred. It's much harder to establish smoking as the cause of death than we are led to believe.
No one suggests, either, that diet, lifestyle or genetics may be factors. Native Americans smoke much more than white Americans, yet have half the rate of lung cancer. The Greeks, Japanese, Italians and Spaniards are the world's heaviest smokers , but are all right at the top of the life expectancy charts, with lower rates of `smoking- related' disease than Americans or Northern Europeans. The Japanese have especially low rates of lung cancer - though these have risen over the last couple of decades at the same time as smoking has declined. Meanwhile, Chinese women have one of the highest in the world even though only 2% of them smoke. Such facts are rarely mentioned, since in an antismoking climate they are inconvenient - as is any suggestion that air pollution from cars, etc, might be a factor in `smoking-related' diseases. Much easier just to keep bashing smoking!
In the UK, at least, Class is (perhaps predictably) invoked in the smoking debate. We are now being told that the working class has much more disease and premature death than the middle class, and that the biggest reason is that they smoke more. But poorer and less-educated people are also much more likely to have bad diets, drink too much, have higher cholestorol, exercise too little, work too hard, and have higher exposure to stress, pollution, and all kinds of other things which are factors in `smoking-related' disease, and which are impossible to separate from smoking itself. You can always find something to single out as the `curse of the working classes'. In 1920s America it was booze; now it's tobacco.
Dr Ken Denson of the Thame Thrombosis and Haemostasis Research Foundation (one of the few British doctors currently willing to speak out against what he calls the antismoking `witch hunt') has argued persuasively, in many medical journal articles and letters, that rates of `smoking-related' disease could be brought way down just by encouraging smokers to eat more fruit and vegetables and less fat, and/or exercise more. (One recent study has shown that one-pack-a-day smokers who exercise live longer than sedentary nonsmokers). In Dr Denson's view, the medical community is failing to offer smokers protection by not educating them about all their options, and by instead relentlessly pushing a kind of zero-tolerance Prohibitionism which will inevitably backfire.
There are other ways in which antismoking zeal doesn't actually help smokers or anyone else. For instance, tremendous progress has been made in research and development of safer cigarettes; but this has been systematically crushed by the `antis', since it could undermine their efforts towards total prohibition. Even today's regular cigarettes are safer than the unfiltered, high-tar cigarettes which were the norm in the 1950s, when much of the scientific antismoking evidence was first established. But for antismokers, the only good news is bad news - an attitude we shall see again in this essay's sections on secondhand smoke and on air filtration/ventilation.
Likewise,there is a huge difference in risk between smoking 5 or 10 cigarettes a day and smoking 40 or 60; and although this seems glaringly obvious, it is currently taboo, in medical circles, to even suggest it. Instead we are told that there is `no safe level' of smoking - when there are safe levels of every imaginable kind of poison, pollution, radiation, carcinogens, etc. In fact, tobacco is the only `recreational drug' which does not impair brain function or alter behaviour, and it actually has a beneficial effect on certain diseases, notably Alzheimer's and Parkinson's. There is quite a bit of evidence that a normal healthy person can smoke up to ten or so cigarettes a day with no ill-effects whatsoever, and even some benefits, e.g. stress reduction, weight control, and improved concentration and memory. (The Framingham study has shown that smokers of up to 10 cigarettes a day have less heart disease than nonsmokers).
We are told that smoking is nothing but a joyless addiction,even though we can see that for millions of people it's a great pleasure, and that more and more people are smoking moderately. It is in any case hard to draw clear lines between `addictions',habits , and favourite pastimes or rituals. Many people are indeed addictive when it comes to smoking, but then again, many people are addictive with alcohol, coffee, many drugs (including prescription ones), sugar, sex, dieting, the gym, or TV soap operas. The term `addiction', like many other things in the smoking debate, is politicised, and overused in a further attempt to make smokers look bad and feel guilty.
We are also told that cigars and pipes are no safer than cigarettes; yet even if you don't know that cigar smoke is chemically different to and less carcinogenic than cigarette smoke, and almost never fatal, isn 't it obvious that you're safer when the smoke is not inhaled?
In recent years, claims for the evils of smoking have become so hysterical that ordinary people are ceasing to believe them, and this, surely, has worrying implications for the credibility of health authorities. A recent report showed that the sperm count of British men seems to have declined over the last couple of decades. The researchers had no idea why, but doctors and journalists immediately rushed to blame it on smoking. No one pointed out that over the last couple of decades, people have smoked much less. Similarly, another recent scare tried to blame infertility and impotence on smoking and perhaps even passive smoking. No one pointed out that people smoked more in the period of the two world wars and just after, than at any other time in history. And what did we have in the 1950s? A baby boom! It's questionable what purpose is served by these kinds of reports except to create a climate of paranoia.
Then there was the recent gruesome ad campaign on UK TV showing that smoking `clogs up your arteries' with disgusting goo. This ad was so phoney it was sent up by the satirical magazine Private Eye, which rightly pointed out that nonsmokers' arteries clog up too, that there are many causes, and that the link to smoking is tenuous. Anecdotally, too, we know that smokers are now castigated at every opportunity as though tobacco were responsible for every possible human ill. A friend of mine recently broke her wrist, and her doctor told her it might not heal as quickly as normal because she smoked. It actually healed more quickly than expected, but you can bet no one attributed that to her smoking.
I'm quite sure that heavy long-term smoking has an adverse effect on the health of quite a few people, sometimes to the point of being a, or even the, decisive factor in their deaths. If you perceive the risk of even moderate smoking to be unacceptable, then don't smoke, and good luck to you. Nonsmokers often simply cannot understand why anyone would persist in doing something which is commonly reckoned to take about 5 years off of their lives. But apart from the fact that this is just a guess, and can't apply to everyone, I wish that nonsmokers would stop for a minute and imagine how they would feel if something they loved were being similarly targeted. Many good arguments can be made against eating meat or drinking alcohol. But if you love steaks, or wine, how would it feel to be constantly nagged by doctors and politicians into becoming a vegetarian or a teetotaller? You might well prefer to keep on enjoying your favourite pleasures and take your chances. You might feel that five extra years without them is not such a great prospect. You might even feel like rebelling by eating or drinking more than ever.
The question of one's own philosophy of how to live comes into play here, of course. Mine, just for the record, is to enjoy life as much as possible whilst also applying as much moderation, common sense, and consideration for others as I can manage. I also believe that pleasure is extremely important to human beings, that our pleasures should be given up only as an absolute last resort, and that if the medical establishment were to see things more in that way -i.e., as human beings - we would be hearing very different statistics and different advice. Finally I believe that what I choose to do to my own body is entirely my own business..
There's another philosophy, though, which feeds into Antismoking, and goes something like: work hard to avoid absolutely everything which current opinion holds to be bad for you, and do as much as possible of what current opinion holds to be good for you, and maybe you can attain perfection or invulnerability. Often, this mindset is accompanied by a zealous desire to whip others into shape, and/or a feeling that if anything goes wrong, it must be someone else's fault, so let's find someone to blame - or sue. This is all very American, and I don't think it's an accident that antismoking mania has spread primarily through the countries most influenced by America: Canada, Australia, and the British Isles. But in my opinion it's not only a dreary way to live, but not ultimately guaranteed to work any better anyway.
So, I concede that smoking isn't exactly `good for you' in the same way that eating an apple or going for a swim might be good for you. But I've also become firmly convinced that it's nowhere near as harmful as we're currently led to believe, and that the statistical books are being routinely cooked in order to frighten and bully us into conforming to some ideal, standardised, manageable, and fashionable norm of `health' which cannot suit everyone. A more realistic approach would be something more like that generally taken with alcohol: keep it away from children, educate us about the risks, counsel moderation, offer help to those who become dangerously addicted or sick - and then, let us take responsibility for ourselves and leave us alone.
Instead, smoking has become the scapegoat du jour; fashionable to blame for a whole range of problems we don't really know what to do about, a distraction from more serious and intractable problems, and convenient to cover up all sorts of incompetence and corruption in health institutions. And nowhere is this more evident than in the junk science bonanza that is `secondhand smoke'.