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David Sweanor's avatar

Your points are well taken, as usual. Having been involved in efforts to curb cigarette smoking for several decades, I have watched the culture morph from a creative and open minded one to one dominated by a strict and often irrational dogma. We did better when we acted more like scientists and entrepreneurs and less like minions in a fundamentalist religion or autocratic regime.

Alex Wodak's avatar

Once again Alan Gor has made a magnificent contribution to discussions about smoking by pointing out how the case now being made for conventional tobacco control is often riddled with the same sort of disingenuous and dishonest arguments as Big Tobacco used at its worst. At its simplest, the conflict today over smoking is about whether or not conventional tobacco control should also be complemented by risk proportionate regulation of legal, safer, smoke-free nicotine products. The argument against conventional tobacco control is that the global decline of smoking in recent decades has simply been far too modest. Implementation of the package of tobacco control measures promoted by the World Health Organisation, MPOWER, has been poor where it really matters - in the Low and Middle Income Countries, especially in Low Income Countries. Even before we get to that, we have the basic huge ethical problem that notwithstanding the right to health, most of the world’s 1.2 billion smokers are being denied a much safer way of consuming nicotine without satisfactory reasons. Then there’s the additional problem that tobacco control supporters choose to ignore: that policy on smoking like all other policies is a matter of weighing up trade offs and concerns about possibly serious unintended negative consequences. In the more than a decade I have been very much involved in this conflict, I have yet to hear of a serious, sustained case being made for abandoning or dismantling MPOWER or any other package of tobacco control measures by highly regarded, experienced experts who support smoke-free tobacco products. If opponents of smoke-free nicotine products thought they had a strong case, they would happily publicly debate those with a different view. But they always avoid public debate or even a private discussion. Meanwhile, in the world of global commercial reality, smoke-free nicotine products are rapidly and increasingly rapidly replacing combustible cigarettes. Demand for these products is strong and increasing and their supply is strong and increasing. Consumers, producers and probably also investors strongly support transformation of the nicotine market.

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