Figure 3: Government-mandated commentary on smokers<\/p><\/div>\n
For this characterisation of smokers to be true we would have to believe that there was no personal choice being exercised and that smokers derive absolutely no utility (in an economic sense, i.e. \u201cpleasure\u201d) from smoking at all. The obvious fallacy of the argument is that, despite everything, millions of people around the world continue to smoke in knowledge and therefore acceptance of the apparent risks<\/strong>. A rational view must be that smokers have accepted the potential risks of their habit, and borne the obvious financial cost imposed on them for maintaining in their habit, because they \u201cvalue\u201d smoking \u2013 for the taste, the sensation, the stimulation, the relaxation, the conviviality or for whatever other reason or combination of reasons.<\/p>\nOn a personal level we may not see that trade off in the same way as we ourselves have either chosen not to smoke or to cease smoking. But then people may well disagree with our personal life choices, each of which themselves may come with their own costs, risks and pay backs.<\/p>\n
Figure 4: Risk of a “healthy” commute in London
Source: R. Maile, courtesy of an altercation with a Boris bike which was in the wrong place, Feb 2016<\/p><\/div>\n
The counter to this is, inevitably, the survey data which suggest that the vast majority of smokers want to give up and\/or wish they had never started. But then asked if you think you really should lose some weight, drink less, eat more healthily and give more to charity you would probably agree with all of those sentiments, especially if asked by an interviewer who catches you on the High Street. Each is within your gift if, that is, you want to forego that chocolate cake, not finish that bottle of claret (and open a second), eat more kale (really?) and hand over more cash to every worthy cause that asks. Each of these would, however, require a reduction in utility (pleasure) in the short term which may not be balanced by the promised benefit in terms of increased longevity in the very long term.<\/span>\u00a0<\/span><\/p>\nWe discuss the question of “Addiction\u201d more fully below, but at this point we make a number of points. <\/span><\/p>\n\n- There is no accepted medical or scientific definition of “addiction”<\/li>\n
- There are more ex-smokers in the UK and the US as current smokers<\/li>\n
- Until 1988 the Surgeon General did not regard nicotine as \u201caddictive\u201d, rather it was an \u201chabituation\u201d<\/li>\n
- Even when declaring nicotine to be \u201caddictive\u201d in 1988, the view of the then Surgeon General was that ”For many smokers, a genuine desire to quit and, if necessary, persistent and repeated attempts to quit may be all that is necessary<\/em>\u201d<\/li>\n<\/ul>\n
Quitting smoking may well be difficult for many, we do not doubt that, but it is not impossible (as many millions of people have proven) and it is certainly not life-threatening. The \u201caddictive\u201d properties of nicotine (using the word in the sense of common, current parlance) are only one part of the reason for smoking and are, in many ways, no different to the \u201caddictive\u201d qualities of caffeine. And no-one judges you for drinking coffee.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u201c\u2026 being a smoker is not a matter of free choice; they’re gripped by an addiction fuelled by the tobacco industry and they need support to give up\u201d Deborah Arnott, Head of ASH The first and most important issue to …<\/span> Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":44,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/pages\/32"}],"collection":[{"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/comments?post=32"}],"version-history":[{"count":1,"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/pages\/32\/revisions"}],"predecessor-version":[{"id":35,"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/pages\/32\/revisions\/35"}],"up":[{"embeddable":true,"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/pages\/44"}],"wp:attachment":[{"href":"https:\/\/smokingoutthetruth.com\/wp-json\/wp\/v2\/media?parent=32"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}