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Why do we still permit tobacco use? (2015)

ncbi.nlm.nih.gov

131–140 of 250 posts

Re: Why do we still permit tobacco use? (2015)

#131
post #119

This is one of my favorite questions in the area of social/moral governance. Put more generally: How much should we protect people from themselves? In the not-so-distant past, I'm guessing, the answer to that for most people was: Very little. After all, adults are capable and expected to make rational choices and do so every day; for themselves, and the people they cate about. So giving them more options is just help…

> From Kahneman & Tversky, behavioral economics and cognitive biases, to the smartphone (and other screens) epidemic that rages everywhere the device is in use.

That new inventions often have a negative impact shouldn't be surprising, but I think it's worthwhile to try to set this against all the positive aspects. I remember life before mobile phones, and from my perspective, they have provided far greater benefits than harms. Wide access to GPS and maps, instant access to emergency communications, and many applications that improve productivity and quality of life are far better explanations of why these devices have become so prevalent.

> It's become extremely clear that "adults" are not very good at being rational and self-controling.

Has it? I feel that this is a refelction of them not very good at "following the agenda of the elites," but that's hardly the same thing as not being rational. As a counter example, there are more guns than people in the United States, yet there are only around 12,000 murders per year. From that view, we're exceptionally good at being rational and exhibiting self control.

Likewise, we travel trillions of miles on our roads, and they're not the complete disaster that you would expect from a population that's largely unable to self-regulate. Similarly, general aviation is a thing that exists, and while it may seem largely regulated you would be surprised to learn exactly how much latitude a GA pilot has in operating their aircraft.

> So the debate isn't really Control vs. Freedom anymore. Its more like Protection vs. Jungle Law.

If that's the case.. why wouldn't you punish the abusers, rather than preempt the freedom of individuals? One is definitely a problem, the other _might_ be a problem. It seems like putting the cart before the horse to approach the problem in this way.

Re: Why do we still permit tobacco use? (2015)

#132

Is "Canadian Journal of Respiratory Therapy" a legit academic journal? This paper sounds more like a rant to be posted on reddit than a scholar paper to be published on a legit journal. The author jumped from "Tobacco smoking has no health benefits" to "tobacco has no benefit". Seriously, this shouldn't even get passed for a high school writing class.

Seems to be the journal for the Canadian respiratory therapists’ national association.

So I wouldn’t call it illegitimate, but it’s a small field in a small country that’s largely bedside rather than academic, so filling the pages may be a struggle.

Re: Why do we still permit tobacco use? (2015)

#133
post #42
post #4

Smoking is bad but prohibition is worse. Being subjected to the carcercal system is worse for your health than smoking.

Or phrased differently, "we don't know how to stop it without causing something worse". Outright prohibition is massively expensive (prisons, police, loss of taxes), is a gift to criminals who will grow/import it illegally and sell it, and has outsized negative consequences on the people who use it anyways. Partial prohibition (under X years of age), taxes, and public education work to reduce the amount of it, withou…

“Suppose, for example, that a legislator should feel himself authorized to undertake the extirpation of drunkenness and fornication by direct laws. He would have to begin by a multitude of regulations. The first inconvenience would therefore be a complexity of laws. The easier it is to conceal these vices, the more necessary it would be to resort to severity of punishment, in order to destroy by the terror of examples the constantly recurring hope of impunity. This excessive rigour of laws forms a second inconvenience not less grave than the first. The difficulty of procuring proofs would be such that it would be necessary to encourage informers, and to entertain an army of spies. This necessity forms a third inconvenience, greater than either of the others.

“Let us compare the results of good and evil. Offenses of this nature, if that name can be properly given to imprudences, produces no alarm; but the pretended remedy would spread a universal terror. Innocent or guilty, everyone would fear for himself or his connections; suspicions and accusations would render society dangerous; we should fly from it, we should involve ourselves in mystery and concealment, we should shun all the disclosures of confidence. Instead of suppressing one vice, the laws would produce other vices, new and more dangerous.”

- Jeremy Bentham, English (1748-1832)

Re: Why do we still permit tobacco use? (2015)

#134
As it says there, nicotine is not that harmful, at all.It's mostly the vast majority of other sh*t that makes up a cigarette that makes "tobacco"[whatever the hell you understand by tobacco actually] harmful.Cigs/Cigars don't have this problem, granted you usually don't inhale them in lungs, or at least you're not supposed to.

Just because it's mainstream and overall damaging to the health over long periods of time doesn't mean we should ban or restrict it's use.No, not even in public spaces.Maybe if there were a referendum then yes, but usually people won't really ban something if it's really a problem or danger to society. Tobacco is a problem/danger to the individual and not to society at large.I can't say that it was ever addictive to me ever for a number of reasons: usually expensive, they make things smell, and it's not really something that you enjoy most of the time,especially alone.

But the biggest thing that made me "quit" smoking(or at least dropped it significantly for me, to a lower level than "socially smoking") is when i first started going to the gym more seriously.You notice how your energy level drop and other things aswell(greasy skin,lower fertility,etc).Why not promote sports more actively?It will have more effect than these restrictive initiatives, to a degree that smoking is not even than harming when you do sports.Do you need to ban it because it can become a vice and lower lifespan?No, that's stupid(besides the fact that it erodes responsability in society).Tobacco is a decent substance that can be consumed socially, compared to others. The nicotine itself actually relaxes you and 90% of the time people smoke is to forget the stress of the moment.Also the damage to the lungs is vastly overblown. Lungs recover pretty fast actually if you don't "burn" them with smoke.If i recall it was one week of smoking is recovered somewhere between a month and 3 months, with obvious factors: air quality, degree of smoking,etc.

Here's a better idea than this "karen" mentality: improve the quality of tobacco: focus on the nicotine,you have to keep the smoke(you really can't get rid of the aspect, people have been inhaling for thousands if not tens of thousands of years, and it won't go away: it's a very direct path to the brain chemistry) and finally,obviously: get rid of the bad substances.

Re: Why do we still permit tobacco use? (2015)

#135

Earlier quoted context omitted.

Would love to give myself a vice ban occasionally.

In a perfect world I'd be able to set a weekly calorie limit. Charge me double the cost and send the overage to the charity of my choice for any food over the limit. A government body limiting who can buy food isn't really a good idea, so it only works in utopia. It could work for non-essentials though.

I order from a service that provides me nutritionist-built meals every day; in the morning, I get exactly 2000kcal spread out across 3 meals and 1 snack. I also drink protein yogurt reaching around 2350kcal so that's my daily intake (and I guess calorie limit) with balanced macro and micronutrients.

What this means is that I am aware that anything above these meals is too much for me. Do I still do it? Yes, but I have an unhealthy relationship with food.

Re: Why do we still permit tobacco use? (2015)

#136
post #76
post #62

Earlier quoted context omitted.

Few drugs are as harmful as tobacco.

Not all tobacco products are equal because not all tobacco products are intended to be inhaled. Cigars and Pipe tobacco aren't intended to be inhaled and most people will not find them addictive. But there's no nuance regarding them in discussion of tobacco. They do likely have negative issues in terms of potential mouth cancer, but they're way less dangerous than cigarettes.

I was responding to somebody who lumped all 'drugs' into a single category. Talk to them about a lack of nuance. FWIW, I'm all about safe, regulated supply and harm reduction -- nicotine products included.

Re: Why do we still permit tobacco use? (2015)

#137
post #92

> Tobacco smoking has no health benefits. None. It can be argued that nicotine, one of the thousands of compounds in tobacco smoke, can have positive effects on some cognitive functions and may even confer some neuroprotection (1), but getting nicotine from tobacco products may be likened to sucking on a tail pipe to get oxygen – it’s there but it’s not going to do you any good. I'm sorry for their personal experienc…

You're mixing tobacco and nicotine. There are ways to get nicotine in you without consuming tobacco. I know at least of nicotine gums and nicotine patches.

Nicotine is fairly non-addictive (in gum and patch form. Vapes, may be slightly more addictive due to oral fixation -- but still nothing compared to actual tobacco).

Benefits are mostly in appetite suppression (if one is prone to overeating/unhealthy binging), mental stamina (usually due to the aforementioned appetite suppression), emotional anti-lability, and greatly improved saliva production (from nicotine gum, ergo oral hygiene).

Tobacco itself contains a lot more psychoactive chemicals (MAOIs, and such), and are definitely more useful in the emotional-regulation department. If you're going through severe, inescapable emotional and physical hardship, tobacco generally keeps you from losing your mind and having a breakdown. And generally, I believe this is the most addictive quality: it keeps the stress to a manageable level (that becomes unmanageable once you stop tobacco, but don't do anything to change your environment).

One cigarette/cigarillo every few days is nothing in the grand scheme of things. It becomes a serious problem when you're smoking a pack a day, every day, without giving your lungs any time to heal and clear out (i.e. once the sharp perma-cough comes in, it's time for a break). Even having a cigar once a month (and even inhaling it), it is basically nothing, if you're perfectly healthy otherwise.

For what its worth, if the U.S. stopped selling tobacco completely, the economy would fall apart. No one would work all of the absolute dogshit jobs that "underpin" everything else (see: low-skilled, manual labor, etc.); and weed would not be able to fill the void.

Re: Why do we still permit tobacco use? (2015)

#138
post #41

Earlier quoted context omitted.

How do people pay fines? If they are unable to pay what are the penalties? You also just created a black market for people who still want to smoke and that'll produce all kinds of fun.

There's already a massive black market for people who want to smoke in the form of tax stamp fraud. It used to be even bigger than it currently is, but there are two forces working against it: the overall decline of organized crime starting in the 1980s, and the overall decline in the number of smokers. Black markets are a reality under current economic conditions, and they're a reality even in completely legal marke…

The knock on effects of fines and the damage the systems cause when someone can't pay a fine are far worse than the effects of smoking.

Re: Why do we still permit tobacco use? (2015)

#139
post #53

"Our governments collect $2.81 billion in tobacco sales taxes federally (2), which is >1% of all federal government spending in 2013 (3) ... However, the direct and indirect cost of lung cancer, asthma and chronic obstructive pulmonary disease in Canada is $12.0 billion (2012 figure), of which smoking is considered to be the number one cause (4). That’s not a good trade-off, even if you only consider it economically.…

The prohibition of the sale of cigarettes, ready to smoke, would be a good start. Treat it like weed, buy it loose-leaf, roll your own. That way people still have their freedom and it's not so easy to "just have another one" when you're a kid. Also since legalization, I've eaten more weed than I smoke, the freedom to grow means I have surplus to bake with and experiment with. My inhalation is near 0. (Smoked weed and…

Honestly, you might be right. The way that pre-Colombian societies used it was totally different than the methods Europeans adopted upon introduction. And this is kinda interesting because the native cultures had thousands of years of experience with this stuff, and Europeans, even now, have about 500. Now as for scientific rationalism being applied in those communities, nobody can really say, so an argument positing that they did some actuarial science over the subject in such a long trial may or may not be spurious, but the long-range experiment being conducted may well have yielded plain and visible results. Maybe there was a reason they hadn't adopted alternative methods.

"Everything from effigy pipes topped by exquisite animal carvings (used to smoke a variety of tobacco strong enough to induce trance-like states" Graeber, via Goodman et. al - Consuming habits: drugs in history and anthropology

Evidently the Amerindians smoked high doses from pipes, enough to induce a trance-like state. Having made use of pre-rolled filtered Tobacco extensively, I'd surmise they were either using it infrequently, or making themselves use it infrequently. In the first case, they show enough self-restraint to forego daily use, which allowed them to remain sensitive to the drug. In the latter case, they frequently poisoned themselves by indulging in a very high level of consumption - I suspect this would discourage frequent use as the side effect tends to be nausea and sudden onset anxiety. Of course, my perspective on this is limited, as my exposure is largely (near-exclusively) that of commercially treated tobacco with its various additives and mode of transport - paper. They were smoking I imagine largely unprocessed tobacco out of pipes.

Altering the cultural fabric of smoking itself might actually yield better outcomes. I'm not so interested in the topic as to find statistical demonstrations, but I suspect at least a portion of the damage that smokers can be directly attributed to the physical characteristics of the smoke, and the frequency of use. Cooler smoke inhaled through a pipe constructed with a conductive material like ceramic or stone done for ritual purposes might well yield a better social outcome than what our current smoking modality does without infringing on human rights and wholly eschewing the use of tobacco and all of its cultural complement.

Something to think on in any case.

Re: Why do we still permit tobacco use? (2015)

#140
post #112

> However, there is no moderation in tobacco. There is no level at which tobacco smoke is safe for the consumer or the people around them or, as we are seeing, even those who are exposed in a tertiary environment. I've used tobacco products perhaps from 0 - 5 times a year from adulthood on. While not "safe", pretty low risk. I have the same relationship with caffeine and alcohol. Nothing can be all that enjoyable if…

This presumes that vices have no effects on anyone but the person partaking. Think about the secondary effects of smoking on those around you, or the societal effects of the opioid crisis, or even the effects on rescue workers who need to scoop up what remains of a person riding a motorcycle without safety gear.

This could also be said for alcohol though. Alcohol is associated with higher levels of motoring accidents, assaults, and chronic disease.

The externalities of alcohol consumption can be largely mitigated by drinking in moderation.

The primary externality of smoking, secondhand smoke, can be mitigate by having people smoke outdoors, which most countries already require in public spaces.

The main secondary externality of smoking, increased strain on the healthcare system, is more complex. Smoking is more addictive than alcohol, so moderate consumption is less possible. Therefore, smokers are more likely to experience an illness directly related to their consumption than alcohol consumers.

In America, I'd suggest this externality could be addressed by removing the cap on the smoking health insurance surcharge (it's currently 50%). In countries with socialised medicine, this could be better addressed by adjusting cigarette taxes to fully reflect the average lifetime cost of treating smoking related illnesses.

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