Why do we still permit tobacco use? (2015)

"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."

Tobacco sales taxes show up in the current fiscal year, while chronic respiratory health costs show up decades down the road. Governments tend to be better than corporations at prioritizing long-term concerns over short-term accounting. However, there is substantial demographic that opposes regulations on narcotics. Specific ones, at least.

Look at how popular legalizing cannabis was in Canada over the last decade. Smoking pot is the most popular form of delivery for that narcotic and it's likely going to prove to have many of the same long-term consequences as smoking tobacco. Nonetheless, Canada legalized it. Doctors raised concerns and were ignored. The public willed it, and politicians don't stay politicians by ignoring the public's will.

Why do we still permit tobacco use? Because politicians have the power to prohibit it, not doctors.

Perhaps the doctors espousing prohibition don't have the right of it either. Narcotics have been a part of human existence across the globe for all of recorded history. Although many people successfully abstain from them, narcotics seem to fill a basic human need.

Research on safe, enjoyable recreational drugs is virtually nonexistent. Perhaps we should focus on filling that human need while minimizing the side-effects. To put it another way, with all the medical and pharmacological advances we've made in the last century, does it really make sense that people are still sucking on burning leaves to get high?

Tobacco has been grown and used both socially and ceremonially by native American cultures for thousands of years. I get that generally we white western Americans don't give a shit about native cultures, but it would be nice to at least acknowledge the indigenous heritage that literally all tobacco comes from and is still used in today.

Personally I like cigars and hookah. I smoke maybe once a year. I'm not saying millions of people should die just so I can smoke, but I'd be fine with chewing tobacco and cigarettes being banned, while indigenous and more ceremonial / social forms of tobacco are kept.

You can't tax purchases out of existence. That creates a black market. Indeed, countries that have raised taxes to astronomical levels have significant illegal markets for tobacco.

Well this thread finally convinced me to set showdead=no in my profile. It's scary to see how much damage a few accounts can do to the erosion of discourse on this site, and especially to think I'm reasonable in worrying that some of them are state or corporate sock puppets. I am grateful to the site moderators and to other community members (in downvoting bad-faith comments) for asserting our shared valuation of this discourse space.