Ecig proponents need to learn lessons from other activists

by Carl V Phillips

Several recent conversations in the comments here, on other CASAA media, and elsewhere reminded me of the unfortunate fact that many pro-ecig activists have (a) little awareness of the history of fights about THR related to smokeless tobacco, (b) a hostile attitude toward pursuing their natural common cause with smokers’ rights advocates and those who oppose anti-smoking junk science for other reasons, and (c) a failure to understand that social cause activism is a well-worn path, and the habit of trying to reinvent it without seeking outside wisdom is a recipe for defeat. Point (a) largely represents simple lack of information (though this translates into unforgivable ignorance on the part of those who presume to be organizers and opinion leaders), which I am trying to address in my “Why is there anti-THR?” series. No such explanation is available for the latter two, which seems mostly driven by a lack of appreciation for what constitutes useful tactics.

One of the aforementioned conversations began when a vaper activist prominently repeated anti-smoking junk claims, specifically the claimed number of deaths from smoking and the trope that smokers cost the rest of society money. (I have covered these in depth elsewhere. The very short version is: 1. The death claims are basically made-up numbers, cooked up by anti-tobacco activists using secret methods and secret data, in blatant contravention of the principles of proper science; thus they are almost certainly biased upwards even if they are roughly accurate. I started a series that goes into greater depth on such estimates. 2. Smokers clearly save the rest of society money; claims to the contrary are utter junk. See this comment thread for more on the latter, and also an example of the problem I am addressing here.) It is easy to understand the urge to repeat these claims. But it is almost as easy to see why this is a very bad tactic.

It is very difficult to credibly argue, “we should trust whatever CDC et al. claim about smoking, but what the same people say about e-cigarettes is a bunch of blatant lies.” This lack of coherence probably does not matter much for social media sloganeering. But then again, nothing matters much there because most such material is just preaching to the choir. It can be valuable catharsis and cheerleading, but it is not advocacy action. As soon as you start trying to build a coherent case, such as writing testimony or an advocacy article, the self-contradiction becomes apparent.

Every endorsement of an ANTZ claim increases their credibility across the board. Cite them as definitive authorities on one point, and it is difficult to suggest that they are completely wrong about a similar claim about another product. This would create a dilemma if they really were providing good and useful scientific information about smoking while lying about THR products, but they are not. Their claims about smoking are as full of lies and junk science as their claims about THR products.

So, you ask, what if you want to say that smoking is really bad for you and kills hundreds of thousands of Americans every year? Just say it — everyone knows this and so you do not have to cite anyone. (Or better still, just don’t say it — again, because everyone knows it.) What if you want to give death statistics to three significant figures, or even two? Don’t do it! Such claims of precision are patently absurd on their face (even done honestly, the calculations are necessarily far too rough and assumption-laden to be so precise), and those claims are the product of professional anti-tobacco liars.

From a tactical perspective, never forget that these people are the poster children for the aphorism “give them an inch….” Perhaps you personally support smoking place bans because you would like to reduce how often you have to smell smoke (I trust you understand that it has no material health impact for you). So be it. But don’t think for a minute that such bans are good for vaping; once they are in place, the proposal to extend them to vaping will follow immediately. The core strategy of tobacco control is to seize whatever advantage they can, whenever they can, and then use that as a launching point for grabbing more. This includes getting one dubious claim established as “fact” and then building more such “facts”. They have to be fought in depth because — as everyone who has fought them before can tell you — their ambition knows no bounds. To torture the ground-war metaphor, you personally may think there is a natural line of defense (e.g., between products that contain bits of shredded tobacco leaf versus high-tech tobacco products that do not, or between high-risk versus low-risk products) where they would consider stopping their advance, but they do not.

Repeat their claims exaggerating the health effects of “second-hand smoke” and you strengthen their efforts to forbid even the lesser impacts of  “second-hand vapor”; you have endorsed their junk science, as well as their intentionally inflammatory term for environmental tobacco smoke or environmental vapor. Endorse the patently false claims about smoking costing society money, and you invite punitive taxes on e-cigarettes (because then it must be true of vaping also, so it is just a matter of negotiating the price). Suggest that smoking is never a legitimate choice but just a horrible “addiction”, and it helps them make the exact same point about vaping.

This is not to say we should never attempt to use ANTZ lies against them. That is always a good tactic (and fun!). But it needs to be done without endorsing the lies. The best way is often an “if you really believe that, then why…?” construction. E.g., “if you are really so concerned about environmental exposure, why are you not encouraging all tobacco users to switch to smokeless tobacco which has no environmental impact?” or “if you are so worried about the impoverishing effects of buying cigarettes, why do you charge smokers $7 a pack in taxes?” This challenges their inconsistencies without needing to endorse either of their claims. Indeed, it is nice little hobby to adopt to follow a few ANTZ organizations or individuals on social media and point out such contradictions whenever the opportunity presents. (The “if you smell something, say something” principle.)

But if you adopt their language, then you are playing their game. Adopt their “facts” and you are paving the way for the next “fact”, which you may not like. Endorse one of their efforts to impose restrictions and they will grab that and move on to demanding the next restriction, which you might not like. This is obviously not to suggest just being contrary. Sometimes they are right about something. But usually they are right for the wrong reason, if you see what I mean. So make sure to endorse the fact or policy without endorsing their path to it.

But all this is only half the problem. In fact, it is less than half the problem. The bigger issue is letting the other side trick you (perhaps unintentionally) into fighting the wrong battle.

I was impressed by the usefulness of Katha Pollitt’s observations in a recent a NYT op-ed about tactics in abortion rights advocacy. Whether you share her goals there or not, there is much to be learned from her tactical assessment. There are similarities with the fight and tobacco product users’ rights. Indeed, the fights are extremely similar in lots of ways, with the notable contrast being that those who would restrict abortion rights often articulate well-defined moral positions (based on the rights of other parties or theistic rules) that are shared by many, while “public health” is based on vague moralistic premises about proper behavior that involve no other parties and no religious doctrine. The “public health” moral position is never actually articulated because proponents realize that few people would support them if they were honest about their motives. (Needless to say, this observation is true whether or not you agree with the anti-abortion moral principles, and does not imply that everyone taking that political position articulates a defensible moral position. Also, I trust I do not have to mention that I am not inviting debate about claims or policies related to abortion; comments that go in that direction will not be posted.)

Pollitt writes:

To deflect immediate attacks, we fall in with messaging that unconsciously encodes the vision of the other side. Abortion opponents say women seek abortions in haste and confusion. Pro-choicers reply: Abortion is the most difficult, agonizing decision a woman ever makes. Opponents say: Women have abortions because they have irresponsible sex. We say: rape, incest, fatal fetal abnormalities, life-risking pregnancies.

These responses aren’t false exactly. Some women are genuinely ambivalent; some pregnancies are particularly dangerous. But they leave out a large majority of women seeking abortions, who had sex willingly, made a decision to end the pregnancy and faced no special threatening medical conditions.

We need to say that women have sex, have abortions, are at peace with the decision and move on with their lives. We need to say that is their right, and, moreover, it’s good for everyone that they have this right: The whole society benefits when motherhood is voluntary. When we gloss over these truths we unintentionally promote the very stigma we’re trying to combat. What, you didn’t agonize? You forgot your pill? You just didn’t want to have a baby now? You should be ashamed of yourself.

Some of her other material is equally interesting, particularly the discussion that follows about mobilizing those who she feels should actively support her position but do not. But I will stick with this passage.

To paraphrase her argument, if proponents of her view lean too heavily on arguing that abortion is a remedy for the effects of rape or a dangerous pregnancy, then they are failing to actually fight for the right to choose to have an abortion. You could imagine that if that position won the debate, then abortion would be permitted but always subject to some adjudicator deciding that the circumstances of the pregnancy were repugnant or dangerous enough. This would be considered an almost total loss for many of those who lean on the arguments Pollitt cites.

It turns out that opponents are unlikely to take advantage of that opening because many of them still find that outcome unacceptable, but the same is not true for the analogous situation for e-cigarettes. Tobacco controllers will grab anything they can. If e-cigarette proponents lean too heavily on e-cigarettes being a cure for the evils of smoking, it sets us up for a similar near-total-loss “victory”.

E-cigarettes do reduce smoking, of course. But if their use is defended almost exclusively on the basis of them being a “cure” for smoking, then their opponents can argue — and do — that their quality should be lowered or price increased so that they are just attractive enough to be acceptable to smokers but not really all that appealing. Opponents further toy with such ideas as making e-cigarettes available only by prescription, letting people who are quitting smoking use them but no one else. It does not take a lot of knowledge about tobacco control’s history to know that the next step there is to attempt to sanction such vaping for only a few months. After all, we also claim (truthfully) that many vapers who thought they would never be able to quit smoking find that they can take or leave vaping and that they would never consider going back to smoking. If this is just about providing a cure for smoking, the obvious ANTZ response to these observations is, “great! now we should go ahead and make them quit vaping too.”

What happens after a clinical trial (RCT) of usage behavior comes out that “proves” that cigalikes are just as good for smoking cessation as open systems, or that particular liquid flavors do nothing to benefit smoking cessation? (You may think that these claims are not true and therefore such a result will never occur. But the typical RCTs produce pretty much random results when the goal is to understand real-world behavior, and so it is inevitable that such a result will come out of some of them.) There is no doubt the ANTZ will then argue that open systems and those flavors should be banned. After all, this is just about smoking cessation, right? And that will just be the start. When they make some progress on one of those points, they will move on to further erode product quality.

Similarly, leaning on the “this is needed for stopping smoking” arguments facilitates the ANTZ claim that e-cigarettes are not needed because everyone should just use the “proven” “approved” methods to quit, and anti-smoking measures will soon force everyone to quit regardless. Of course, a valid response to any of these “science-based” claims is that they are wrong: RCTs in this area are junk science; those other cessation approaches do not actually work very well; total smoking in the world continues to increase. But even though these are obvious to anyone with expertise in the area, this is a layer of fight that is often lost. If the argument instead focuses on the real harm reduction philosophy — smokers’ right to choose to switch if that is what they prefer — then it is not necessary to struggle to convince everyone that the “proven” cessation methods are not promising.

The point here, in case it is not obvious, is that the choice to use e-cigarettes serves multiple purposes. Smoking cessation is one of them. But using the products also provide benefits, which is why people choose to keep using them. The real goal is protecting the right to choose to vape, and to be able to do so using one’s preferred products, without punitive taxes or unreasonable restrictions. This does not mean abandoning the smoking cessation and public health arguments, obviously. They are valid, important, and very useful, particularly when responding directly to health-based claims. But if they are emphasized to the point of not even mentioning that people just like to vape — and that letting people do what they want, in the way they want, when it does not harm anyone is a good thing, and there is no conceivable basis for denying them this choice — then the opponents have successfully seized control of the debate. It is being conducted on their terms with their messaging. If the battle is fought there, they stand a very good chance of success.

I wrote the above during the course of the last few weeks. Then events provided me with a perfect ending. Yesterday’s Public Health England report, which was very positive about the value of e-cigarettes in smoking cessation and which disputed some of the worse anti-ecig junk science, was touted by many e-cigarette advocates as The Best Thing Ever. But was it? It has obvious benefits, of course, merely by being a government report that has something positive to say about e-cigarettes. It also has junk science claims. What it does not have is any recognition of the concept of consumer choice, nor any discussion of consumer welfare, let alone of joie de vivre.

It is a document written by tobacco controllers, albeit ones who happen to think that switching to e-cigarettes should be encouraged as a method of smoking cessation, and it treats e-cigarettes as the equivalent of that agonizing choice that is necessary to save the mother’s life. Much of the discussion about the report has focused on the possibility of medicalizing e-cigarettes. It has been suggested to me that the report’s headline claim, that vaping is 95% less harmful than smoking (a made-up number that was reported as if it were science-based), was intentionally chosen to be able to claim that switching is clearly better than continuing to smoke, but still poses such a high risk that no one should do it (or be allowed to do it) unless they absolutely have to.

A standard response to these observations is that the authors took it as far as they could go, given that they could not overly offend or indict tobacco controllers, especially those at Public Health England who could have spiked the report. But how, exactly, is that reassuring? The inevitable answer is that it is a step the right direction. But does that step really suggest a trend, or is this “as far as they could go” really “as far as they will go”? It is just far enough to give tobacco controllers a nice place retrench, albeit with a definite retreat from utterly vilifying e-cigarettes and convincing people they are as harmful as smoking.

The report fits perfectly into tobacco control’s history of attempting to undermine real harm reduction by co-opting it to be just about curing smoking in people for whom all else fails. There is no choice or freedom; tobacco control is about grandees deciding what people should be doing, and the new report does not depart from that. There is no empowerment or discussion of preferences except as methods of manipulation; the report reads like a study in how to best care for livestock. There is no suggestion that someone might be better off vaping rather than quitting all tobacco products entirely; indeed, it says just the opposite.

The useful-idiot-level tobacco controllers have been decrying this report since it came out, but I suspect their puppet masters are not all that concerned. After all, the EU Tobacco Products Directive, with its anti-ecig provisions, will soon come into force, so the practical implications for the UK are limited to encouraging the use of e-cigarettes in medical or government smoking cessation interventions. (It has been suggested that this report will probably have the most value for American advocates; we are fighting a hodgepodge of local attacks and can offer this as political cover for politicians who oppose the attacks.) Even if the content of this report were undisputed, it would not stop vaping opponents from continuing to push for restrictions, product quality reduction, medicalization, and sending the message that e-cigarettes are bad except in the immediate context of smoking cessation.

They’ll take it.

It is, after all, the rough equivalent of that hypothetical pyrrhic victory of allowing abortions whenever those in power can be persuaded that the need is sufficient in a particular case.

Then they will keep pushing.

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15 responses to “Ecig proponents need to learn lessons from other activists

  1. Exactly! We (Vapers in Power, a UK political party), have tried to focus on choice – from the first line of our manifesto: http://vapersinpower.co.uk/manifesto, to our hosting of Simon Clark from the UK pro-choice advocacy group FOREST, at our tent at vapefest (the UK’s original and best vapemeet) – we were (pretty much) all smokers and we should stand together.

  2. Thank you Carl, thank you, you echo my thoughts on this issue. The latest report from the UK PH is just a means to gain control of vaping, then impose their own rules on it. It is also a means for the tobacco control industry workers, to stay in employment, and keep the money flowing, (notice that the “needs further research”, line has been used throughout the report).

    Personally, I vape because I enjoy it more than smoking tobacco, and because it is vastly less expensive, although in Australia it is also vastly less convenient. I totally reject the whole “addict” label, I was never addicted to tobacco smoking, I stopped many times, (sometimes for long periods of time) , because I chose to. I switched to vaping because I was tired of the demonisation, harassment, and sheer expense of smoking. Now I just happen to enjoy it more. I also enjoy the hobby side of vaping, something which is rarely spoken about by those in the tobacco control industry, which is an enjoyment in its own right.

    I did not start vaping as a means of smoking cessation, I quit smoking because vaping is more enjoyable, and have no intention of stopping vaping, why would I ? It harms no-one, and I pay for it out of my own pocket.

    I do not trust the tobacco control industry, and will leave you with the words I used on another post, about a little song I was taught as a child, which has a good lesson embedded in it:

    Never Smile at a Crocodile

    Never smile at a crocodile
    No, you can’t get friendly with a crocodile
    Don’t be taken in by his welcome grin
    He’s imagining how well you’d fit within his skin
    Never smile at a crocodile
    Never tip your hat and stop to talk awhile
    Never run, walk away, say good-night, not good-day
    Clear the aisle but never smile at Mister Crocodile
    You may very well be well bred
    Lots ot etiquette in your head
    But there’s always some special case, time or place
    To forget etiquette
    For instance:
    Never smile at a crocodile
    No, you can’t get friendly with a crocodile
    Don’t be taken in by his welcome grin
    He’s imagining how well you’d fit within his skin
    Never smile at a crocodile
    Never dip your hat and stop to talk awhile
    Never run, walk away, say good-night, not good-day
    Clear the aisle but never smile at Mister Crocodile.

    Guess who the crocodile is???

  3. excellent reminder not to fall into the trap of letting your opponent choose the battlefield. You hand them a home advantage the moment you fall for that.
    The question we need to keep in mind is: “what has it got to do with YOU?”
    they need to be repeatedly asked to explain that, not that I see them bothering to reply.

  4. I have commented in the past about those in TC that have been opposed low risk tobacco products but now support vaping. I always thought they see vaping as nothing more then a better NRT. Unfortunately many in the vaping world have the same outlook. So we have the “we are not tobacco movement”, and vape shops that won’t sell nicotine liquid to a non-tobacco user.

    I have yet to hear of a single vape shop that sells other low risk products, as in any type of ST, though it would be a completely natural compliment to a store advocating THR (as nearly all of them do). I have to wonder if the vaping community took a wrong turn a few years ago when it started to play along with TC. It is like the vaping world has been trying to out TC, TC. It’s a no win strategy that will be a disaster in the long run.

    • Carl V Phillips

      One explanation for what you observe is that selling smokeless tobacco usually requires a license and negotiating some possibly complex supply-chain relationships, whereas opening a vape shop requires only responding to some spam from China and finding a vacant storefront in a depressed strip mall. (Apologies to the careful and classy merchants out there, but you too know it is true.) It is kind of ironic that the simple products that are idiot-proof are the ones that require special licenses and inspections. I suppose I am probably not the first person to note that.

      But, yeah, even without that constraint, I would guess that few would choose to sell other THR products. There are definitely exceptions. But between not even knowing that smokeless tobacco is lower risk (probably) than the products they are selling and thinking that the political fight will be won by holding the line at “not a tobacco product”, most do not want to. (In fairness, there are probably have been local zoning fights where some version of the latter point did carry the day.)

      I know a lot of vapers (and thus a lot of vape merchants) feel something along the lines of “we did what they told us to do, and they are still treating us the same.” The act itself was wise, of course. Doing it because They were pushing it — well, that would not work for me personally, but I am certainly not judging or suggesting it is unreasonable to try to conform to social pressure, engineered or not. But the “still treating us the same” should be the wake-up call that placating the TCI is not a winning strategy.

      As for not selling nicotine to those who do not already use tobacco, that is probably illegal, but it will be a while before anyone gets around to taking a 14th Amendment action against that, I would think :-)

  5. Good argument which if I am reading you right boils down to, if it harm none then it should be no ones business but the person choosing to do it.
    And I agree however it only moved the goal posts of what constitutes harm.
    You might say a demonstraightable harm, one we can measure with instruments. To which they reply “what about my comfort? Can’t you see your behaviour makes me uncomfortable ”
    We are left with one moral position, autonomy for all versus another moral position, comfort for all. Hard to win that argument as theirs no objective base for either position.
    So we are left arguing against the prohibition position on its merits, one point at a time. We have little choice but to play in their court.
    All very well to stay true and pure with our arguments but staying true isn’t the point, its a moral position, we need to win and that requires fighting dirty and clever.

    • Carl V Phillips

      I was not attempting to lay out the ethical case for individual liberty. Like everything else, it is fuzzy at the margins, but that is not really very near the margin. It is pretty solidly agreed in both ethics and law that the mere fact of someone being bothered by the knowledge that someone else is doing X is not legitimate grounds for restricting X. That does not mean that it will not creep in around the edges, of course, and unethical people in power will act to stop an X they personally do not like, because they can. But they cannot get away with openly arguing that is the motivation. The anti-gay chatterers certainly say “it just disgusts me”, but those fighting the rearguard legal battle to maintain discrimination would never make that part of their argument.

  6. Here’s something you need to keep in mind about the ‘individual liberty’ argument. “In most instances, courts require that a discriminatory law be ‘rationally related’ to a ‘legitimate’ government goal. This requirement is very easy for the government to meet, since a discriminatory law will be upheld so long as it is not totally irrational or arbitrary… Courts are quick to find that smoke-free legislation is rationally related to a legitimate government goal, since they have long held that protecting the public’s health is one of the most essential functions of government.”
    http://publichealthlawcenter.org/sites/default/files/resources/tclc-syn-constitution-2008_0.pdf
    Ultimately, the only way to fight them is to attack the legitimacy of their “public health” claims. That means expose and attack the scientific fraud which is the very foundation of their crusade: They falsely blame smoking (and other lifestyle choices) for diseases that are really caused by infection. And yes, the impact of this fraud is huge enough to matter. I estimate that more than half of all supposed smoking related deaths, and nearly all supposed deaths from secondhand smoke, are the product of this fraud. Heart disease is the source of the largest number. (They haven’t concocted any supposed deaths from vaping that I know of, but these would be as phony as for secondhand smoke.)

  7. A gross simplification:
    1: TC on smoking. Group A say TC has no credibility, group B believes TC has credibility.
    2: TC on vaping. Group A say TC has no credibility, group B, only agree this applies to Vaping not Smoking, though some waver.
    3: TC revamp on Vaping. Group A say TC has no credibility. Group B believes TC has credibility.

    This seems to be a smart move by TC. TC has now garnered support from Group B. Can TC now expect Group B to accept everything thrown at them as they have effectively disarmed themselves by endorsing the TC position in ways this post points out?

    I would suggest the aims and methods of TC have not changed, the change is tactical. What I do not understand is i) why did Group B find TC credible on one issue and not the other and ii) why do they believe TC are credible now?

    A suggestion: Group B thought TC didn’t understand vaping and now they do so for them wrt to what will happen in the future and, borrowing a market phrase, “It’s different this time”. The conflict for Group B. at step 2, is resolved and Group B moral boosted as they have now ‘educated’ TC. Group A never had a conflict, their position has been consistent. They would say TC understood Vaping very well and its aims have not changed, so for them, “It’s business as usual”.

  8. Pingback: Thoughts, Ramblings, Opinions, the Return - Facts Do Matter

  9. Thank you Carl! VERY excellent analysis and presentation. I think I agree with everything you said in this piece and put it all together so beautifully!

    And Jude… LOVE the Crocodile piece! Perfect!

    I expected to be adding a lot in a comment here… heh… I can’t think of anything I really need to add at the moment though. Next time you’re in Philly I definitely owe ya a beer Carl!

    :>
    MJM

  10. I would be surprised if the intentions behind the PHE report were quite as sinister as you make it sound (correct me if I misunderstood something). The lead author (one of them at least) is Peter Hajek, who doesn’t appear like your usual tobacco controller. In fact, whatever I read or hear from him, his positions seem indistinguishable from those of, say, Clive Bates. He supports the option of long-term use of nicotine (which he describes as “harmless”), he is vigorously opposed to (mandatory) medicalisation, and highlights the need for only light consumer product regulation in order to improve the products through innovation. All the things we all want. I would not believe that all the time the guy has put on a friendly face while secretly pushing a hidden agenda to destroy vaping. Even if one of the other contributors did, I don’t think Hajek would sign off something that’s diametrically opposite to his (previously stated) convictions.

    Perhaps I am a bit biased, because I was prompted into vaping by an interview Peter Hajek gave for Spiegel Online (for those who read German it is here: http://www.spiegel.de/gesundheit/diagnose/rauchen-vs-dampfen-e-zigaretten-verdraengen-tabakzigaretten-a-971686.html). So I am naturally grateful to the man. But the short interview also reveals a very reasonable attitude towards ecigs, articulated passionately. Looks genuine to me.

    [Note: If he had just praised ecigs as a cessation aid I would not have been interested — I didn’t want to quit. But I thought if there is an alternative technology that does the same thing better, why not give it a try?]

  11. Carl V Phillips

    The undertone and implications do seem to be flatly contradictory to positions Peter has taken, yes. There is something odd about the authorship listing, suggesting perhaps that he was an author of only a couple of the technical sections. Some of us will refuse to sign on as an author to anything if they would not be willing to at least grudgingly accept every substantive bit of it. Others have reasons they will sign on to something they disagree with.

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  13. Pingback: More on the ecig advocates’ descent toward junk science | Anti-THR Lies and related topics

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