Tag Archives: ethics

Smoking is normal, and acknowledging that is part of proper tobacco harm reduction

by Carl V Phillips

Audrey Silk, via her CLASH organization in New York, recently launched a “Smoking is Normal” campaign (CLASH Facebook page, campaign Facebook page, press release). All the talk we hear about e-cigarettes “renormalizing” smoking is premised on a claim that something that about a fifth of the U.S. population does (and a larger portion in most rich countries) is not normal. In terms of prevalence, it is much more normal than being gay or being an American muslim. But think of the outcry — from very people who tend to be anti-smoker — that results when someone so much as points out those statistics, let alone suggests anything is abnormal about being in one of these minorities. Smoking is more normal than marrying outside one’s race or even marrying someone whose height percentile differs markedly from one’s own.

Of course, “denormalization” rhetoric is not an empirical claim about prevalence. It is a political tactic, an attempt to denigrate some people as being abnormal, in a sense that means abhorrent or deviant. In that sense, it is every bit as anti-THR as the most visited topic of this blog, attempts to convince people that a low-risk alternative to smoking is more harmful than it really is. No one who supports “denormalization” of smokers can be said to genuinely support tobacco harm reduction. Continue reading

An excellent indictment of public health paternalism

by Carl V Phillips

This is mostly an outsource: Go read this truly excellent case against paternalism by a professor of public health at Boston University with the unfortunate name, Leonard Glantz. I do not recall reading any analysis of this caliber by a public health professor since…, well since I was a public health professor (and I cannot claim I wrote anything quite so good on this particular topic back then). It deserves the highest praise: I wish I had written that.  Continue reading

Serious ethical concerns about public health research conduct; the case of vape convention air quality measurement

by Carl V Phillips

A recent paper in Tobacco Control (official version; unpaywalled version), “Electronic cigarette use and indoor air quality in a natural setting”, in which Eric K Soule, Sarah F Maloney, Tory R Spindle, Alyssa K Rudy, Marzena M Hiler, and Caroline O Cobb, of Thomas Eissenberg’s FDA-funded shop at Virginia Commonwealth University, reports on the researchers’ surreptitious observations at a vape convention. The research methods employed are extremely troubling to me and many others. Continue reading

New “public health” panic: Ecig users practice freedom of association without proper supervision!

by Carl V Phillips

This is completely trivial compared to the vast amount of genuinely threatening anti-THR that is out there. But it is funny — too funny to pass up. This paper was recently published. It seems that The Journal of Public Health Policy is a bit hard to access (good news in itself, really) and I am certainly not going to pay for a download. But we have the abstract, and for papers like this the abstract is really all you can stand to read anyway. It begins: Continue reading