Unfiltered: Conflicts over Tobacco Policy and Public Health / Edition 1

by Eric Feldman, Ronald Bayer

Overview

Tobacco, among the most popular consumer products of the twentieth century, is under attack. Once a behavior that knew no social bounds, cigarette smoking has been transformed into an activity that reflects sharp differences in social status.

Unfiltered tells the story of how anti-smoking advocates, public health professionals, bureaucrats, and tobacco corporations have clashed over smoking regulation. The nations discussed in this book—Australia, Canada, Denmark, France, Germany, Japan, the United Kingdom, and the United States—restrict tobacco advertising, tax tobacco products, and limit where smoking is permitted. Each is also struggling to shape a tobacco policy that ensures corporate accountability, protects individual liberty, and asserts the state's public health power.

Unfiltered offers a comparative perspective on legal, political, and social conflicts over tobacco control. The book makes a unique contribution to our understanding of how scientific evidence, global health advocacy, individual risk assessments, and governmental interests intersect in the crafting of tobacco policy. It features national case studies and cross-cultural essays by experts in health policy, law, political science, history, and sociology. The lessons in Unfiltered are crucial to all who seek to understand and influence tobacco policy and reduce tobacco-related mortality worldwide.

Product Details

ISBN-13:	9780674013346
Publisher:	Harvard University Press
Publication date:	08/15/2004
Edition description:	New Edition
Pages:	404
Product dimensions:	6.12(w) x 9.25(h) x 1.25(d)

About the Author

Eric A. Feldman is Assistant Professor at the University of Pennsylvania Law School.

Ronald Bayer is Professor at the Mailman School of Public Health, Columbia University.

Table of Contents

	Introduction: Liberal States, Public Health, and the Tobacco Question	1
1	Children and Bystanders First: The Ethics and Politics of Tobacco Control in the United States	8
2	The Limits of Tolerance: Cigarettes, Politics, and Society in Japan	38
3	Rights and Public Health in the Balance: Tobacco Control in Canada	68
4	The Politics of Tobacco Control in Australia: International Template?	89
5	Militants, Manufacturers, and Governments: Postwar Smoking Policy in the United Kingdom	114
6	Liberte, Egalite, Fumee: Smoking and Tobacco Control in France	138
7	Between Paternalism and Voluntarism: Tobacco Consumption and Tobacco Control in Germany	161
8	Holy Smoke, No More? Tobacco Control in Denmark	190
9	Tobacco-Control Policy in the European Union	219
10	Difference and Diffusion: Cross-Cultural Perspectives on the Rise of Anti-Tobacco Policies	255
11	Tobacco Control in Comparative Perspective: Eight Nations in Search of an Explanation	275
	Conclusion: Lessons from the Comparative Study of Tobacco Control	292
	Notes	309
	Contributors	387
	Index	391

What People are Saying About This

Unfiltered adds a singular contribution to the literature of tobacco control. In a wide-ranging, cross-national study, the volume offers invaluable insights into the historical, cultural, and institutional dimensions of tobacco policy as it has evolved over the past half-century - with notable sensitivity to the nuances among the eight nations examined. Essential reading for observers of the tobacco control landscape in the United States and abroad.

Editorial Reviews

In this collection of eight national analyses and a perspective on the European Union, a timely story is told from different cultural and political points of view, including those of liberal democracies, where respect for the rights of individual persons must be balanced against collective efforts to support the public good through political action. Each chapter in this thoroughly referenced book delves into history, sometimes as far back as 500 years, to gain insights into which policies might be responsible for progress in the countries discussed. Furthermore, the book tries to explain why so many idiosyncrasies exist in the complex world of tobacco control.

New England Journal of Medicine - Thomas E. Novotny

By placing tobacco policy into a broad international comparative framework, Unfiltered has rendered the tobacco control community a significant service. The book raises important questions about the politics of public health in liberal democracies: the role of corporate power and influence; the duty of government to protect citizens from toxic products; the tension between that duty and individual rights and preferences; and the interplay among science, political values, and policy making. Readers of Unfiltered will come away with a deeper appreciation of these issues and about the politics that swirl around efforts to protect the public health.

Ken Warner

With the cover befitting a crime thriller, Unfiltered delivers an honest, unfiltered discussion of contemporary policy debates in tobacco control. The book documents experiences from eight developed countries...The contributors unravel their countries' arduous journeys into tobacco control. A meticulous discussion is provided on how they confronted three key policy issues: advertising controls; restricting public smoking; and tobacco tax...Unfiltered concludes that appropriate policy alone is rarely sufficient to bring about fundamental change in the social patterns that facilitate starting, continuing, or ceasing to smoke. Tobacco control advocates will be confronted with thought provoking questions on the relation between national policies and individual preferences, between legal regimens and social realities. All eight countries show declines in smoking prevalence...Verdict: a must read for public health advocates, researchers, and policymakers.

Tobacco Control - M. Assunta

Unfiltered may provide useful background as other public health epidemics associated with multinational corporations are addressed. This new book and other sources document the product features and industry actions that led to an epidemic and the need for multiple control strategies that are framed appropriately for the national context. Those concerned with limiting obesity, diabetes, and cardiovascular disease arising from unhealthful food consumption driven by multinational corporations will likely find many parallels in tobacco.

JAMA - Jonathan Samet

Unfiltered explores the roots and implications of increasingly restrictive international tobacco regulation through case studies of eight industrialized nations and essays analyzing political, economic, and legal forces. The essays reveal differences among countries' understanding of public health, conceptions of freedom of expression, and tolerance for risk-taking behaviors that also harm others...This volume goes well beyond public health policy debates of personal behavior versus the common good.

Choice - W. E. Foegelle

Unfiltered chronicles the ambivalence and diversity with which democracies reconcile the need to respect smokers' rights and dignity with the need to prevent millions of smoking-related deaths. Both tobacco control advocates and their libertarian critics will find something to cheer about in Unfiltered. The stories told—about the necessity and the perils of paternalism, the role of class, expertise, and interest group politics in shaping health policy—surely have broader application. I know of no similar book-length comparative study of tobacco policy across wealthy societies.

Harold Pollack

I found Unfiltered to be very informative, logically organized, and well-written. It has long been known that tobacco consumption accounts for the largest single proportion of deaths and nearly half of those are considered preventable. It has only been the last half century that societies have taken seriously the need to protect the collective public health from the physical harms of smoking. Readers of this volume will understand all of these issues better.

James Curran

Unfiltered adds a singular contribution to the literature of tobacco control. In a wide-ranging, cross-national study, the volume offers invaluable insights into the historical, cultural, and institutional dimensions of tobacco policy as it has evolved over the past half-century - with notable sensitivity to the nuances among the eight nations examined. Essential reading for observers of the tobacco control landscape in the United States and abroad.

Robert L. Rabin