addiction

Lately I’ve been doing a lot of reading related to tobacco policy in preparation for some upcoming writing projects…

Velvet Glove, Iron Fist: A History of Anti-Smoking, Christopher Snowdon — I link to Chris’ blog of the same name frequently here. He’s one of the best critics of paternalist excesses writing today and one of the few journalists exposing the shoddy science put out by many anti-tobacco researchers. His book-length review of the anti-smoking movement goes back all the way to Columbus and is essential for putting the current movement in historical context. His coverage of secondhand smoke and bibliography of ETS papers is also very valuable. Highly recommended and lively written.

Ashes to Ashes: America’s Hundred-Year Cigarette War, the Public Health, and the Unabashed Triumph of Philip Morris, Richard Kluger — A 700+ page doorstop of a book chronicling the history of the American cigarette business. Though a little dated by its publication prior to the Master Settlement Agreement, the book presents a remarkably balanced view of the players involved. Though by no means a tobacco apologist, Kluger manages to portray Big Tobacco executives with enough sympathy to make them human and sometimes admirable businessmen working in an embattled industry. Reformers, too, are shown in a balanced light. (Only John Banzhaf appears completely without redeeming qualities; he manages to come off as an ass no matter who is profiling him.)

Kluger fairly describes the progress of science, from when tobacco companies could legitimately claim skepticism of cigarettes’ health effects to when their denials became absurd. Similar scrutiny is given to the overblown claims of secondhand smoke by their opposition. In the final pages he even comes close to predicting the MSA, though in the details he fails to guess how the tobacco companies would use it to raise prices and create a legally protected cartel.

Addiction: A Disorder of Choice, Gene M. Heyman — The title is a bit off-putting, suggesting that the book accuses addicts of choosing to have their disorder. That’s inaccurate. Heyman, a lecturer in psychology at Harvard Medical School, is actually offering an economic model of addiction, explaining substance abuse in terms of individual decisions and the way they can be distorted by addictive substances. Specifically, addictive substances tend to offer immediate benefits and long-term costs (exacerbated by withdrawal symptoms), to induce intoxication, and to undermine the value of more productive activities, all making habitual use hard to break.

Heyman is primarily concerned with illegal drugs but cigarettes do get a mention as a partial exception to the pattern. They don’t intoxicate the user and don’t interfere too much with other valuable activities, making the choice to smoke in any given situation very easy. This suggests that a useful approach to treating cigarette addiction would be to develop safer products that fill the same niche. This perspective is of special interest now given the development of e-cigarettes and research suggesting that nicotine alone can only partially explain cigarette addiction.

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