Thursday, 10 October 2013

Regulation of Cigarettes and Addiction to Control


This week MEPs voted for stricter controls on how cigarettes are sold. If the legislation is enacted, cigarettes will no longer be sold in packets of fewer than 20, 65% of the packaging must be covered in health warnings and added flavours will be banned. This is the latest effort in a lengthy campaign to rid the world of cigarettes which the Germans began in the 30s, following the 1929 establishment of a link between smoking cigarettes and lung cancer. Lung cancer, and other diseases that have since been connected to cigarettes, continue to rank high in the leading causes of mortality. Nearly 700,000 Europeans die from smoking-related illnesses each year and the costs for health care in the EU are estimated to be at least £20.6 billion annually, so it is easy to understand why people would want to remove, or at least curb, the use of this technology.

However, this has been a slow and difficult task due to the popularity of cigarettes, their addictive nature and the power of tobacco companies. Compared with other risks, however, the ones posed by cigarettes are easy to control, as Beck illustrates. To begin with, the cost of regulation is relatively cheap. Environmental risks, in comparison, are potentially devastating but the price to solve the problem is often too great to warrant action. Secondly, the reach of other risks are global, and as such, difficult to tackle without international co-operation. Thirdly, cigarettes are not as integrated into our lives as mobile phones for instance. We might find these a lot more difficult to regulate if they are found to pose serious health risks. Finally, the health threats caused by cigarettes are indisputable, even by pro-tobacco lobbyists. Sometimes, experts disagree with other experts on matters of grave importance. A no-win situation may be presented to the minister tasked with enforcing regulation when the jury is hung as to whether a risk exists at all. They may declare a risk so that the public is saved from the hazard. But, if the risk is later found to be baseless, the minister could be accused of scaremongering. On the other hand, if the minister, supported by the opposing camp of scientists, reassures the public that the risk is negligible and things turn out otherwise, not only do they face the consequence of the hazard, they may also be accused of a cover-up.
 
                                    

The regulation of cigarettes is a good illustration of notions of technological risk, choice and control, ideas introduced by writers such as Anthony Giddens. Advances in science and technology have given us an unprecedented abundance of choice, without which, according to Giddens, we would not feel the effects of risk quite so painfully. Due to liberation from traditional pathways we are confronted by choice from the moment we wake up. Should you eat bacon and eggs for breakfast or muesli and yoghurt? Should you drive or take the train? Should you work in an office or a factory? Should you light a cigarette or abstain? Unfortunately, you now know that these choices are laden with risk, and without God, the devil or sin or any other external source to which you may attribute blame for the evils of the world, the weight of the decision lies firmly on your shoulders. This is a process Ulrich Beck calls individualization which heightens our sense of risk. Smoking cigarettes is now a risky business, not for the dangers it entails, which remain the same, but for the way its dangers are perceived.

                                     

According to Giddens, our sense of risk is "bound up with the aspiration to control and particularly with the idea of controlling the future" which further compounds our sense of risk by creating material man-made dangers. The paradox is that we often turn to technology, further control, to save us from these dangers, which in turn creates its own risks. For instance, while nuclear power reduces the risk of producing carbon emissions and using unsustainable resources through burning fossil fuels, its own risks have been powerfully demonstrated by events such as the Chernobyl disaster (1986), the Three Mile Island accident (1979) and the more recent Fukushima Daiichi nuclear disaster (2011). We have become trapped in a self-reflexive loop where the control of one risk results in the generation of a new one.

While the regulation of cigarettes may seem benign in comparison, it is a solution to a technological problem which may bring about its own set of risks such as infringement of liberty for smokers, an increase in cigarettes on the black market, loss of tax revenue to the government and an increase in pension expenditure as the population ages. From this perspective, the desire to regulate cigarettes is itself borne out of a dangerous cultural addiction to control. Is there a solution to this? Or are we caught in an inescapable paradox where any attempt to fix our situation exacerbates it?

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