This study has been commented on and rightfully criticised by Chris Snowdon, Carl Phillips and Michael Siegel. Rather than rehash the same comments again I will simply redirect you all to Snowdon’s article.
All posts by Richard White
Second Free Society Article: Defrauded by the NHS
The second article on The Free Society can be found at this link so again, if you do read it here, click the link to give The Free Society some extra traffic.
Recently it emerged that the aging population is now a drain on the economy. Of course, it is easy to understand how the elders of society can cost more than the younger generations, as it is typically in old age that we require increased healthcare and medication. However, it is one thing to say the elderly cost more money than youngsters, but it is quite another to say they are, in and of themselves, a drain on the economy.
It is a baffling proposition: old people are draining the economy that they spent their whole lives paying into. Unless each pensioner is racking up astronomical medical bills, it is most unlikely that they take out more than they have paid in. And if what we pay doesn’t cover our eventual withdrawals, one must wonder what purpose the NHS has these days. We are increasingly told that smokers, drinkers and obese people “drain” its resources, despite the huge amount of money smokers alone pay through cigarette tax, and now the elderly are a target too.
If the NHS is unable to cope with these three causes of illness, does it have any value at all? If, as we are told, we are a drain on the NHS, just what happened to all the money that each working adult pours into it to ensure healthcare when required? We are instructed to stop smoking, cut back on drinking and watch what we eat so we save the NHS money by living longer – but now living longer is akin to siphoning untold sums of money out of the organisation.
What is most troubling about this is the idea that the money apparently isn’t there. After all, it should be there: each working citizen has been paying for it long enough. Just what is the purpose of giving a very generous slice of your pay cheque to National Insurance if you can’t use it for what it’s intended?
Such a circumstance would not be tolerated elsewhere: if you paid private health insurance each month only to be told the money won’t actually be used to treat you, you would be able to sue the company for defrauding you. National Insurance is precisely that – insurance – so there is room to argue that the British citizens are being defrauded too.
How much of this ‘defrauding’ is going on? Yorkshire NHS managers are proposing to stop smokers and the obese from having hip and knee surgery, apparently on the basis that their lifestyle choices lower the chance of success of the operation.
Something has been overlooked here, though: the smokers and obese are due a refund. Not just from their National Insurance, but a hefty chunk of the 76% tax per pack of cigarettes goes to the NHS; smokers pay into the British treasury around £10 billion annually, and ASH estimate that they take out in healthcare costs between £1.5-2.5 billion a year, giving the public purse a very nice surplus. If they are not being given the treatment they have paid for, they should be given their money back.
This leads onto the premise that if the NHS is unable to provide what it exists for, why are we retaining it? If it really is losing money, and unable to treat the people paying for it, we would all be better off using the money we spend on it to pay private insurance instead, paying our own personal health fund that we know will be there when we need it.
My article on the Free Society: Thirdhand Smoke
Simon Clark has been kind enough to post two of my articles on The Free Society website. Click here to view the article on his site (and if you read it here, please at least click the link to give him the traffic) but i’ve included it here too so that people can comment if they want to.
According to a BBC report last year, thirdhand smoke is the “lingering residue from tobacco smoke which clings to upholstery, clothing and the skin releases”. Warning signs, say researchers, is the smell that lingers on a smoker’s clothing or in an area where someone has been smoking.
The concept came to public attention in 2009 courtesy of Dr Jonathan Winickoff, who also coined the term. Winickoff took his discovery to the media not on the basis of a study but a survey. Asked if they believed that “Breathing air in a room today where people smoked yesterday can harm the health of infants and children”, 65 per cent of non-smokers said “yes”. And so a new health threat was born.
While the perceived threat of secondhand smoke allowed legislators to ban smoking in enclosed public places, the alleged dangers of thirdhand smoke takes the war on tobacco one step further. According to Winickoff, smokers themselves are “contaminated”. They “actually emit toxins” he says.
How long will it be before smokers are excluded from certain professions, teaching or other forms of childcare, for example? Or perhaps they will be banned from hospitals in case they “contaminate” nurses and other patients.
Thirdhand smoke plays on the standard antismoking cry to “think of the children” (which tobacco control conveniently ignored when they sent smokers home from pubs to smoke around their families instead). Winickoff, for example, claimed that infants spend much more time closer to surfaces, like the floor, and thus ingest more of the toxic brew from tobacco smoke.
The big discrepancy though is that no study exists that demonstrates any harm from this tobacco residue, either in children or adults. It is all based on suppositions that are based on US Surgeon General Richard Carmona’s warnings to non-smokers that “there is no safe level of tobacco smoke” and even to “stay away from smokers”. The suggestion that tobacco smoke is dangerous in any dosage defies the basic knowledge of toxicology: “The dose makes the poison”.
Winickoff built on a 2004 study by Georg Matt that claimed that nicotine levels in the dust of children’s bedrooms in homes where parents commonly smoked indoors averaged about 40 micrograms per cubic metre. Worrying over such levels is akin to worrying that a child will get caffeine poisoning from a single Kit-Kat. At the same time it should be noted that while nicotine levels in the dust of children’s bedrooms may indicate that someone has been smoking, nicotine itself is harmless – addictive, perhaps, but harmless.
While it is true that miniscule smoke particles do exist and can cling to surfaces, the issue is not whether they exist but in what quantities. In his book Dissecting Anti-Smokers’ Brains, Michael McFadden wrote of secondhand smoke:
Most of these chemicals can only be found in quantities measured in nanograms, picograms and femtograms. Many cannot even be detected in these amounts: their presence is simply theorized rather than measured. To bring those quantities into a real world perspective, take a saltshaker and shake out a few grains of salt. A single grain of that salt will weigh in the ballpark of 100 million picograms!
For context, a nanogram is one billionth of a gram, a pictogram is a trillionth of a gram, and a femtogram is written as 0.000,000,000,000,001 grams.
The residue from secondhand smoke – what some people now call thirdhand smoke – is so miniscule it is absurd that it should cause anyone serious concern. Quite simply, if a femtogram of tobacco smoke residue is enough to damage our health, a single cigarette should be all but fatal.
Of course we have long crossed the line of absurdity when it comes to tobacco control. Far from objectively researching the issue, researchers now openly admit that their work is aimed at getting smokers to quit or promoting smoking bans. even in private homes.
Talking to Scientific American about his survey, Winickoff said: “This study points to the need for every smoker to try to quit.” He also argues that “Emphasizing that thirdhand smoke harms the health of children may be an important element in encouraging home smoking bans … Your nose isn’t lying. The stuff is so toxic that your brain is telling you: ‘Get away.’”
We can apply this logic to anything whose smell we don’t like. If you don’t like the smell of deep-fried fish and chips does that mean you should run away from it? If science is telling us to fear smell, what hope do we have?
Update on smoking in homes
As an addendum to my post “Think Your Home is Safe?” is this news story about a man being sued by his neighbours for smoking in his own apartment.
According to the story:
Poses family say they have all been loosing sleep and suffering from headaches, chest pains and respiratory issues as a result of the second-hand smoke. The suit is seeking $500,000 in damages for each member of the Poses family.
However, the defendent is rightly contending the suit:
Dale contends that majority of his smoke breaks are taken outside and says he uses three air cleaners. Dale also claims that he went as far as hiring a specialist to attempt to seal off his apartment from his neighbors to help keep the smoke at bay.
If you ask me, it seems like Dale has been more than reasonable and accommodating. The fact that the neighbours have been having disputes for over a year suggests the smoke can’t be causing that much of a problem, else they would have taken action before or tried to move. To suggest that minor secondhand smoke (supposedly surviving air filtration systems, walls and a sealed apartment) is causing chest pains and lack of sleep is absurd. It seems this family is more just looking for an easy income, and the war on smokers has made them an easy target. After all, everyone knows secondhand smoke kills, and smokers are selfish and obnoxious, and that smoking bans on private property are on the cards, so what better time to take action?
Researchers Admit Thirdhand Smoke Study Is An Advocacy Piece
In a research grant application to the state of Califnornia for funding into a study on thirdhand smoke, the researchers openly admitted that the purpose of the study was not to explore the potential harm of thirdhand smoke, but to push for further bans.
“Overall, our proposed work will be a critical step in a timely assessment of whether the THS exposure is genetically harmful to exposed nonsmokers, and the ensuing data will serve as the experimental evidence for framing and enforcing policies prohibiting smoking in homes, hotels, and cars in California and elsewhere in order to protect vulnerable people.”
Ok, so when the funding comes from the Tobacco Related Disease Research Program there’s no surprise the grant was given or that the researchers were unashamed to admit their despicable agenda. Still, though, why is such a program allowed to exist in the first place, especially when it lacks the objectivity that a science program should exhibit?
What this really means is that individuals with a prejudice agenda are able to openly admit it and receive lavish amounts of money in return. It’s a shame that America has just celebrated Martin Luther King day, a man who is revered for helping to erode social segregation, but simultaneously it is working hard to segregate another group of society – even fabricating evidence to do so.
Think Your Home Is Safe?
Blogging has been light since December for the usual reasons of Christmas and New Year, and I’m now in America for a while so it isn’t going to be picking up much too soon, except for those stories that can’t go unnoticed. This is one of them, H/T Chris Snowdon.
When the smoking ban originally hit the UK in 2007 there were many people, in the days before its enactment, saying they will ignore it – including bar owners. That didn’t happen, and the more astute of us who knew where this was heading knew exactly that pubs were neither the beginning nor the end. I wrote an article in 2008 that Califnoria was trying to pass a ban on smoking even in one’s home, unless it was a detached property. That bill didn’t get through, and people declared such a ruling would never pass because the home is private property and authorities wouldn’t be able to check. For now, perhaps, but if they can get in to check for illegal substances, all they need to do is put tobacco in such a light that the (anti-smoking) public would not mind.
In Bhutan, it’s already happening:
Bhutan police can raid homes of smokers in a search for contraband tobacco and are training a special tobacco sniffer dog in a crackdown to honour a promise to become the world’s first smoke-free nation…
The Bhutan Narcotic Control Agency has started raids, with officials allowed to enter homes if someone is seen smoking or if officials have reason to believe there is illegal tobacco there…
“The sniffer dog is being trained at the moment. The dog will be able to sniff out tobacco products,” said Major Phub Gyaltshen of the Royal Bhutan Police.
Bhutan’s prime minister said the law cannot be called draconian and it was passed in the “collective wisdom” of the members of parliament.
“It is cancerous, both in the literal and the metaphoric sense, cancerous to society and to individual and in many ways it is no different from psychotropic drugs, for which the penalty in certain countries is death,” Prime Minister Jigmi Y. Thinley said.
True enough, Bhutan isn’t in the UK, or America, or such “civilised” countries. But does that make a difference? No. Most of you will remember the recent petition I started to stop Philipina Sergevitch from being evicted just for being a smoker, and America is trying to make all sheltered accommodation for senior citizens non-smoking – forcing residents to either quit or give up. I don’t need to mention this is abhorrent and cruel, so I won’t.
Those favouring smoking bans in pubs utilise the argument that they don’t want the exposure to secondhand smoke, or the smell from the smoke, or they shouldn’t be exposed, and so on. That’s a public place, though, so how does it translate to the home? It’s not as difficult as you’d imagine.
Dr Winickoff, of thirdhand smoke ‘fame’, is still busying himself in Satan’s Lab conjuring up all sorts of horseshit studies to rid the world of the foul and obnoxious tobacco plant. One of his recent ‘discoveries’ was that smoke can travel through vents, down phone lines, through cracks in the wall and so on. Put another way, you smoking in your own privately owned space can impact on your neighbours – or so they think. Once that happens, it’s easy for the smoker to be at the bad end of a punishment.
And don’t bet that these places will let you smoke outside, because third and fourthhand smoke will still be putting non-smokers at risk – tucked up in their apartments with all the windows and doors shut so the air remains clean (if only they knew).
Beyond that, the “save the chiiiildren” crowd are still churning out studies faster than Ford can churn out cars, showing all manner of things like this:
In healthy preschool children, parental smoking is an independent risk factor for higher blood pressure, adding to other familial and environmental risk factors. Implementing smoke-free environments at home and in public places may provide a long-term cardiovascular benefit even to young children.
In fact, take a look around at the new studies and reports and what you’ll find stated over and over again is the researchers’ advocation of smokefree homes. And when researchers say something enough, and the media reports it enough, you can ever so slowly see the public pendulum swing from ‘no way’ to ‘take action!’. Either that, or the global population will discover their European sides and remember where their middle finger is.
I’m reminded of wise words from two great comedians:
“Second hand smoke bothers you?, there are people from Chernobyl still alive for fucks sake!, they look weird, but they are still here…. and now we make them smoke outside!” – Steve Hughes
“Doesn’t the idea of making nature against the law seem to you a bit… paranoid?” – Bill Hicks
Pfizer: Never Let The Truth Get In The Way
I recently found the following on Pfizer’s website (at this link) and thought it deserved clearing up.
They claim that
Cigarettes don’t just contain nicotine. Each cigarette contains over 4000 toxic chemicals many of which are added to make it more appealing to the consumer. Carbon monoxide is one of the better known ones, but there are others worth mentioning too.
Acetic Acid (vinegar)
Acetone (nail varnish remover)
Ammonia (cleaning agent)
Arsenic (ant poison in the USA)
Benzene (petrol fumes)
Cadmium (car battery fluid)
DDT (insecticide)
Ethanol (anti-freeze)
Formaldehyde (embalming fluid)
Hydrogen Cyanide (industrial pollutant)
Lead (batteries, petrol fumes)
Methanol (rocket fuel)
Tar (road surface tar)
The author of this seems to not understand the difference between an ingredient being in something and said ingredient being the actual substance. Ammonia, for instance, is used in cleaning agents, but is present in soil (and thus products that grow in the soil), and various beauty products like hair dye.
Benzene is in tap water, ethanol is pure alcohol used in anti-freeze, but Pfizer are alluring that ethanol is anti-freeze therefore anti-freeze is in cigarettes. Formaldehyde is a naturally occuring substance from combustion; it is not in tobacco, but is in the smoke as a byproduct of the tobacco being lit. To suggest that rocket fuel is an active ingredient is ridiculous, because putting it near an open flame would very quickly disintegrate any would-be smoker.
And the tar in cigarettes is not road tar, it is just a term for the black residue you find in your ashtray.
Pfizer apparently are so immune from reprisal they don’t even care to fact-check or be accurate anymore.
Frank Davis: Summing it up
This is a copy of Frank Davis’s blog entry, which I thought you would all find interesting. Original entry here
My concern with smoking and smoking bans began one day in November 2004. I’d arrived at the River and bought a pint, and had sat down at my usual table to read that day’s Independent. On an inside page there was a small article saying that Sir Charles George, president of the BMA, and chairman of the BHF, was calling on the government to ban smoking in public places. He cited a new study which said that carbon nano-particles in smoke might cause an increased number of heart attacks.
‘Who the hell does he think he is?’ I wondered to myself, as I lit another roll-up. I’d never heard of any senior doctor calling for anything like this before, pulling in newspaper reporters and going public. Most doctors operated discreetly in the shadows. Not this one. I surveyed his smiling face in the photo, the jowls beneath his chin spilling over the collar of his shirt.
He wasn’t the last such swaggering doctor. Sir Liam Donaldson was soon to overshadow Sir Charles George, and there’ve been plenty of other doctors coming out of the woodwork of the Royal College of Physicians.
And I still don’t have an answer to the question ‘Who the hell do they think they are?’ or ‘How come they exert so much influence?’
But perhaps what happened was that there emerged a grand conjunction of a variety of antismoking organisations. In Britain there was Sir Richard Doll and Sir George Godber (not to mention my personal bete noire, the malignant Dr W, who inveighed against smoking like a hellfire preacher, and who regular attended BMA meetings). In the USA there was the AMA, a number of antismoking Surgeon Generals, the Robert Wood Johnson Foundation, and a variety of (at the time) grassroot antismoking organisations. And then there was Gro Harlem Brundtland, who on becoming head of the WHO in the 1990s, shifted its emphasis towards ‘lifestyle medicine’ – tobacco, alcohol, and food. And the WHO was of course part of the UN. And then there was the emerging EU political aristocracy, of whom Brundtland was herself one, having been Prime Minister of Norway.
Assemble together this constellation of interested parties, all of whom meet each other regularly at conferences all around the world, and pump in huge amounts of taxpayer’s money, plus hundreds of millions of dollars from the Master Settlement Agreement in the USA, plus even more money from pharma companies peddling NRT, and a very powerful informal global coalition comes into existence. Its members have access to senior politicians all around the world, and to banks like the World Bank. And they control huge amounts of public and private money.
A few years beforehand, somebody like Sir Charles George was just another nobody doctor. Same for Sir Liam Donaldson. Nobody had ever heard of them. But now they were part of a very large global coalition of like-minded people. And when they asked for things to be done, they started to get done. They had clout like never before.
When Sir Liam Donaldson threatened to resign when the UK Labour government showed signs of not wanting a total smoking ban, it would have been an insignificant protest 10 or 20 years earlier. But now that Donaldson was a player in the emergent global antismoking consortium, he was a bit more than just Chief Medical Officer. He had friends in high places all around the world, who could be persuaded to look less favourably upon a loan here, or a trade agreement there. So Donaldson got his total smoking ban. And he got his big office too.
One important feature of this coalition of interested parties is that none of their members have been elected. Not in the AMA or RWJF or BMA or BHF or ASH or the WHO or the UN or the EU. None of them. These were people who were meeting up with each other in conferences, working out between themselves what they wanted done. Since they weren’t elected, they didn’t need to consult the public. They didn’t particularly want to anyway. They were the experts, after all. They’d done the research. Their job as doctors and researchers and experts was educate the public, and tell them what was good for them.
And now they were finding that, whereas in the past the politicians had seldom done what the doctors asked of them, suddenly the politicians had become more than willing to accommodate their requests. Smoking bans in all public places, without any loopholes for small bars or private clubs? No problem. Bans in parks and cars? Certainly. Concealed displays of tobacco, and plain packaging? Done. Floggings and nose-slittings for first offenders?
The politicians were finding themselves dealing with a very powerful, influential, and wealthy global coalition who could make life difficult for them in all sorts of ways if they didn’t go along with their demands. And in this new political reality, all the key decisions were agreed in private among the key players in the coalition. The smoking bans. The fines. The display bans. Etc, etc. This was the new post-democratic order. It was government by experts and by committees. The job of elected politicians was to implement the instructions that filtered down to them from the coalition.
So when the second most senior member of the the Con Lib Coalition government, Nick Clegg – himself a smoker – , says that there’s no more chance of the smoking ban being repealed than capital punishment being re-introduced, he’s actually telling us just what power these people exert.
And the same is true elsewhere. It’s said that one of the conditions of the Greek bail-out was that they impose a strict smoking ban. The same is probably true of Spain, which may well be needing to be bailed out soon too. In the corridors of power in the EU, in some meeting of key players, some senior doctor insisted that the bail-out funds be conditional on rigorous smoking bans. The demand was probably made over lunch in some Brussels restaurant, just after the asparagus had been served.
The politicians know perfectly well that they’re screwing their own people. Smoking bans shatter communities and bankrupt pubs and cafes. That’s why they can’t look them in the eye and talk to them about the rain of undemocratic rules and regulations they keep imposing on them. That’s why Cameron and Clegg and all the rest of them won’t ever talk about it. Because they’re no longer serving their own people, but a confederation of powerful interest groups which can, at a flick of a switch, shut off funding, close off hard-won exemptions, and enforce previously unenforced regulations. They spend their days in Westminster trying to placate nameless eminences grises who have more direct and immediate power over them than an electorate which only gets to have its say every 5 years or so, and whose votes are soon to be counted in ways which will be designed to neutralise public opinion anyway.
If so, more and more people will wake up to learn that their governments are more interested in serving the interests of international power-brokers and bankers and pressure groups than in serving their interests. It will become the peoples against their governments, all across Europe.
A Public Display of BMA Ignorance
This entry is to highlight a recent article by Patrick Basham,viewable here
COPD: The Smoker’s Disease?
Apparently not, according to this study
You don’t have to be a smoker to suffer from Chronic Obstructive Pulmonary Disease (COPD). Indoor air pollution is enough for one to contract the infection, says the first-of-its-kind study conducted at 22 villages of Pune.
Out of 3,000 people randomly selected for the study, 210 suffered from COPD. “At least 93 per cent of those who had COPD were non smokers,” says Dr Sundeep Salvi, coordinator of the Chest Research Foundation (CRF).
Chest Research Foundation in collaboration with the KEM Hospital, Pune, and the Imperial College, London, UK, conducted one of the largest COPD prevalence studies in a span of two and a half years and released the data on the eve of World COPD Day on November 17.
Dr Sundeep Salvi from CRF, Dr Sanjay Juvekar from KEM Hospital and Dr Peter Barnes from UK spearheaded the study. Salvi said the country requires a national COPD control programme.
The study used a standardised respiratory health questionnaire and spirometry (lung function test that diagnoses COPD). The prevalence of COPD was found to be 6.9% (5.6% amongst females and 8% amongst males).
Among those identified to have COPD, only 7% were smokers and 93% were never smokers, indicating that smoking is clearly not the most important risk factor for COPD in India. More importantly, 23% of the COPDs occurred in age group less than 40 years, which has not been reported earlier, says Salvi.
It has always been believed that COPD starts occurring after 40 years and above in people who have smoked for over 15-20 years. But in India, indoor air pollution seems to be the most important cause so the disease occurs in earlier age groups as well because of exposures from childhood, he explained.