Although the idea that a manufacturer might willingly stress the downside of its products is absurd — imagine McDonald’s airing images of obesity or clogged arteries — I have no doubt that the tobacco industry aims its ads at young Americans. I do doubt, though, whether these ads cause an appreciable number of children to start smoking. The insecure or alienated teen who lights up for the first time is responding to peer pressure or to the example of grownup role models — movie villains, rock stars, supermodels. At most, the industry’s ads function as an assurance that smoking is a socially acceptable grownup activity. For that reason alone, they should probably be banned or more tightly controlled, just as cigarette-vending machines should be outlawed. Most people who start smoking end up regretting it, and so any policy that reduces the number of starters is laudable.
That cigarettes innately appeal to teenagers, however, is hardly the fault of the manufacturers. In recent weeks I’ve noticed several antitobacco newspaper ads that offer, for its shock value, the image of a preadolescent girl holding a cigarette. The models are obviously not real smokers, yet despite their phoniness they’re utterly sexualized by their cigarettes. The horror of underage smoking veils a horror of teen and preteen sexuality, and one of the biggest pleasant empty dreams being pushed these days by Madison Avenue is that a child is innocent until his or her eighteenth birthday. The truth is that without firm parental guidance teenagers make all sorts of irrevocable decisions before they’re old enough to appreciate the consequences — they drop out of school, they get pregnant, they major in sociology. What they want most of all is to sample the pleasures of adulthood, like sex or booze or cigarettes. To impute to cigarette advertising a “predatory” power is to admit that parents now have less control over the moral education of their children than the commercial culture has. Here again I suspect that the tobacco industry is being scapegoated — made to bear the brunt of a more general societal rage at the displacement of the family by the corporation.
The final argument for the moral culpability of Big Tobacco is that addiction is a form of coercion. Nicotine is a toxin whose ingestion causes the smoker’s brain to change its chemistry in defense. Once those changes have occurred, the smoker must continue to consume nicotine on a regular schedule in order to maintain the new chemical balance. Tobacco companies are well aware of all this, and an attorney cited by Kluger summarizes the legal case for coercion as follows: “You addicted me, and you knew it was addicting, and now you say it’s my fault.” As Kluger goes on to point out, though, the argument has many flaws. Older even than the common knowledge that smoking causes cancer, for example, is the knowledge that smoking is a tough habit to break. Human tolerance of nicotine varies widely, moreover, and the industry has long offered an array of brands with ultra-low doses. Finally, no addiction is unconquerable: millions of Americans quit every year. When a smoker says he wants to quit but can’t, what he’s really saying is, “I want to quit but I want even more not to suffer the agony of withdrawal.” To argue otherwise is to jettison any lingering notion of personal responsibility.
If nicotine addiction were purely physical, quitting would be relatively easy, because the acute withdrawal symptoms, the physical cravings, rarely last more than a few weeks. At the time I myself quit, six years ago, I was able to stay nicotine-free for weeks at a time, and even when I was working I seldom smoked more than a few ultra-lights a day. But on the day I decided that the cigarette I’d had the day before was my last, I was absolutely flattened. A month passed in which I was too agitated to read a book, too fuzzy-headed even to focus on a newspaper. Another month went by before I could summon the concentration to write so much as a casual letter to a friend. If I’d had a job at the time, or a family to take care of, I might have hardly noticed the psychological withdrawal. But as it happened nothing much was going on in my life. “Do you smoke?” Lady Bracknell asks Jack Worthing in The Importance of Being Earnest , and when he admits that he does she replies, “I am glad to hear it. A man should always have an occupation of some kind.”
There’s no simple, universal reason why people smoke, but there’s one thing I’m sure of: they don’t do it because they’re slaves to nicotine. My best guess about my own attraction to the habit is that I belong to a class of people whose lives are insufficiently structured. The mentally ill and the indigent are also members of this class. We embrace a toxin as deadly as nicotine, suspended in an aerosol of hydrocarbons and nitrosamines, because we have not yet found pleasures or routines that can replace the comforting, structure-bringing rhythm of need and gratification that the cigarette habit offers. One word for this structuring might be “self-medication”; another might be “coping.” But there are very few serious smokers over thirty, perhaps none at all, who don’t feel guilty for the harm they inflict on themselves. Even Rose Cipollone, the New Jersey woman whose heirs in the early eighties nearly sustained a liability judgment against the industry, had to be recruited by an activist. The sixty law firms that have pooled their assets for a class-action suit on behalf of all American smokers do not seem to me substantially less predatory than the suit’s corporate defendants. I’ve never met a smoker who blamed the habit on someone else.
The United States as a whole resembles an addicted individual, with the corporate id going about its dirty business while the conflicted political ego frets and dithers. What’s clear is that the tobacco industry would not still be flourishing, thirty years after the first Surgeon General’s report, if our legislatures weren’t purchasable, if the concepts of honor and personal responsibility hadn’t largely given way to the power of litigation and the dollar, and if the country didn’t generally endorse the idea of corporations whose ultimate responsibility is not to society but to the bottom line. There’s no doubt that some tobacco executives have behaved despicably, and for public-health advocates to hate these executives, as the nicotine addict comes eventually to hate his cigarettes, is natural. But to cast them as moral monsters — a point source of evil — is just another form of prime-time entertainment.
BY SELLING ITS SOUL to its legal advisers, Big Tobacco long ago made clear its expectation that the country’s smoking problem would eventually be resolved in court. The industry may soon suffer such a devastating loss in a liability suit that thereafter only foreign cigarette makers will be able to afford to do business here. Or perhaps a federal court will undertake to legislate a solution to a problem that the political process has clearly proved itself unequal to, and the Supreme Court will issue an opinion that does for the smoking issue what Brown v. The Board of Education did for racial segregation and Roe v. Wade for abortion.
Liggett’s recent defection notwithstanding, the Medicare suits filed by five states seem unlikely to change the industry’s ways. Kluger notes that these cases arguably amount to “personal injury claims in disguise,” and that the Supreme Court has ruled that federal cigarette-labeling laws are an effective shield against such claims. Logically, in other words, the states ought to be suing smokers, not cigarette makers. And perhaps smokers, in turn, ought to be suing Social Security and private pension funds for all the money they’ll save by dying early. The best estimates of the nationwide dollar “cost” of smoking, including savings from premature death and income from excise taxes, are negative numbers. If the country’s health is to be measured fiscally, an economist quoted by Kluger jokes, “cigarette smoking should be subsidized rather than taxed.”
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