Showing posts with label smoking. Show all posts
Showing posts with label smoking. Show all posts

Friday, January 10, 2025

Tipping Points: Any Cause for Hope?

I just finished reading, two decades after it was published, the book Tipping Point by Malcolm Gladwell. I read it at the same time that I am still trying to get through This Changes Everything by Naomi Klein, about which I wrote earlier. I realized there were things we can learn from comparing the two books.

The most noticeable thing is that Klein’s book is extremely depressing. It is also heavy with references. In contrast, Gladwell’s book (what an appropriate name he has) is optimistic, and has just enough references so that you know he is not making everything up. I read it in a couple of days. Klein’s book will take me months or years to digest.

From Klein’s viewpoint, no matter how much we do, it is not going to make any difference. Unless we totally change our economic system, the Earth is condemned to climatic warming that will exceed the ability of our civilization to tolerate. As I wrote previously, trees are out, weeds are in; this is the world of our future, and we might as well accept it.

But Gladwell’s viewpoint, as indicated right on the cover of his book, is that little things can make a big difference. Some seemingly minor event or process can push just enough on circumstances that they will begin to tip in a new direction. Also, right on the cover of his book is a match. It only takes a spark to start a fire, if the fuel is there and the conditions are right. Gladwell would suggest that we might be able to avoid global climate disaster, if something unexpected and unpredictable occurs that makes people change the way they think and live. It seems impossible, but such things have happened, though on a much smaller scale.

One example from Gladwell’s book is the Broken Windows theory of crime prevention. It would seem that, to reduce crime, which was epidemic in New York City in the early 1990s, it would be necessary to make big economic and sociological changes that would affect and improve the lives of millions of people. In parts of New York that had lots of crime, there were broken windows and graffiti everywhere. These, it would seem, are the symptoms of crime, not the causes. But a campaign to clean up broken windows and graffiti, as if they were the cause rather than the effect, seems to have caused a reduction in the crime rate. If people see broken windows and graffiti everywhere, they to not have a sense of responsibility for their surroundings, while if they see broken windows and graffiti being cleaned up, they begin to identify with their surroundings and notice when bad things happen. Criminals know that they are less likely to get away with their crimes in a neighborhood where broken windows are quickly fixed and graffiti quickly cleaned up. Treating the symptoms is a lot cheaper than addressing the root causes, which might be so large as to be impossible to address.

I have wondered why crime rates are so much lower in France, where I now live, than in America. I wonder if part of the reason is that there is a lot of effort, by property owners and municipalities, to pick up litter. There is a lot of litter in France, but about ten times less than in America (I base this statement on actual counts of I have made). The French do not, or no longer, see their local environments as places to throw garbage, or in which crime is inevitable. One fact that does not fit this interpretation is that practically every public surface in France has graffiti.

Does something like this offer any hope that we might be able to turn around the inevitable global warming? In France, it is seen as perfectly normal for people to walk and take public transit. Even mail delivery is by bicycle. It is not, or is no longer, necessary for municipalities or the government to try to convince people to not drive cars as much.


Gladwell also addresses the problem of smoking in young people, which (at least when he was writing) was increasing even while adult smoking was on the decline. American governments and nonprofits have spent billions of dollars on campaigns that tried to show young people how dangerous smoking is, without much success. I wonder if all the anti-smoking material in my biology classes made any difference. Young people do not respond very much to appeals to evidence and reasoning. Young smokers choose to smoke because of their peers. Smoking is not cool; smokers are cool—the peers whom other young people admire are the rebels who do things precisely because they are dangerous. France and Germany have used graphic images on cigarette boxes in an attempt to scare young people into not smoking, without apparent success.



But how can you make healthy behavior normal or, better yet, cool? And how could you ever get people in general to make healthy choices by making them seem cool?

Gladwell suggests one way to reduce the smoking epidemic. Since there is no way to stop young people from experimenting with cigarettes, the best we can do is to keep them from turning into long-term tobacco addicts. Most young people who play with cigarettes do not, in fact, become lifelong tobacco addicts. Gladwell suggested requiring cigarettes to be below a critical level of nicotine content, so that it would be nearly impossible for a casual smoker to become an addict. The problem is that tobacco industry profits depend almost entirely on addiction. That is how they make their money: customers who cannot not buy the product. Requiring tobacco companies to sell only cigarettes with little nicotine is requiring them to commit economic suicide. Addiction is their product. I see no way out of this problem.

The only way to prevent bad trends is to focus on your own family. That’s what we are doing. We moved to France, rather than to try to raise our grandkids in a social environment that is as wasteful and violent as America. And as for the family context, almost nobody in their immediate or extended French family smokes. Their family, and their peers, enjoy doing healthy and constructive things like taking hikes. And when our grandchildren look around them, what do they see? They see young French people who dart around on electric scooters rather than driving. They look pretty cool and they know it. Young people see their cool peers almost every day on the trams. We do not want our grandchildren to have to choose among their society, their family, and their peers. We want all three levels of influence to maximize the chances that their tipping points will be in the right direction.

All this means that, without us trying to cause it, a tipping point might be reached in which people change their behaviors away from unhealthy and dangerous ones to healthy and constructive ones. It only takes a spark.

Don’t hold your breath in anticipation, however. When a tipping point is reached, the process could tip in a dangerous direction as easily as a healthy one. It is at least as easy for good people to become violent as for bad people to become good. It all depends on who the influencers are. And influencers are very seldom the people who know the truth. A tipping point can accelerate dangerous trends as easily as preventing them.

Tuesday, July 8, 2014

Tobacco Corporations Killing Us for Profit in Yet Another Way

For many decades tobacco corporations wanted to suppress the fact that tobacco use is addictive. Scientists have known about nicotine addiction for a long time. However, when Congress subpoenaed the executives of the major tobacco companies to testify in 1994, all of the executives raised their hands and swore that they did not believe that nicotine was addictive. About that same time, an employee of one of the tobacco companies copied some of the internal research documents and released them to the Journal of the American Medical Association. These documents proved that the tobacco companies knew, from their own secret research, that nicotine was addictive. The corporate researchers even referred to cigarettes as NDDs—nicotine delivery devices. Not only did they know they were selling an addictive product, but addiction was their product. (The Russell Crowe movie The Insider tells this story.)

The tobacco corporations not only knew that addiction was their product, but they knew that most smokers start smoking when they are young. They accordingly focused some very successful advertising campaigns on young consumers. “Joe Camel” was a particularly successful image that made young people think smoking was cool.

In the late 1990s the federal government and state governments sued the tobacco corporations for the health care expenses due to lung cancer and other smoking-related diseases. Tobacco corporations had been making the profits from, and taxpayers footing the bill for, smoking-addiction-induced cancer. Despite their best efforts and attempted appeals, the tobacco corporations had to pay these expenses, and in addition had to stop marketing their products to young people.

A similar thing is happening with the corporate attempts to discredit global warming science. One of the early leaders of these attempts was the same man who fought to discredit the link between smoking and cancer: Frederick Seitz. One of the groups that fight to discredit global warming, the Heartland Institute, still denies the health dangers of smoking. They used to have this on their home page, but now keep it hidden on a web page that is not easy to find.

The truth gets even more indirect and mysterious. I describe now a report I heard on All Things Considered yesterday. Today, nearly everyone has heard that stress causes numerous health problems, including heart attacks. The scientific research behind the stress-heart disease connection is excellent. But the earliest major researcher who studied the physiology of stress—Hans Selye—got most of his funding from tobacco corporations. The reason is actually quite simple. Numerous things cause heart attacks. Stress is one of them. Smoking is another. Others include poor nutrition and genetic factors. All of these factors interact with one another. And what the tobacco companies wanted to claim, although Selye never actually said this himself (as far as I can tell), was that stress, not smoking, caused heart attacks. What Selye did not say, the tobacco companies were eager to say. Their advertisements openly proclaimed that you should smoke to relieve stress. Tobacco corporations wanted to blame stress and avert criticism of smoking.

And Selye went right along with this. Mark Petticrew, Director of Public Health for the London School of Hygiene and Tropical Medicine, and his colleagues examined thousands of documents that were made public as a result of the “tobacco settlement” of the late 1990s. They found that tobacco corporations vetted the content and wording of Selye’s papers (see hyperlink above). Says Petticrew, “tobacco industry lawyers actually influenced the content of his writings, they suggested to him things that he should comment on.”

Hanse Selye was certainly a famous scientist, author of thousands of papers and 39 books. But was Selye a liar? It does not appear so. But tobacco companies paid for his research and used his results to lie to the American public. Blood is on their hands, and Selye was their, apparently willing, tool.


You see, some scientists will say whatever you pay them to say. Far fewer scientists will do this than lawyers and politicians, but there are some. Corporate interests, such as the coal and oil industries, have found these few and use them over and over and over.