Banning smoking in beer gardens won't save a single life or the NHS a penny
It is often superficially popular for governments to ban things that majorities in opinion polling dislike. Especially where there is a moral panic about the activity.
I arrive back in England with a new round of government fussbucketry firmly under way. We already knew that our new and exciting Labour government intended to adopt an Australian approach to e-cigarettes and the, now abandoned, New Zealand policy of a ‘generational ban’ on smoking. Between them these policies amount to the stupidest piece of public health legislation since the mandation of masks. And at least in the latter case we were in the middle of an actual pandemic so there’s something of an excuse.
There is no excuse for adopting a public health policy that creates an unenforceable cigarette ban alongside banning most of the e-cigarette market because a handful of kids try the things (and the council doesn’t like the litter). We have a policy where pretty much anyone under 40 buying cigarettes is going to get ID’d and where 20 year old Steve is going to legally buy cigarettes which he will (illegally) share with his 19 year old girlfriend Clare. And if Clare doesn’t have a boyfriend right now that’s not a problem because she can get a pack of rolling tobacco and some papers (the government is also banning these) from the same bloke she buys weed from.
Clare’s mum is pissed off though because the lemon sherbet flavoured disposable e-cigarettes she likes are also going to be banned. Mum is going to go back to smoking cigarettes which is great news for Clare because mum can also buy fags for her. Meanwhile the thousands of adult smokers who bought disposable vapes from the Co-op (where they used to buy their fags before they tried vaping) will no longer have the option. These adults, who’ve done nothing wrong (unless you call quitting smoking wrong), might go to the vape shop and obtain the non-disposable paraphernalia with which they’ll vape the handful of ‘adult’ flavours that government permits. But plenty of them will simply buy 20 Marlboro and smoke.
Smoking (and vaping) is primarily a working class habit. Middle class mums and the nannying fussbuckets who feed off these mums’ moral panics will delight at these proposals because, well, smoking is a horrid common habit and they don’t want their kids to do that sort of thing. Same goes for vaping because the fussbuckets have filled their heads with mostly fictitious American anti-vaping panic and the school says all the children are vaping. The truth is, of course, that fewer than one in five British kids have even tried vaping and about one in fifty is a current vaper. At least according to anti-smoking charity, Action on Smoking & Health (ASH).
This hasn’t stopped the latest anti-smoking wheeze from the government - banning smoking in beer gardens, outside nightclubs and in the street near pubs that lack gardens. Of course the rationale for this is that smoking is a uniquely terrible thing that is responsible, pretty much single-handedly, for the crisis in our NHS. I’m not sure how the ban is going to achieve anything much except to annoy existing smokers and vapers (anyone who thinks that the ban won’t extend to users of e-cigarettes is daft) but the nannies, fussbuckets and purveyors of moral panic will, of course, claim otherwise and government will point out that the public supports the idea. But then nearly half of the British public want people who live in apartments to be banned from smoking in their home.
It is often superficially popular for governments to ban things that majorities in opinion polling dislike. Especially where there is a moral panic about the activity. We see this across the sphere of so-called public health where upper middle class moral panics get turned into ‘science’ - this has applied to gambling (especially online sports betting, one of the more benign forms of betting), to vaping, and to eating the sort of foods - ultra-processed foods in the jargon - preferred by ordinary families. The only reason for banning smoking in beer gardens is because a lot of people find smoking (and people who smoke) unpleasant and distasteful. It won’t save a single life, won’t reduce demand on the NHS by a farthing, and will result in some pubs closing.
Sticking with smoking for now, we should remember that nobody who smokes does so without being acutely aware of the associated health risks. And while it is a noble aim to want to eliminate tobacco use, we should perhaps consider that after over 100 years of a heroin ban, there are still many thousands who use this much more dangerous drug. While banning gambling is a cause close to the heart of puritans, we know that countries like China, India and Indonesia (not to mention the USA) have a huge problem with corrupt and often violent illegal gambling.
Smoking is bad for you but smokers persist because they reckon that those little packets of joyful stress relief are worth the health downside. Nicotine has a lot of positive effects:
“When chronically taken, nicotine may result in: (1) positive reinforcement, (2) negative reinforcement, (3) reduction of body weight, (4) enhancement of performance, and protection against; (5) Parkinson's disease (6) Tourette's disease (7) Alzheimer's disease, (8) ulcerative colitis and (9) sleep apnea. The reliability of these effects varies greatly but justifies the search for more therapeutic applications for this interesting compound.”
If the government really wants to reduce the harmful health impacts of smoking then, rather than ban people from smoking outside the pub or nightclub, they should focus on shifting nicotine users onto less harmful means of obtaining the drug like vaping, snus and heat-not-burn cigarettes. Plus recognising that the anti-vaping campaigns are simply a moral panic and that it is a huge public health victory if 14 year olds take up vaping instead of smoking.
We were taking a plane from Calgary Airport this week. Like so many of these public spaces, Calgary Airport comes with stern signs reminding everyone that smoking and vaping are banned throughout the airport estate. I got an inward smile and a moment of joy seeing, on a rainy Tuesday, seeing two women definitely having a smoke on the pavement. Nobody is harmed, except them, by whose women but everywhere governments believe it is their stern moral duty to stop them. But is it really any of the government’s business?
My parents were heavy smokers and it killed both of them (father with lung cancer at 63, mother with emphysema at 76) and so I would never have been tempted to take it up myself. I guess it was still fashionable for its own sake when I was young in the '80s (being rebellious and grown up, I assume).
Despite my personal antipathy, I think that the current rules banning indoor smoking in public places are a good balance. The many people I know of the younger generation who smoke are happy to go outside -- indeed, many do not smoke indoors, even at home. It is pleasant, as a non-smoker, that I can now barely remember how cigarette smoke used to permeate, to some extent, every pub and indoor venue that I visited as a young man.
I do not approve of banning habits that I happen to disagree with, because I am unsure when my own favourite vices (drinking alcohol, eating meat, reading science fiction novels) might be deemed unacceptable and in need of official discouragement. Plus, I strongly believe in individual free will, and that everyone should be allowed to go to hell in their own way.
On the economic issue, a few years ago the Institute of Economic Affairs did a comparison of the lifetime healthcare costs of smokers and non-smokers. Surprisingly, they came out equal. The reason is that, once into their 40s and upwards, when the population start to have health problems, then smokers certainly do require more healthcare in a given year that non-smokers -- but this is balanced by the fact that smokers die several years earlier. So an average smoker consumes no more healthcare expenditure in a lifetime than a non-smoker. It just happens that, for the smoker, that expenditure is compressed into fewer years.
That means that smoking is a massive economic benefit to the government. Most smokers (with the exception of my father) will survive to state pension age, earning and paying taxes through their working life, but then dying around ten years younger than non-smokers, saving a big chunk of state pension payments. Meanwhile, the taxes on tobacco are such that a packet of cigarettes now costs around £15, of which two thirds is excise duty and VAT. So anyone smoking a pack per day is paying £3,600 a year in extra tax. Over decades of smoking, one person might pay £100k to £200k in tobacco taxes, while forgoing state pension payments of £100k by dying early. Therefore an average smoker might represent an extra £250k of revenue to the government over their lifetime, when compared with a non-smoker -- while not consuming any more healthcare expenditure.
I am all for people giving up smoking, but if everyone did so, then it would not do anything to ease demand for healthcare, and the government would need to find more things to tax in order to replace the lost revenue from tobacco taxes.
A lot of people with Schizophrenia are heavy smokers. Far more so than the average person. It may be that they benefit from the positive effects of the nicotine in cigarettes. Vaping would be a less harmful option, it's a shame that there's so much ridiculous anti vaping misinformation out there. It's also ridiculous that vaping is banned inside so many pubs. I know cloud chasers, people who like to make huge clouds when vaping, can be a problem as it's quite antisocial in a confined space but they could ban that instead.