443,000 die as a result of tobacco use every year and we hear not even a whimper from thought leaders, politicians or even the public. And…we just accept the fact that our government makes billions of dollars in tax revenue on products that do not offer a single benefit but can kill or seriously injure those who use it
We almost totally ignore the fact that nearly 20 million (18,800,000) Americans have died as a result of tobacco products since the first warnings were put on cigarette packs in 1966. That is equivalent to wiping out the entire New York City metropolitan area and then some.
Let me take the scenario a step farther. The Airbus A380-800 is the biggest airplane in the sky. It can carry 555 people, maybe more depending on how the seats are configured. What would you think, how would you react if two of these monstrous planes crashed every day, year after year after year? I imagine the public outrage would be monumental. Certainly the planes would be grounded wouldn’t they?
“But wait,” as the commercial says, “There’s more.” What if these disasters were totally preventable? What if the planes were crashing because of a faulty switch that everyone knew about but ignored — and the planes just kept on crashing killing 438,000 Americans a year — year after year. Would there be outrage? Would congress act? Would there be demonstrations in the streets? Count on it!
Why then is there no public outrage, no congressional investigation, and no mass media attention to that same number of people dying from totally preventable diseases caused by Cigarette smoke or other uses of tobacco products?
Are football players, cheerleaders and boxers lives important? Of course they are but how can we ignore nearly a half million deaths a year? How? Someone you know is going to die from the use of tobacco, it may have already happened. We must, out of concern for one another rise up in protest and do whatever is possible to get people to quit smoking.
I refuse to accept the “I’ve tried to quit smoking but I can’t” response because I tried and I did quit. It took a lot of tries but I kept on quitting until I quit and that was 23 years ago. Yes there is some discomfort hell there’s a whole lot of discomfort, but it pales in comparison to the discomfort of cancer, emphysema, and a host of other diseases.
I can give you a gazillion facts about cigarette smoke and how it can harm you, I can provide you with tons of scientific research that proves how deadly tobacco products can be and I can show you what it costs in terms of dollars and none of those things will convince a smoker to quit. So I’m going to tell you about me.
I am almost 75 years old. I have already had a heart transplant, gastric surgery for ulcers; I have osteoporosis, osteoarthritis and Chronic Obstructive Pulmonary Disease (COPD). Tobacco is likely the primary contributor to all of them.
Now you might ask, “What are you complaining about, you are 75?” Well, let me put my health in perspective. My father in law is 88 and in better shape than I am. He has never had a cigarette.
Yes, I’m glad I’m alive but had I never smoked my quality of life would be a whole lot better. My personal experience with the perils of smoking could fill several medical books but I’ll spare you that and give you the executive summary.
I smoked for 37 years and often consumed up to four packs a day. I quit smoking in 1991 after watching my father die of coronary artery disease and chronic bronchitis. He had been a heavy smoker. He was 76 when he passed and so debilitated by lung and coronary artery disease he could not walk 50 feet without almost turning blue from lack of air. He died gasping for air and nothing could be done for him. I was there, I saw it first-hand.
I was there, too, when In November of 1998 I lost my wife of 35 years to lung cancer. She, too, had been a heavy smoker. She was diagnosed with the disease in 1996 when they found it in her legs. It had already spread. She went through both chemotherapy and radiation therapy — treatments that leave patients wishing they were dead. So toxic are these treatments they nearly destroy the will to live but for a short time perhaps 14 months she got better and then in October of 1998 the cancer returned in a massive assault on her entire body from limbs to brain.
She died a horrible death and I watched every second of it. I was holding her hand when I felt her body shudder for the last time and while saddened it was also a great relief that she had to suffer no more. I could go on but suffice it to say that if you smoke, you could experience the same terrible ending. Smoking will kill you. The only questions to be answered are when and how.
Now let me tell you about me and what cigarettes have done to the quality of my life and to my psyche.
When I quit smoking in 1991 I had already been diagnosed with Chronic Obstructive Pulmonary Disease (COPD) a progressive lung affliction that slowly takes away your ability to function normally because you cannot breathe like a normal person. I’m not going to give you a medical explanation of COPD I’m going to let you experience it.
I could tell you about difficult breathing till the cows come home and you’ll say, “Yeah that sounds tough,” as you light another smoke — so try this. Read the following instructions then bookmark this page and do what they say.
Find a spring loaded clothespin if you can and pinch your nostrils shut. Then find a drinking straw and place it between your lips as you would to drink a soda or a shake but instead of drinking anything breathe through the straw.
With it still in your mouth run around the room and continue to breathe through the little tube. It’s a bit of a struggle isn’t it? Now crimp it somewhere so that it is only about half its normal size and continue to breathe through it. Get used to that feeling because if you are a smoker that’s what you are headed for.
With normal lungs when you exert yourself you can open your mouth and breathe more deeply to get more air. With COPD the crimped straw is all the capacity you have and as time goes on that very narrow passageway closes even more until you suffocate. Fun way to die, huh?
Here’s what COPD has done to me. And please, I do not want expressions of sympathy or of concern or support. I got myself into this mess and I’m dealing with it. I am telling this story because I want people to know what smoking will do to them.
When I emerge from the shower I have to sit to catch my breath, showering is too strenuous an activity. The same is true when I get dressed — pulling my pants on and putting on a shirt leave me breathless. If I have to bend over for any reason I am in major trouble because the action affects my diaphragm and further restricts my breathing so when I straighten up I am gasping for air. There have been days when Robin has to put my socks on and tie my tennis shoes.
My COPD limits me to very little activity. I have a disability parking permit but often the few spaces assigned are full (sometimes occupied by people who don’t belong there…”I just needed to go to the ATM”). But tobacco has done other things to my body as well. Just getting out of the car is sometimes an exhausting experience.
The Osteoporosis and osteoarthritis have left me unable to stand straight anymore because of extreme, chronic pain. I now must always use a cane when I walk and when I walk I don’t go very far or very fast. I can hardly turn my head from side to side and nodding it up and down is just as difficult. I cannot bold my head up anymore because of stiffness and pain. It is tilted forward and looking down. My shoulders and neck always hurt and I am on narcotic pain killers because there is no other relief for me, I’ve tried everything.
The worst part of all of this is what it does to your self-respect and self-worth. Call me a chauvinist if you like but when we go to Art Shows, Robin has to set up a tent and everything in it. She has to carry heavy loads from our truck to the tent site and all I can do is watch. I cannot even carry a small box any distance because the walk tires me out. Here I am a big strapping guy sitting in a van while my wife does all the work. I often get looks of disgust from other artists who see Robin doing all the work as I sit in the truck reading. I’ve been asked more than once why I’m not helping her. God knows I would give anything to be able to do so. Cigarettes have taken my health and even my dignity.
You might be asking yourself what all this has to do with organ donation/transplantation and related issues. Well, let me tell you that if it weren’t for tobacco we might not have an organ shortage. Tobacco has done two things to contribute to the ever widening gap between supply and demand. First it destroys organs so people need transplants and secondly it can render your organs unfit for transplantation. So those who smoke are likely to need transplants but may be unsuitable donors (sign a donor card anyway…let the doctors decide).
I started this post by pointing out that tobacco (cigarette smoking and second hand smoke) kills 443,000 Americans a year. Tobacco is the leading cause of preventable death in the world. Economic losses are also staggering. Smoking-caused diseases result in $96 billion in health care costs annually but that’s just the U.S.
The World Health Organization (WHO) takes the issue to another level. Here’s what they say, “Tobacco use kills more than 5 million people per year worldwide. It is responsible for 1 in 10 adult deaths. Among the five greatest risk factors for mortality, it is the single most preventable cause of death.
- Eleven per cent of deaths from ischemic heart disease, the world’s leading killer, are attributable to tobacco use.
- More than 70% of deaths from lung, trachea and bronchus cancers are attributable to tobacco use.
- If current patterns continue, tobacco use will kill more than 8 million people per year by 2030.
- Up to half of the world’s more than 1 billion smokers will die prematurely of a tobacco-related disease
For roughly half of adult smokers it isn’t a question of if smoking will kill them but how — and most smokers erroneously think lung cancer is the biggest threat. It’s a big one but the real threat is circulatory or cardiovascular disease.
It is a well-established fact that damage to normal blood flow is substantially worse than what is happening in your lungs.
According to the U.S. Centers for Disease Control, lung cancer is responsible for 28% of smoking related deaths while 43% are attributable to cardiovascular disease – primarily heart disease and strokes.
- It’s easy to appreciate that the 43 cancer causing chemicals in each and every puff are slowly building an internal time bomb. What few comprehend is that it’s far more likely that smoking will cause some portion of their body’s blood piping to completely clog, with downstream oxygen deprived tissues suffocating and dying.
- Picture the inside of once smooth coronary arteries whose job it was to feed our heart muscle oxygen instead gradually becoming narrower and narrower as they slowly fill with fats and cholesterols. Picture the same process occurring in blood pathways to the brain.
- Eventually it happens. Complete blockage occurs. All downstream tissues serviced with oxygen by the blood vessel immediately begin to suffocate and die. By far the most common site of smoker circulatory tissue death is the heart muscle (a heart attack) followed by the brain (a stroke).
If you don’t care about yourself think about what your habit can do to others. Second hand smoke is a killer, that’s no myth it is a fact smokers should consider before they light up near anyone.
A short summary of the effects of second hand smoke
From the Centers for Disease Control (CDC)
In children, secondhand smoke causes the following:
- Ear infections
- More frequent and severe asthma attacks
- Respiratory symptoms (e.g., coughing, sneezing, shortness of breath)
- Respiratory infections (i.e., bronchitis, pneumonia)
- A greater risk for sudden infant death syndrome (SIDS)
In children aged 18 months or younger, secondhand smoke exposure is responsible for—
- an estimated 150,000–300,000 new cases of bronchitis and pneumonia annually, and
- approximately 7,500–15,000 hospitalizations annually in the United States.4
Health Effects: Adults
In adults who have never smoked, secondhand smoke can cause heart disease and/or lung cancer.3
- For nonsmokers, breathing secondhand smoke has immediate harmful effects on the cardiovascular system that can increase the risk for heart attack. People who already have heart disease are at especially high risk.3,5
- Nonsmokers who are exposed to secondhand smoke at home or work increase their heart disease risk by 25–30%.3
- Secondhand smoke exposure causes an estimated 46,000 heart disease deaths annually among adult nonsmokers in the United States.6
- Nonsmokers who are exposed to secondhand smoke at home or work increase their lung cancer risk by 20–30%.3
- Secondhand smoke exposure causes an estimated 3,400 lung cancer deaths annually among adult nonsmokers in the United States.6
There is no risk-free level of contact with secondhand smoke; even brief exposure can be harmful to health.
Our furry friends
It is bad enough that we are killing our friends, neighbors and children with smoke but innocent dogs, cats, hamsters and birds are also victims. http://healthypets.mercola.com/sites/healthypets/archive/2009/09/17/how-cigarettes-and-smoking-impact-your-pets-health.aspx
- A 2002 Tufts University study linked second-hand smoke to cancer in cats. The study found that cats living with smokers are twice as likely to develop malignant lymphoma—the most common feline cancer–as those in non-smoking households. Lymphoma kills 3 out of 4 afflicted cats within 12 months.
One reason cats are so vulnerable to the carcinogens in tobacco smoke is they are meticulous groomers. Daily grooming over a long period of time can expose their delicate oral tissues to hazardous amounts of carcinogens.
- A 2007 University of Minnesota study showed that cats who live with smokers have nicotine and other toxins in their urine.
- A 2007 Tufts School of Veterinary Medicine study linked second-hand smoke to oral cancer in cats (squamous cell carcinoma.) Cats living with more than one smoker and cats exposed to environmental tobacco smoke for longer than five years had even higher rates of this cancer.
- A 1998 Colorado State University study, published in the American Journal of Epidemiology, found a higher incidence of nasal tumors and cancer of the sinus in dogs living in a home with smokers, compared to those living in a smoke-free environment. The nasal/sinus tumors were specifically found among the long-nosed breeds such as retrievers and German shepherds. Unfortunately, dogs with nasal cancer do not usually survive more than one year.
- The same study showed higher lung cancer rates in short to medium nosed dogs who live with smokers, such as boxers and bulldogs. Their shorter nasal passages made it easier for cancer-causing particles to reach the lungs.
- Another study published in the American Journal of Epidemiology found that dogs in smoking households have a 60 percent greater risk of lung cancer.
How to Quit Smoking
For most tobacco users, tobacco cravings or urges to smoke can be powerful. But you’re not at the mercy of these tobacco cravings. When an urge to use tobacco strikes, remember that although it may be intense, it will be short-lived, and it probably will pass within a few minutes whether or not you smoke a cigarette or take a dip of chewing tobacco. Each time you resist a tobacco craving, you’re one step closer to stopping smoking or other tobacco use for good. But it can be difficult.
So here are 10 ways to help you resist the urge to smoke or use tobacco when a tobacco craving strikes, no matter where you are:
- Delay. If you feel like you’re going to give in to your tobacco craving, tell yourself that you must first wait 10 more minutes and then do something to distract yourself for that period of time. This simple trick may be enough to derail your tobacco craving. Repeat as often as needed.
- Don’t have ‘just one.’ You might be tempted to have just one cigarette to satisfy a tobacco craving. But don’t fool yourself into believing that you can stop at just one. More often than not, having just one leads to another, then another — and you may wind up using tobacco again.
- Avoid triggers. Urges for tobacco are likely to be strongest in the situations where you smoked or chewed tobacco most often, such as at parties or bars, in the car or while watching television. Identify your trigger situations and have a plan in place so that you can avoid them entirely or get through them without using tobacco. Don’t set yourself up for a smoking relapse. If you usually smoked while you talked on the phone, for instance, keep a pen and paper nearby to occupy yourself with doodling rather than smoking.
- Get physical. Physical activity can help distract you from tobacco cravings and reduce the intensity of cravings. Just 30 minutes of moderate physical activity can make a tobacco craving go away. Get out for a walk or jog. If you’re stuck at home or the office, try squats, deep knee bends, push-ups, running in place, or walking up and down a set of stairs a few times. If physical activity doesn’t interest you, try prayer, needlework, woodwork or journaling. Or do chores for distraction, such as vacuuming or filing paperwork.
- Practice relaxation techniques. In the past, smoking may have been your way to deal with stress. Trying to resist a tobacco craving can itself be stressful. Take the edge off stress by practicing relaxation techniques. These include deep-breathing exercises, muscle relaxation, yoga, visualization, hypnosis and massage.
- Call reinforcements. Touch base with a family member, friend or support group member for moral support as you struggle to resist a tobacco craving. Chat on the phone, go for a walk together or simply share a few laughs — or get together to commiserate about your cravings.
- Remember the benefits of quitting. Write down or say out loud the reasons you want to stop smoking and resist tobacco cravings. These might include feeling better, getting healthier, sparing your loved ones from secondhand smoke or saving money. And if you’re a closet smoker, you may save hours of time since you no longer have to spend time trying to conceal your habit.
- Go online. Join an online stop-smoking program. Or read a quitter’s blog and post encouraging thoughts for someone else who might be struggling with tobacco cravings. Learn from how others have handled their tobacco cravings.
- Try nicotine replacements. Try a nicotine replacement product instead of a cigarette. Some types of nicotine replacement therapy, including patches, gums and lozenges, are available over-the-counter. Nicotine nasal spray and the nicotine inhaler are available by prescription, as are the stop-smoking medications bupropion (Zyban) and varenicline (Chantix).
- Chew on it. Give your mouth something to do to fight a tobacco craving. Chew on sugarless gum or hard candy. Or munch on raw carrots, celery, nuts or sunflower seeds — something crunchy and satisfying.
Remember, trying something to beat the urge is always better than doing nothing. And each time you resist a tobacco craving, you’re one step closer to being totally tobacco-free.
The jury is out but so far no evidence of harm from them. From what little research I’ve done, though, they may be a good alternative (that’s not smoke…it is a vapor that quickly dissipates). The cost is comparable to real cigarettes if not a little cheaper and those who have tried them say the effect is the same. The difference is that you don’t get the carcinogens and other chemicals that are so deadly. Follow this link for more information. http://health.howstuffworks.com/wellness/smoking-cessation/e-cigarettes-help-stop-smoking.htm
You can quit smoking. You must or it is quite likely you will die from it and your death will be less than pleasant. There is plenty of help available. Talk to your doctor, Google “How to quit smoking” you will find something that works for you. Not every method works for everyone.
When I quit smoking in 1991 it was after several maybe scores of attempts, I lost track of how many. I wish I had the money for every time I threw my cigarette lighter and cigarettes out the window of my car, only to buy more at the next stop. Finally, though, with the help of Nicotine gum I was successful. I chewed that damned gum for two years after I quit and then switched to lemon drops for another two years but I am smoke free and loving it. You can do it but you have to try and try and keep on trying until you quit for good.
Bob Aronson is a 2007 heart transplant recipient. He is the founder of Facebook’s 3000 plus member Organ Transplant Initiative (OTI) and the author of most of these Bob’s Newheart Blogs. All that’s required to join OTI is that you support our mission and follow the rules for the group. You can read about both in the “About” section on the right side of the OTI group page.
Bob’s Newheart and our Facebook group Organ Transplant Initiative (OTI) support and encourage organ donation and potential biological and mechanical alternatives we also believe that the best solution for the organ shortage is to reduce the demand.
Tobacco products along with alcohol are two of the greatest contributors to organ damage and the need for transplants. If we could get people to stop using those substances the demand for transplants would diminish significantly and that could mean that the supply of organs just might catch up to the reduced demand.
The affect of tobacco products on human organs is devastating. There is almost no part of our bodies that the thousands of chemicals in tobacco and cigarette smoke can’t invade and ultimately destroy. If you smoke, it likely will kill you! If you quit your body will begin to recover and the cancers and other diseases will have to find a different host.
Our governments (city, county, state and federal) all tax tobacco often with the intention of using the revenue to finance stop smoking campaigns and most often some of the money collected is used for that purpose but not always. As is usually the case when there is a pot of money available, lots of good causes want some of it, sometimes not so good causes get it so less than 3% of tobacco tax dollars go into anti smoking or smoking cessation programs. Furthermore, settlements in and out of court in the 1990s mean that the tobacco industry is paying states nearly $250 billion over 25 years. Under the agreement, those payments to states will continue flowing even beyond 25 years as long as the tobacco industry is healthy. But the payments would phase out as cigarette company profits decline and would ultimately disappear if people stop smoking. So while government must try to get people to quit smoking, they really don’t want to try too hard.
So, having given you some critical information about smoking I’m hoping you will do two things, 1) if you smoke…quit. 2) tell your elected officials to get really serious about helping people who use tobacco products to quit using them, I submit this post for your consideration and comment.
There’s an adage that goes, ”If you borrow a hundred dollars from the bank, you owe the bank. If you borrow a million you own the bank.” That simply means the bank can’t be too hard on you if they want to get their money back. That’s the situation governments find themselves in with tobacco. In a strange twist, tobacco companies own the government. Let me explain.
Tobacco Kills. Cigarettes alone kill nearly a half million Americans every year. That’s just a cold hard fact. You probably don’t need reminding but I will anyway via the enters for Disease Control in Atlanta, Georgia. They list these facts: http://tinyurl.com/lblldw
- The adverse health effects from cigarette smoking account for an estimated 443,000 deaths, or nearly one of every five deaths, each year in the United States.
- More deaths are caused each year by tobacco use than by all deaths from human immunodeficiency virus (HIV), illegal drug use, alcohol use, motor vehicle injuries, suicides, and murders combined.
- Smoking causes an estimated 90% of all lung cancer deaths in men and 80% of all lung cancer deaths in women.
- An estimated 90% of all deaths from chronic obstructive lung disease are caused by smoking.
Smoking and Increased Health Risks
Compared with nonsmokers, smoking is estimated to increase the risk of—
- coronary heart disease by 2 to 4 times,
- stroke by 2 to 4 times,
- men developing lung cancer by 23 times,
- women developing lung cancer by 13 times, and
- dying from chronic obstructive lung diseases (such as chronic bronchitis and emphysema) by 12 to 13 times.
If trends continue, one billion people will die from tobacco use and exposure during the 21st century – one person every six seconds. Globally, tobacco-related deaths have nearly tripled in the past decade, and tobacco is responsible for more than 15% of all male deaths and 7% of female deaths. Tobacco is also a risk factor for the four leading noncommunicable diseases (NCDs) – cancer, heart disease, diabetes and chronic respiratory diseases – which account for more than 63% of global deaths according to the World Health Organization.
Tobacco use is the number one killer in China, causing 1.2 million deaths annually; this is expected to rise to 3.5 million deaths annually by the year 2030. Tobacco is also responsible for the greatest proportion of male deaths in Turkey (38%) and Kazakhstan (35%), and the greatest proportion of female deaths in the Maldives (25%) and the United States (23%).
Uniquely among cancer-causing agents, however, tobacco is a man-made problem that is completely preventable through proven public policies. Effective measures include tobacco taxes, advertising bans, smoke-free public places, mass media campaigns and effective health warnings. These cost-effective policies are among those included in the World Health Organization’s Framework Convention on Tobacco Control (WHO FCTC), a global treaty endorsed by more than 174 countries, and recommended by the World Health Organization in its MPOWER policy package. http://tinyurl.com/bor7897
Our government knows all of this. All of our elected officials know this and they all publicly support anti-smoking efforts. They go to great extremes to condemn the use of tobacco while explaining the public health consequences. Almost no one is pro smoking and yet everyone is pro smoking because we have come to depend on the billions of tax dollars generated by the sale of tobacco products. It should be pointed out that at least the U.S,. Government no longer subsidizes tobacco farmers. That program ended several years ago.
As usual the poor are hit the hardest by the addictive nature of tobacco. In a study conducted on behalf of the New York State Department of Health, it revealed that low-income smokers (those in households making under $30,000), spent an average of 23.6% of their annual household income on cigarettes, compared to 2.2% for smokers in households making over $60,000.
Taxes on tobacco products total billions of dollars a year. An example — in New York state the federal tax on a package of 20 cigarettes is $1.01, the state tax is $4.35. New York City adds a local tax of $1.50 to the state levy. That brings the combined tax rate on a package of 20 cigarettes in New York City to $6.36. Tobacco manufacturers add their profit on top of that so depending on where you buy your cigarettes in the city you could pay as much as $12 a pack…twelve dollars for a pack of cigarettes. By comparison, when I started smoking in 1954 you could buy a pack of “Wings” cigarettes for Ten cents. Major brands like Lucky Strikes or Camels were a quarter (quit smoking in 1991).
Tobacco Industry Profits Greater Than Ever
According to The Tobacco Atlas, estimates of revenues from the global tobacco industry likely approach a half trillion U.S. dollars annually. In 2010, the combined profits of the six leading tobacco companies was U.S. $35.1 billion, equal to the combined profits of Coca-Cola, Microsoft, and McDonald’s in the same year. If Big Tobacco were a country, it would have a gross domestic product (GDP) of countries like Poland, Saudi Arabia, Sweden and Venezuela.
In the meantime, tobacco companies are fighting laws with every weapon in their arsenal because just as their product kills people, restrictive smoking laws can kill the industry, a killing some say, is necessary and justified homicide.
As countries around the world ramp up their campaigns against smoking with tough restrictions on tobacco advertising, the industry is fighting back by invoking international trade agreements to thwart the most stringent rules.
A key battlefront is Australia, which is trying to repel a legal assault on its groundbreaking law requiring cigarettes to be sold in plain packs without distinctive brand logos or colors. Contesting the law, which takes effect Dec. 1, are the top multinational cigarette makers and three countries — Ukraine, Honduras and Dominican Republic — whose legal fees are being paid by the industry. http://tinyurl.com/chypao4
Tobacco use has diminished considerably in most of the developed countries but not all of them. The leafy crop is gaining new popularity among U.S. farmers. Cheaper U.S. tobacco has become competitive as an export, and China, Russia and Mexico, where cigarette sales continue to grow, are eager to buy. Since 2005, U.S. tobacco acreage has risen 20 percent. Fields are now filled with it in places like southern Illinois, which hasn’t grown any substantial amounts since the end of World War I. http://www.freerepublic.com/focus/f-news/1899911/posts
While the price of cigarettes has continuously increased since 1965, the percentage of that price going towards taxes is now half of what it was then. ]While tobacco companies complain about the $1.01 cigarette tax, Phillip Morris, Reynolds American, and Lorillard have all increased their prices by almost $1.00 per pack on their own. Phillip Morris currently lists all taxes, including federal, state, local, and sales taxes, as 56.6% of the total cost of a pack of cigarettes.
One of the reasons for the support of increased cigarette taxes among public health officials is that many studies show that this leads to a decrease in smoking rates. The relationship between smoking rates and cigarette taxes is in fact very elastic; the greater the amount of the tax increase, the greater the proportion of smokers who stop smoking. This is especially prevalent amongst teenagers. For every ten percent increase in the price of a pack of cigarettes, youth smoking rates overall drop about seven percent. This rate is also true amongst minorities and low income population smokers. The rates of calls to quitting hot-lines are directly related to cigarette tax hikes. When Wisconsin raised its state cigarette tax to $1.00 per pack, the hot-line received a record of 20,000 calls in a two month time period versus its typical 9,000 calls annually.
According to the New York Times taxes are not the only government revenue from cigarettes. Settlements in the late 1990s to end state lawsuits against tobacco companies mean that the cigarette industry is paying states nearly $250 billion over 25 years. Under the agreement, those payments to states will continue flowing even beyond 25 years as long as the tobacco industry is healthy. But the payments would phase out as cigarette company profits decline and would ultimately disappear if people stop smoking.
So the government has become a financial stakeholder in smoking, some would argue, even as public health officials warn people about its deadly consequences. Smoking declines as cigarette taxes increase, but a core group of smokers hang on to the habit. http://www.nytimes.com/2008/08/31/weekinreview/31saul.html
Will the government or governments ever really crack down on smoking? Doubtful, there is too much money in it for them so the tobacco companies and the politicians who seek to eradicate them have come to be bedfellows. What many politicians fail to see is the savings that could be had if people didn’t smoke. According to the CDC again, “Smoking is also a major contributor to many chronic diseases that are driving up the nation’s health care costs. Each year, diseases caused by cigarette smoking result in $96 billion in health care costs, much of which is paid by taxpayers through publicly-funded health programs.” http://www.cdc.gov/features/TobaccoControlData/ but the savings go beyond that when you consider the costs to employers and employees in higher premiums and lost work time due to tobacco caused illnesses.
If we truly wanted to wipe out smoking, taxes could be raised even higher than they are and the dollars generated could go a long way toward helping to solve our budget problems. Unfortunately if everyone quit smoking, the tax revenue would disappear, too and therein lies the dilemma, but it does prove that you can be both for and against something at the same time.
My name is Bob Aronson. I went to work every day wearing a suit. I had been a popular radio and TV personality in another market, Press Secretary to a Minnesota Governor and was now the first Anchor for Morning Edition on the Minnesota Public Radio Network headquartered in Minnesota’s twin cities. I was a major market radio host and newsman and that’s no small feat. For all intents and purposes I was a respected member of society. I had one small problem; I was also an uncontrollable drunk. Following is but one day in the life of an alcoholic.
I’m telling this story because alcoholism and addiction is one of the greatest destroyers of human organs. My long term addiction to alcohol and cigarettes (I quit smoking in 1991) quite likely contributed to my need for the heart transplant I received in August of 2007.
Addiction is horrible, it is a terrible existence and the addict is powerless to stop it without help. The craving for the drug, whatever it is, is stronger than any force you will ever encounter. It overpowers reason, common sense, logic and even the love of family. It destroys your moral code, your sense of ethics and even your hygiene. You begin to live your life for the drug. It is your best friend.
Those of you without an addiction will have trouble understanding this and I’ve heard many of you say, “Just use some will power!” O God if it were that easy. I remember an addiction counselor telling a group once, “Using will power to conquer addiction will get the same result as trying to use will power to control diarrhea.” She was so right.
Following is but one slice of a long life of alcoholism. It is the day, 30 years ago, that I stopped drinking. This not the worst story I could tell, those aren’t even fit to print, but rather this is the most significant because it marked the beginning of my sobriety.
I should point out, too, that once a drunk always a drunk its just that some of us drunks are sober.
On July 17 of 1982 I awakened early in the morning with a splitting headache and nausea. I stumbled through the bedroom covered in my own vomit to make it to the bathroom. Kneeling on the floor before the toilet I retched over and over again but there was nothing left in my stomach. Its contents were on and around my bed and my t-shirt and underwear.
When the retching stopped I stripped and stepped into a cold shower that felt like a million icy pinpricks. I thought I smelled sauerkraut in the house but none was cooking, the odor was me. I stunk. I scrubbed my body as hard as I could but not having eaten in several days my strength was at a minimum and taking a shower was wearing me out. You see, I wasn’t just suffering plain old flu, mine was a special flu that I brought on myself…it came out of a bottle marked Vodka 80 proof. This was the granddaddy of all hangovers.
Freshly showered and shaved I descended the staircase to the first floor of our home to find it empty. A terse note on the kitchen table told me my wife had gone to see some friends. “So what” I thought. “I’d rather be alone anyway.”
Descending yet another set of stairs I found my way to the basement where behind the paneled walls I had built a secret compartment that housed my best friend, a quart bottle of 80 proof cheap vodka. You see, when you are a drunk you drink for effect not for taste so why waste money when after a couple of swallows you can’t taste anything anyway.
I removed the bottle from its cobwebbed hiding place, cracked the seal, removed the cap and put the opening to my lips. As the clear liquid burned its way down my throat, I felt rescued. The effect was almost immediate, I felt good again and didn’t give a damn about anyone but me. Another couple of quick slugs and I was even better but by the time I got to the top of the basement stairs the alcohol hit me harder than ever before. Because I hadn’t eaten in days and was not getting rest my resistance was down and I was drunk immediately.
In my addled brain I thought, “Another drink will fix this,” so I made my way back to the basement, recovered the bottle and literally crawled up the stairs into the kitchen where I fell into a kitchen chair uncapped the bottle and took another long slug. In the few brief moments I had been awake I had already consumed a half quart of vodka.
My mind was mush but somehow I remembered the night before, when we were to entertain my boss and his wife for dinner. My wife had never met them so she was a little anxious. I told her not to worry and busied myself with preparing our outdoor barbecue dinner. Our garage was detached from the house so while I was out messing with the grill, I made a few trips into the garage for a rendezvous with another hidden bottle. About 45 minutes before our guests were to arrive I had quite a buzz going but found a way to sneak another long swallow after which I told my wife I was going to lie down until the company came.
Flashback now to my opening sentence because that’s the next thing I remember after lying down. I went upstairs and passed out. My poor wife was left to entertain people she had never met and, I was told later, made up the excuse that I had gotten very sick and had to go to bed. She entertained them for the evening while I slept the sleep only a drunk can know.
As I sat at the kitchen table, the realization of what must have happened made me realize how low I had sunk and I polished off the quart of vodka to somehow assuage my guilt. Here I was with my head the table, drunk again, remorseful and needing another drink but my stash was gone. I had no more and knew I could not drive — hell, I could hardly walk.
Reluctantly I picked up the phone and dialed my brother. I told him I needed help because I thought I was an alcoholic. He drove me to a treatment center and that’s when my life began anew.
I need to pause here for a moment to offer thanks to some people who gave me a much needed break Bill Kling, founder and President of Minnesota Public Radio, Sally Pope Kling his wife, Rick Lewis, who then was the VP of News at MPR and John Merli, the News Director.. They not only allowed me time to recover but to come back to MPR and continue to work. Thanks Bill, Sally, Rick and John. And…of course my brother Terry who took me to treatment. All of you will always be in my thoughts and prayers.
Within a year I started my own communications consulting business which I am still practicing.
If you are an addict, think you might be or know someone who needs help here are some resources.
Bob Aronson of Bob’s Newheart is a 2007 heart transplant recipient, the founder of Facebook’s nearly 2,500 member Organ Transplant Initiative and the author of most of these donation/transplantation blogs.
You may comment in the space provided or email your thoughts to me at firstname.lastname@example.org. And – please spread the word about the immediate need for more organ donors. There is nothing you can do that is of greater importance. If you convince one person to be an organ and tissue donor you may save or positively affect over 60 lives. Some of those lives may be people you know and love.
Please view our video “Thank You From the Bottom of my Donor’s heart” on http://www.organti.org This video was produced to promote organ donation so it is free and no permission is needed for its use.
If you want to spread the word personally about organ donation, we have another PowerPoint slide show for your use free and without permission. Just go to http://www.organti.org and click on “Life Pass It On” on the left side of the screen and then just follow the directions. This is NOT a stand-alone show, it needs a presenter but is professionally produced and factually sound. If you decide to use the show I will send you a free copy of my e-book, “How to Get a Standing “O” that will help you with presentation skills. Just write to email@example.com and usually you will get a copy the same day.
Also…there is more information on this blog site about other donation/transplantation issues. Additionally we would love to have you join our Facebook group, Organ Transplant Initiative The more members we get the greater our clout with decision makers.
Besides causing cancer and any one of a number of other health problems, smoking can destroy organs like the heart and lungs and can seriously damage or destroy others.
There are about 110,000 people in the U.S. waiting for organ transplants and there are not enough donor organs, so each year thousands of our loved ones, friends and neighbors die waiting. The number of organ donors is not increasing fast enough to end the shortage any time soon so one way of dealing with the crisis is to prevent the need for organ transplants. One way to do that is to quit damaging our organs by quitting smoking.
From time to time I will be publishing blogs from guest writers. The following post was written by Dr. Michael Burke, Ed.D, Assistant Professor of Medicine at the Mayo Clinic School of Medicine and Program Coordinator at the Mayo Clinic Nicotine Dependence Center. Dr. Burke is a highly respected expert in the field of tobacco addiction and smoking cessation.
There is nothing that is healthier for a person who smokes than to stop. Within a short time after one stops smoking, lung function and circulation improve, risk of heart attack and stroke diminish, and the likelihood of acquiring 14 different cancers begins to drop.
Symptoms from illnesses as different as diabetes, sleep apnea, and Crohn’s disease get better after a person stops smoking. Stopping before surgery significantly improves surgical outcomes through less infection, better wound healing and bone mending. Stopping smoking leads to less skin wrinkles and better erectile function, and the list goes on and on. Although people usually underestimate how dangerous smoking is, nearly everybody knows that it is unhealthy. However, about 1 in 5 Americans continue to smoke, and each day in the US, as many people die from smoking as three fully loaded 747’s crashing. Worldwide 100 million people died from smoking in the 20th century. Predictions are that one billion people will die from smoking tobacco this century. So why doesn’t everyone quit?
One reason is that cigarettes are quite addicting. A cigarette delivers nicotine to the brain more quickly than a hypodermic needle. It is probably the best drug delivery device ever created by man. It delivers volatile high dose nicotine that, for some people, causes physical changes to a part of the brain that is responsible for pleasure, attention and stress. I say ‘for some people’.
Smoking affects people differently. Stopping smoking is actually physically harder for some people than it is for others. The differences are in large part due to genetics. To shed light on these genetic differences a group at the Mayo Clinic is, oddly enough, studying Zebra fish. http://discoverysedge.mayo.edu/zebrafish-genetics/ Dr. Steve Ekker’s group has discovered two genes that make the fish more reactive to nicotine. If exposed to nicotine when in the larvae stage Zebra fish bred to have these two specific genes will become sensitized to the nicotine. Later in life they will move and dart more quickly in the water when nicotine is added to the tank. However, if these genes are ‘knocked out’ the fish won’t become sensitized to nicotine and then later will not react when exposed to nicotine. It is wonderful to have a geneticist with a sense of humor. Dr. Ekker’s group named the nicotine activating genes Humphrey Bogart and Bette Davis after those two Hollywood stars whose style of smoking became iconic.
Although it is a more complex story in human beings, some people have Humphrey Bogart and Bette Davis genes. These people experience a heightened reward from cigarettes when they first start smoking and more intense craving and withdrawal when they try to stop. Too often these people feel ashamed, think that they just have less willpower, or think that they just don’t want to stop badly enough. Instead these folks can stop, they just need more tools and ammunition.
I once treated a woman, a nurse, from Bayonne NJ. She was clearly a strong lady. My dad would have admirably described her as a ‘tough old broad’. “People tell me I’m weak, that I should just quit smoking” she said “But, when I go half a day without a cigarette, I’m on my knees in tears I just feel so awful”. “I’m not weak” she went on. “I left a bad man, raised three kids, worked sometimes two jobs, bought my own home, and sent all three kids to college. I’m not weak! What is it about this that is so hard?” she asked me. She was most likely genetically set to have a more difficult time stopping, and she needed treatment to match that extra difficulty. We provided treatment and one year later she was still tobacco free.
Many people try and stop ‘cold-turkey’. That’s good if it works. However, less than 5% of the people who use this method are successful at six months. Counseling and medications have been proven to significantly increase the chances of successfully stopping smoking. You can learn more about how counseling works by viewing the short video at this link. http://www.youtube.com/watch?v=5EDaA26unVw
Your health care provider may provide counseling or they may have a Tobacco Treatment Specialist in the office or local area. Professional help is also available through a telephone Quit line. Every state in the US, and province in Canada have one that can be accessed through calling 1800 QUIT NOW. One online resource that many people find helpful is www.becomeanex.org. Mayo Clinic also has a Residential Treatment Program – an 8 day program that works for people who have ‘tried everything’. http://ndc.mayo.edu
There are seven ‘first line’ medications that have been proven to be safe and effective for helping people stop smoking. Five are nicotine replacement products and two are pills available by prescription: varenicline (Chantix) and bupropion (Zyban).
There is too much confusion about nicotine replacement. Nicotine replacement medications have saved many lives and can save many more. Nicotine is not the ingredient in cigarettes that causes health problems. Smoking health problems are caused by 4,000 other chemicals that people ingest when they smoke. Some of these chemicals are natural to tobacco others are added by the tobacco industry. Nicotine replacement helps manage cravings and withdrawal symptoms safely, while eliminating exposure to the awful toxins in tobacco. We encourage people to take enough of these medicines for long enough to stop smoking.
People who smoke can also talk to their health care provider about two other medications varenicline and bupropion. These medications are proven to help people safely stop smoking. Like most medications, there are some potential side effects and you should talk to your health care provider before taking these medications. But remember, if the tobacco industry had to list the side effects from smoking, it would probably fill a telephone book. Cigarettes are the only product that will kill over 60% of the people who use it in the way it is intended. Stopping smoking, by any means necessary, is the healthy choice.
Please comment in the space provided or email your thoughts to me at firstname.lastname@example.org. And – spread the word about the immediate need for more organ donors. On-line registration can be done at http://www.donatelife.net/index.php Whenever you can, help people formally register. There is nothing you can do that is of greater importance. If you convince one person to be a donor you may save or positively affect over 50 lives. Some of those lives may be people you know and love.
You are also invited to join Organ Transplantation Initiative (OTI) http://www.facebook.com/#!/group.php?gid=152655364765710 a group dedicated to providing help and information to donors, donor families, transplant patients and families, caregivers and all other interested parties. Your participation is important if we are to influence decision makers to support efforts to increase organ donation and support organ regeneration, replacement and research efforts.