I love the idea of Bloggers all around the world uniting around a topic to effect positive change. If I learn new ideas from the countries I visit that I can take home, one of the things I can do is bring ideas from my country that have worked and would be helpful to other people. Today bloggers are uniting around the idea of "No Tobacco." If you would like to read the entries of other bloggers who are advocating for no tobacco, click on my title.
Since both of the countries I have lived in as an expat LOVE their tobacco, I repost a post from last year that celebrated one thing my country and specifically, my government, did well. The American government began a campaign to teach citizens how life-threatening tobacco is to smokers and the people they love. It began over 40 years ago, and today, America has one of the lowest smoking rates in the world. Here's my post:
I moved to Prague in November of 2008. It was the day after the Presidential election so I left full of hope and excitement for my country's future. The preceding month, however, with the credit crisis and the bank bailouts pretty much drove American belief in the fairness of our system out the window. It would have been so, so easy to give up in cynicism. I was grateful to be in Prague where I would be avoiding the continual depressing drumbeat of economic calamity in American news.
When I came to Prague, I discovered Czechs had their own cynicism about democratic politics. I'm not talking about before 1989, but after. Immediately after the Velvet Revolution, Czechs felt all of the assets of the country were stripped away in a big "grab" by politicians and carpetbaggers.
I don't want to be cynical. It's not my nature and cynicism never advanced the cause of humanity. So as I made my transition to living in a new country, I vowed to celebrate one wonderful thing about my government and the Czech government so that I could keep cynicism at bay. In my next post, I'll talk about one wonderful thing I admire about Czech government, even though there are actually many things (just as there are for America). Today, I'd like to celebrate my own government's actions. It actually ended up saving my life.
A typical signthat conveys how socially unacceptable
smoking is in America.
I am grateful to the United States government for providing leadership in my country on the elimination of smoking as a socially acceptable practice. This wasn't a grass-roots movement from the people pushing up but a top-down campaign from the Surgeon General of the United States (our top public health official) to the people.
In 1964, the Surgeon General declared that "smoking causes cancer." That took real courage to say back then because 46% of American smoked. They smoked in cars, elevators, planes, offices, and their homes. The 1964 report was issued on a Saturday, so great were the worries about what it would do to the American stock market.
The news that smoking causes cancer finally sank into my brain in 1991 when I was 31 years old. Up until that point, I smoked more than I care to admit (okay, I'll admit it: 3-4 packs a day).
When I came to Prague, I had never seen so many smokers! Not even when I was 17 years old and thought smoking was cool. Just walking down one of Prague's very lovely streets, one has to be careful not to get a cigarette burn in one's coat because people are actively walking and smoking at the same time! I once chatted up a young Czech college student who was smoking and he was astonished by the idea that anyone would want to quit. "It relaxes me." I don't even think he knew it could kill him. And it's not just Czech young people who smoke.
Most educated people in the USA have educated themselves about the danger. In America, the majority of smokers left have less than a high school education. I've entered salons frequented by Prague intelligentsia where nearly 100% of the people had a PhD. But they are uneducated about the dangers of tobacco. The air was so thick with smoke you could see it move!
I was mystified by how unlikely it would be that my country led on this and the Czech Republic lagged on this. After all, in a socialist health care system, wouldn't the government want to eliminate preventable chronic disease because it would eliminate expense? Wouldn't Czech people resent their neighbor's smoking if that drove up national health care costs and their taxes? Isn't it in a socialist government's fiscal interest to change this smoking culture?
Maybe the taxes raised on cigarettes more than cover the cost of the increased disease and people who smoke are used for financing public budgets. I don't know. I will occasionally razz, with a joking smile, my smoking friends who are huddled outside for warmth where they've been banished nationwide in America: "hey taxpayer, thanks for paying more than your fair share through your smoking. You make it easier on the rest of us. But you don't have to kill yourself in the process - why not just mail in the money if you're so insistent on paying these extra taxes?" One of my young coworker has taken to calling his smoking breaks "paying everybody's taxes."
Why did my country lead on curtailing smoking culture when we had a giant tobacco industry that was hugely powerful, created tons of jobs, and lots of export income? The government continually, over and over again, did the right thing despite all that. We have all kinds of industries back home that sway the government from doing the exact thing in the best interest of the public as a whole. I would love to understand why the American government was so terrific on this issue when the government didn't even bear the health care costs of increased smoking, insurance companies did. What do you think, Americans? How could this sort of extraordinary leadership on an issue be reproduced? We sure could use an awful lot more of it.I am so grateful to the Surgeon Generals of the United States for saving my life. Thank you for continually reminding the public that we were killing ourselves. And since all movements have a drum leader, I would like to take a moment to honor the individual human beings who have led this movement in my country. Thank you!
American Surgeon Generals from that period onward:
Leroy Edgar Burney (first federal official to state that smoking causes lung cancer)
Luther L. Terry (commissioned landmark 1964 report on smoking)
William H. Stewart
Jesse L. Steinfeld
Julius B. Richmond
C. Everett Koop (led a campaign to create a smoke-free society by 2000)
Antonio Novello
M. Jocelyn Elders
David Satcher
Richard H. Carmona
Regina M. Benjamin
See, it's not so hard to keep cynicism at bay! Next post I will talk about what I most admire about the Czech government.
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