"Disputed Statistics
Fuel Politics in Youth Smoking,"
Says New York Times; Could Phony Numbers Impact Other Policies?
See
PDFAs Propaganda Released On the
Internet Hides Margin Of Error That Makes Headline Meaningless (Ed. note: The story is the story. There is nothing about marijuana in
this article, because we are not allowed to learn from the failure of marijuana
prohibition. From the marijuana perspective, this article is "ironic" in the
original Greek sense, "mocking," especially the last sentence. However, it does
introduce editors to the novel concept of critical thinking about prohibitionist policies.
Once that taboo is broken, who knows what might happen.)
From The New York Times
May 20 1998
By BARRY MEIER
It is the mantra of the nations opponents of smoking: that sweeping changes in the
way cigarettes are marketed and sold over the next decade will stop thousands of
teen-agers each day from starting the habit and spare a million youngsters from untimely
deaths.
President Clinton recently warned, for example, that one million
people would die prematurely if Congress did not pass tobacco legislation this year.
Sen. John McCain, R-Ariz., and the author of a $516 billion tobacco bill, has urged
lawmakers to stop "3,000 kids a day from starting this
life-threatening addiction."
But with the Senate beginning debate on Monday on tobacco legislation, many experts
warn that such predictions are little more than wild estimates that
are raising what may be unreasonable expectations for change in youth smoking rates.
The assertion that one million lives would be saved, for example, comes from a
statement by the American Cancer Society last year that a 60 percent
decrease in youth smoking in coming years could reduce early deaths from diseases like
lung cancer by a million. But critics say the 60 percent figure was merely a target of
anti-smoking advocates, with no analysis to back it up.
Social issues often spark unfounded claims cloaked in the reason of science. But the
debate over smoking, politically packaged around the emotional subject of the health of
children, is charged with hyperbole, some experts say. Politicians and policy makers have
tossed out dozens of estimates about the impact of various strategies on youth smoking
rates, figures that turn out to be based on projections rather than fact.
"I think this whole business of trying to prevent kids from smoking being the
impetus behind legislation is great politics," said Richard Kluger, the author of
"Ashes to Ashes" (Knopf, 1996), a history of Americas battle over smoking
and health. "But it is nonsense in terms of anything that you can put numbers next
to."
Everyone in the tobacco debate agrees that reducing youth smoking would have major
benefits because nearly all long-term smokers start as teen-agers.
But only a few studies have tried to analyze how steps like price increases and bans on
advertising affect youth smoking. And those have often produced contradictory results.
Consider the issue of cigarette pricing. In recent congressional testimony, Lawrence
Summers, the deputy Treasury secretary, cited studies saying that every 10 percent
increase in the price of a pack of cigarettes would produce up to a 7 percent reduction in
the number of children who smoke. Those studies argue that such a drop would occur because
children are far more sensitive to price increases than adults.
"The best way to combat youth smoking is to raise the price," Summers said.
But a recent study by researchers at Cornell University came to a far different
conclusion, including a finding that the types of studies cited by Summers may be based on
a faulty assumption.
Donald Kenkel, an associate professor of policy analysis and management at Cornell,
said that earlier studies tried to draw national patterns by correlating youth smoking
rates and cigarette prices in various states at a given time.
But in the Cornell study, which looked at youth smoking rates and cigarette prices over
a period of years, researchers found that price had little effect. For example, the study
found that states that increased tobacco taxes did not have significantly fewer children
who started smoking compared with states that raised taxes at a slower rate or not at all.
Kenkel added that he had no idea how the price increase being considered by Congress --
$1.10 per pack or morewould affect youth smoking rates because the price of
cigarettes, now an average of $2 a pack, has never jumped so much in the United States.
And he added that there were so few studies on youth smoking rates and price that any
estimate was a guess.
"It is very difficult to do good policy analysis when the research basis is as
thin and variable as this," Kenkel said.
Jonathan Gruber, a Treasury Department official, said that the Cornell study had its
own methodological flaws and that the earlier findings about prices supported the
departments position. He also pointed out that Canada doubled cigarette prices from
1981 to 1991 and saw youth smoking rates fall by half.
Under the tobacco legislation being considered in the United States, cigarette prices
would increase by about 50 percent. And while advocates of the legislation say that the
increase would reduce youth smoking by 30 percent over the next decade, they say that an
additional 30 percent reduction would come through companion measures like advertising
restrictions and increased penalties for store owners who sold cigarettes to underage
smokers and for youngsters who bought them.
The claim that comprehensive tobacco legislation would reduce
youth smoking by 60 percent over the next decade is perhaps the most frequently cited
number by advocates of such bills. But that figure first emerged last year in a different
context and quickly came under attack.
The American Cancer Society, soon after the settlement plan was reached in June between
the tobacco industry and 40 state attorneys general, said that one goal of that
agreementa 60 percent decline in youth smoking rates over the next decadewould
spare one million children from early deaths from smoking-related diseases. The plan,
which recently collapsed, would have raised cigarette prices by about 62 cents over a
decade and banned certain types of tobacco advertising and promotional campaigns.
But some tobacco opponents soon found fault with the cancer societys estimates.
For one, those critics pointed out that the 60 percent figure represented only a target,
and that penalties would be imposed on tobacco companies if it were not reached. And the cancer society, they added, had not performed any analysis of the June
deal to determine whether it could produce a 60 percent decline in youth smoking.
"They basically made up the number and I think it was totally irresponsible of
them,"
said Dr. Stanton Glantz, a professor of medicine at the University of
California at San Francisco. "It is like assuming that by snapping our fingers we
could make breast cancer go away."
In a letter to Dr. Glantz, Dr. Michael Thun, the cancer societys vice president
for epidemiology and surveillance research, acknowledged that the groups statement
was based on an "if-then" projection, rather than an analysis of whether the
proposals programs would accomplish that goal.
"The way the number was derived has nothing to do with what will effectively get
us there," Dr. Thun said in a recent interview.
The new 60 percent estimate is based on a different formulation. But it, like the
cancer society statistic, also coincides with a target for reducing youth smoking that
would result in industry penalties if not reached. And along with questioning the impact
of price on reaching such a goal, experts are at odds over whether advertising bans and
sales restrictions would produce the projected 30 percent drop in youth smoking.
Dr. John Pierce, a professor of cancer prevention at the University of California at
San Diego, said he thought that reversal might reflect the ability of cigarette makers to
alter their promotional strategies to keep tobacco attractive to teen-agers even as
regulators try to block them.
For their part, cigarette makers, whose internal documents suggest a significant impact
on youth smoking from price increases, appear happy to play both sides of the statistical
fence.
Last year, they estimated that the price increase in the June plan would cause sales to
drop by nearly 43 percent among all smokers over a decade. But now that Congress is
considering raising prices by twice that much, producers have turned around and said that
higher prices would undermine, rather than help, efforts to reduce youth smoking.
Steven Duchesne, an industry spokesman, said tobacco companies thought that high
cigarette prices would encourage those in the black market to target teen-agers.
"Smugglers would sell cigarettes out of the back of trucks without checking
IDs," Mr. Duchesne said.
Experts agree that unless significant changes are made in areas like price and
advertising, youth smoking rates will not decline. But unlike politicians, many of them
are unwilling to make predictions. Instead, they say that the
passage of tobacco legislation would guarantee only one thing: the start of a vast social
experiment whose outcome is by no means clear.