EARLY IN THE DEBATE ABOUT CIGARETTE ADVERTISING ON TV, THE PUBLIC HEALTH SERVICE RECEIVED EQUAL TIME FOR COUNTER-ADVERTISING ABOUT THE HEALTH PROBLEMS CAUSED BY CIGARETTE SMOKING. THE RESULTS WERE SO DEVASTATING TO THE TOBACCO INDUSTRY, THAT THE CIGARETTE FIRMS DECIDED THEY WOULD RATHER HAVE NO ADVERTISING AT ALL ON TV, RATHER THAN HAVE THE TRUE EFFECTS OF SMOKING BROUGHT BEFORE AMERICAN VIEWERS. 76 (I WILL ADD PARENTHETICALLY THAT WE ARE NOW AT ABC THE SAME STAGE WITH ALCOHOL ADVERTISING NOW. FOR THE SAKE OF THE AMERICAN PEOPLE, LET’S HOPE WE CAN MOVE EVEN FASTER TO RESTRICT ADVERTISING FOR THIS OTHER ADDICTIVE DRUG.) 77 IN CALLING FOR RESTRICTIONS ON CIGARETTE ADVERTISING I STAND ON COMMON SENSE AND PROVEN HEALTH STUDIES. I DON’T NEED TO HIDE BEHIND THE FIRST AMENDMENT. I DON’T NEED TO USE OUR CONSTITUTION AS A SMOKE SCREEN. AND THE "FREE SPEECH" ARGUMENT USED BY TOBACCO ADVERTISERS IS A SMOKE SCREEN. YOU DON’T SEE THESE PEOPLE OUT IN FRONT ON OTHER FIRST AMENDMENT ISSUES. 78 FREE SPEECH HAS NEVER BEEN AN UNLIMITED RIGHT: WE ALL KNOW YOU CAN’T YELL "FIRE" IN A CROWDED THEATRE. FREE SPEECH CANNOT INJURE THE COMMON WELFARE TO SERVE THE COMMERCIAL INTERESTS OF A FEW. THE FIRST AMENDMENT WAS NOT INTENDED TO ALLOW LIES TO BE FOISTED ON THE PUBLIC. MOST CIGARETTE ADVERTISING IS LIES. IT ASSOCIATES WITH ROMANCE, GLAMOUR, ATHLETICS, SUCCESS SUBSTANCES WHICH INSTEAD LEAD TO DISABILITY AND DEATH. 79 FIRST AMENDMENT PROTECTION IS NOT EXTENDED TO SPEECH ENCOURAGING ILLEGAL ACTIVITY. TOBACCO ADVERTISERS DEPEND UPON REACHING YOUNG PEOPLE. MOST OF THOSE WHO SMOKE BEGAN BEFORE THEY WERE TWENTY, OR EVEN 15. IN OTHER WORDS, THE CONTINUED STRENGTH OF THE TOBACCO MARKET DEPENDS ON THOSE TO WHOM THE PRODUCTS CANNOT BE LEGALLY SOLD. 80 THEREFORE, RESTRICTIONS ON TOBACCO ADVERTISING MEET THE CONSTITUTIONAL TEST IN AT LEAST TWO WAYS: 1. IT IS APPROPRIATE TO BAN COMMERCIAL SPEECH THAT IS MISLEADING OR FRAUDULENT. AND 2. IT IS APPROPRIATE TO BAN COMMERCIAL SPEECH RELATED TO ILLEGAL ACTIVITY. 81 FOR ALL THEIR TALK ABOUT "FREEDOM", TOBACCO INTERESTS ARE GREAT ENEMIES OF FREEDOM. FAR FROM BELIEVING IN FREE SPEECH, TOBACCO ADVERTISERS USE THEIR ECONOMIC CLOUT TO FORCE PUBLISHERS NOT TO PRINT ARTICLES ABOUT THE REAL CONSEQUENCES OF SMOKING. CIGARETTE ADVERTISING, FAR FROM ALLOWING FREE CHOICE, ACTUALLY UNDERMINES FREE CHOICE. NICOTINE ADDICTS DO NOT ENJOY FREE CHOICE. 82 FINALLY, LET’S BE UP-FRONT ABOUT. THE SPECIAL CHALLENGE FACING TOBACCO ADVERTISERS: MOST PEOPLE WHO USE THEIR PRODUCT WOULD RATHER NOT USE IT. AS MANY AS 90% WISH TO QUIT. MANY TOUGH IT OUT, BREAK THEIR ADDICTION, AND SUCCEED IN QUITTING. 83 THE ADVERTISERS NEED TO REPLENISH THE DIMINISHING SUPPLY OF TOBACCO USERS: REMEMBER THOSE 1,000 SMOKERS WHO DIE EVERY DAY. MEANWHILE, ADVERTISERS RECRUIT MORE VICTIMS. 84 WE MUST ALSO CONCERN OURSELVES WITH THE EXPORT OF TOBACCO PRODUCTS. I DO NOT BELIEVE THE UNITED STATES WILL EVER AGAIN BE A GOOD MARKET FOR TOBACCO PRODUCTS. THE CURVE IS GOING DOWN AND ACCELERATING. BUT IF WE HAVE BEATEN THE CIGARETTE INDUSTRY ON ITS OWN HOME TURF WE’VE DRIVEN THEM TO SCOUR THE REST OF THE EARTH FOR NEW VICTIMS. 85 THE TOBACCO INDUSTRY -- AS YOU ALL KNOW, I AM SURE -- HAS TARGETED THE LESS DEVELOPED AND DEVELOPING COUNTRIES OF THE WORLD AS THEIR MOST PROMISING MARKETS FOR THE 1990s. IT IS THE HEIGHT OF HYPOCRISY FOR THE UNITED STATES, IN OUR WAR AGAINST DRUGS, TO DEMAND THAT FOREIGN NATIONS TAKE STEPS TO STOP THE EXPORT OF COCAINE TO OUR COUNTRY WHILE AT THE SAME TIME WE EXPORT NICOTINE, A DRUG JUST AS ADDICTIVE AS COCAINE, TO THE REST OF THE WORLD. 86 ANOTHER ISSUE OF PUBLIC POLICY ON WHICH WE NEED TO SET OUR SIGHTS CONCERNS CIGARETTE VENDING MACHINES. HERE IS ANOTHER EXAMPLE OF THE CODDLED CIGARETTE COMPANIES. IT IS ILLEGAL TO SELL BOTH ALCOHOL AND CIGARETTES TO MINORS. THAT IS BECAUSE ALCOHOL AND NICOTINE ARE THE TWO MAJOR LEGAL ADDICTING DRUGS IN OUR SOCIETY. 87 WE WOULD NEVER TOLERATE SELLING ALCOHOLIC BEVERAGES IN VENDING MACHINES, BUT SOMEHOW WE TOLERATE CIGARETTE VENDING MACHINES. IT IS SAD EVIDENCE OF OUR FAILURE TO TAKE SERIOUSLY THE DANGERS OF SELLING THIS ADDICTING DRUG NICOTINE TO MINORS. THE CIGARETTE VENDING MACHINES SHOULD BE THE NEXT TARGET IN THE CRUSADE AGAINST SMOKING. 88 NO DOUBT IN THE SESSIONS THAT FOLLOW, YOU CAN DEVELOP MORE COMPLETE TACTICS FOR THESE AND OTHER STRATEGIC ISSUES. I MAY HAVE HUNG UP THE UNIFORM OF THE SURGEON GENERAL, BUT I HAVEN’T RETIRED FROM THE FIGHT AGAINST SMOKING. TOGETHER, WE’RE GOING TO WIN IT. THANK YOU. HH # 89 extra stuff in case you need/want to slip it in somewhere: AND THOSE EFFORTS HAVE BEEN HIGHLY SUCCESSFUL, THANKS TO THE COMBINED EFFORTS OF ... * GOVERNMENT ALL LEVELS -- FEDERAL, STATE AND LOCAL ... * THE HEALTH PROFESSIONS, WITH THE AMERICAN MEDICAL ASSOCIATION ITSELF LEADING THE WAY ... * MANY PRIVATE, NON-PROFIT ORGANIZATIONS SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, AND THE AMERICAN LUNG ASSOCIATION HAVE ALSO BEEN INVOLVED NOT ONLY IN EDUCATION BUT ALSO IN SMOKING CESSATION PROGRAMS... * | AND PRIVATE INDUSTRY HAS 90 BECOME A PARTNER AS WELL, ESPECIALLY THE INSURANCE INDUSTRY, WHICH OF COURSE LOSES MONEY ON PEOPLE WHO SMOKE. THE ROLE OF GOVERNMENT HAS BEEN VERY IMPORTANT OVER THE PAST 25 YEARS ... IMPORTANT IN BOTH POSITIVE AND NEGATIVE WAYS. FOR EXAMPLE, ON THE POSITIVE SIDE, ... * GOVERNMENT HAS RAISED EXCISE AND SALES TAXES 91 ON CIGARETTES, MAKING CIGARETTES MORE AND MORE OF A PAINFUL POCKETBOOK ISSUE FOR SMOKERS, ESPECIALLY THOSE SMOKERS WHO ARE STILL UNCONVINCED BY THE OVERWHELMING RESEARCH DATA AVAILABLE. EVEN SO, TAXES WOULD HAVE TO BE DOUBLED TODAY, JUST TO KEEP UP WITH INFLATION. = GOVERNMENTS -- FEDERAL, STATE, AND LOCAL -- HAVE SEVERELY RESTRICTED THE AREAS WHERE PEOPLE CAN SMOKE IN PUBLIC. AT THIS TIME, ALL 50 STATES PLUS THE DISTRICT OF COLUMBIA HAVE SOME KIND OF LAW RESTRICTING SMOKERS IN SOME WAY OR PROHIBITING SMOKING IN CERTAIN PUBLIC PLACES ALTOGETHER. IT IS NOW ILLEGAL TO SMOKE ON MOST PUBLIC CONVEYANCES ... IN MOST RETAIL STORES AND RESTAURANTS ... IN VIRTUALLY ALL GOVERNMENT BUILDINGS ... IN ALL THEATERS AND SPORTS CENTERS ..}.. 92 AND IN MANY PLACES WHERE PEOPLE WORK. * GOVERNMENT HAS ALSO ORDERED NEW AND STIFFER HEALTH WARNINGS TO BE ROTATED AMONG CIGARETTE PACKAGES AND ALL ADVERTISEMENTS. AND I LOOK FORWARD TO "ADDICTION" BEING ADDED TO LABELS BY THIS CONGRESS. THAT’S QUITE A GOOD RECORD ... AND ’VE JUST TOUCHED UPON A FEW HIGH SPOTS. BUT GOVERNMENT -- AND HERE I MEAN JUST OUR NATIONAL GOVERNMENT -- HAS ALSO DONE A FEW NEGATIVE THINGS. FOR EXAMPLE... * IT HAS EXCLUDED TOBACCO AND TOBACCO PRODUCTS FROM CERTAIN REGULATORY ACTIVITIES COVERING HAZARDOUS OR TOXIC SUBSTANCES AND FROM MOST PACKAGING AND LABELING RESTRICTIONS, EXCEPT FOR THE SURGEON GENERAL’S WARNING. 93 * TOBACCO, BY FEDERAL LAW, IS ALSO NOT CONSIDERED TO BE EITHER A FOOD, A DRUG, OR ANY OTHER KIND OF CONSUMER PRODUCT. IT REMAINS A UNIQUE SUBSTANCE, VIRTUALLY OUTSIDE THE REGULATORY ENVIRONMENT. AND IN OUR SYSTEM OF GOVERNMENT, THAT MEANS OUTSIDE STATE AND LOCAL REGULATION AS WELL. 94