News: FDA Regulation AGAIN! Page 3
A source who was involved in the process that led to the FDA tobacco legislation currently before Congress has confirmed that the menthol exemption in the legislation was considered to be a deal-breaker by Philip Morris and that the Campaign for Tobacco-Free Kids caved in to this Philip Morris demand in order to appease the nation’s largest tobacco company. The source also confirmed that the legislation represents the results of a negotiation between the Campaign for Tobacco-Free Kids and Philip Morris, which was mediated by Congressional leaders.
By Michael Siegel
Rush Limbaugh
Congress Gives Big Tobacco a Pass on Menthol in Cigarette Bill
May 13, 2008
RUSH: By the way, ladies and gentlemen, from the New York Times today, this is just too rich. This is just too good. “Some public health experts are questioning why menthol, the most widely used cigarette flavoring and the most popular cigarette choice of African-American smokers, is receiving special protection as Congress tries to regulate tobacco for the first time. The legislation, which would give the Food and Drug Administration the power to oversee tobacco products, would try to reduce smoking’s allure to young people by banning most flavored cigarettes, including clove and cinnamon. But those new strictures would exempt menthol — even though menthol masks the harsh taste of cigarettes for beginners and may make it harder for the addicted to kick the smoking habit.
http://www.rushlimbaugh.com/home/daily/site_051308/content/01125107.guest.html
Michael Siegel, MD, MPH
Anti-smoking groups are being blasted, from both the left and the right, for their cave in to Big Tobacco in deciding to exempt menthol from the flavorings that are banned by bills being considered by Congress which would give the Food and Drug Administration (FDA) limited regulatory authority over tobacco products.
Campaign for Tobacco-Free Kids Deceives Constituents by Refuting/Obscuring Menthol Exemption; Admits Desire to Protect Menthol Cigarette Sales
Michael Siegel, MD, MPH
I believe this piece is important, not only because of its implications for the FDA legislation currently before Congress, but perhaps more importantly, because of its implications for the future of the tobacco control movement.
Most importantly, I argue that we need to achieve greater transparency, honesty, and inclusion of local advocates and especially advocates of color in the process of national tobacco policy formation. I have had these thoughts for a long time, but seeing what has transpired with the menthol issue in the current FDA bill really helped crystallize my thinking.
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April 22, 2008
Congress wants to give regulators more authority over the tobacco industry – so what else is new? The surprise is that currently there are no plans to give it to the Environmental Protection Agency. Surely cigarette smoke qualifies as a dangerous pollutant.
Not that Congress needs any ideas, but handing off tobacco to the EPA makes about as much sense as its nearly completed pass to the Food and Drug Administration. A bill expected to be voted on soon would impose new restrictions on marketing, raise cigarette taxes, and police the ingredients in tobacco products, including nicotine levels. Any reckless FDA policy is bound to be popular, and sure enough, the bill has 220 co-sponsors in the House and 54 in the Senate, including all three Presidential contenders.
This is all phenomenally cynical, even for Congress. Since the 1964 Surgeon General’s report, the health consequences of this hazardous if legal product have been ubiquitous, which no doubt accounts for the 58% plunge in smoking among U.S. adults. The FDA tobacco gambit is explainable only because the politicians have dumped public health for public revenue.
The 1998 litigation settlement between 46 states and the industry was supposed to recoup the Medicaid costs of treating sick smokers, but the $150 billion payout was promptly redirected to other political priorities. The feds joined in the shakedown, building a $280 billion racketeering case that resulted in a mere $10 billion in 2006. Government has also bought a stake in lucrative tobacco profits by using cigarette taxes as the first-resort fundraiser for new domestic programs, most recently last fall’s abortive Schip expansion.
The FDA bill would further prop up this tobacco-politician partnership, by prohibiting the agency from banning tobacco products, and – to buy the support of Big Tobacco – by creating protections against smaller competitors. Existing products would be grandfathered in, but new ones would be subject to premarket approval and advertising curbs, effectively freezing the market. The industry would also be relieved from further lawsuits, since it could claim compliance with FDA product-safety scrutiny. Philip Morris, maker of the No. 1 Marlboro brand and the world’s largest tobacco company, is understandably thrilled by the proposal.
The FDA is not as lucky. The agency is barely capable of managing its existing workload, which includes responsibility for about 25 cents out of every dollar spent in the U.S. FDA Commissioner Andrew von Eschenbach told Congress in October that the $5 billion in “user fees” over the next decade wasn’t enough to kickstart a tobacco division and that the FDA “may have to divert funds from its other programs.”
The FDA’s own advisory panels say it lacks the expertise and resources to keep pace with scientific advances. So of course it makes sense that the agency will continue to do more things badly instead of a few priorities well. And as if the FDA wasn’t already hypersensitive to political pressure, now it will take over a political motherlode.
Mr. von Eschenbach also pointed out that the legislation actively undermines his core mission, which is to promote public health. FDA regulations are devised to prove that medical therapies are safe and effective. When used as directed, cigarettes produce disease. The logical response – if the FDA is going to be implicated in what ought to be a matter of individual responsibility – should be to remove cigarettes from the market.
But since Capitol Hill has cut itself in on the business, Congress will instead apply every other regulation for pharmaceuticals and medical devices short of prohibition to new tobacco products. For instance, only “modified risk” cigarettes will be allowed onto the market. Manufacturers will have to prove not that they are “safe,” but that they are less likely to lead to lung cancer, emphysema, etc., requiring long-range randomized clinical trials. In the absence of any therapeutic benefits from smoking, this is unethical, not to mention unscientific.
All the more so because it contradicts the premise of the federal government’s case against Big Tobacco. Initiated by Janet Reno and continued by the Bush Administration, the federal suit argued that the industry committed fraud by falsely implying that light or low-tar cigarettes were healthier than standard smokes. Now Congress wants the FDA to mandate less nicotine and tar – the very practices it once claimed to find so odious.
In a final irony, the politicians backing this bill, especially sponsors Ted Kennedy and Henry Waxman, are the same ones demanding that the FDA crack down on “Big Pharma.” They say it isn’t doing enough to protect the public from risky but possibly beneficial new drugs. So: Lend the FDA imprimatur to an inherently dangerous product to fatten it up for taxation, while at the same time slow down or block the approval of life-saving therapies that treat disease instead of cause it. Congressional priorities are rarely so grotesque.
http://online.wsj.com/article/SB120882121714933013.html
Support of FDA Tobacco Legislation is Devoid of Substance; Television Debate Between Jacob Sullum of Reason and Dick Woodruff of ACS is Very Revealing
April 8, 2008
By Michael Siegel
In a news segment on CNBC yesterday, the station featured a debate on the FDA tobacco legislation between Jacob Sullum, senior editor at Reason Magazine (who opposes the legislation), and Dick Woodruff, senior director of the American Cancer Society’s Cancer Action Network (who supports the legislation).
I urge readers to listen to this segment, because I find it very revealing. Beyond the fact that Woodruff was quite rude (interrupting Sullum on the first question, which was directed to Sullum, and answering the question himself – Sullum waited patiently and courteously until Woodruff was finished and he was called on), the most telling thing to me was the fact that the American Cancer Society representative offered no substance to support his position, while Sullum offered several compelling substantive points which were not addressed by his opponent.
FDA-Approved Cancer Sticks
The difference between preventing smoking and protecting smokers
Jacob Sullum | April 9, 2008
Last week the House Energy and Commerce Committee overwhelmingly approved legislation that would authorize the Food and Drug Administration to regulate tobacco products. Since the FDA is usually portrayed as a benevolent (if occasionally sleepy) watchdog, you might assume the bill is all about consumer protection. But it’s actually aimed at consumer prevention, which is not quite the same thing.
A consumer protection bill that reduced competition, raised prices, restricted choice, blocked information, and made products more hazardous could not really be counted as a success. Yet the Family Smoking Prevention and Tobacco Control Act, which has broad support in both houses of Congress, promises to do all these things in an effort to discourage consumption.
The act imposes new regulatory burdens and advertising restrictions that will help industry leader Philip Morris, which supports the bill, maintain its market-share advantage over smaller cigarette manufacturers, which oppose the bill. The compliance costs and reduced competition are likely to raise prices, which counts as an advantage if your goal is “smoking prevention” but a disadvantage if your goal is to buy a pack of cheap smokes.
Likewise, the bill restricts variety, which consumers like but public-health paternalists do not. Under the act, smokers will be allowed to choose any cigarette flavor they like, as long as it’s menthol (which happens to be the one flavor Philip Morris uses). Although people above the age of 18 have been known to enjoy the occasional clove cigarette, Camel Crema, or Kool Caribbean Chill, these flavored varieties have been deemed too kid-friendly and therefore inconsistent with the goal of smoking prevention.
While added flavors (except for menthol) are unambiguously evil, toxins and carcinogens may have a positive role to play if they discourage people from smoking by raising the specter of cancer, heart disease, and emphysema. Hence the bill instructs the FDA to approve a “modified risk tobacco product” only if it would “benefit the health of the population as a whole taking into account both users of tobacco products and persons who do not currently use tobacco products.”
To make that judgment, the FDA is supposed to consider “the increased or decreased likelihood that persons who do not use tobacco products will start using the tobacco product that is the subject of the application” as well as “the increased or decreased likelihood that existing users of tobacco products who would otherwise stop using such products will switch to the tobacco product that is the subject of the application.” In other words, the FDA could decide to keep a demonstrably safer cigarette off the market because it might attract new smokers or dissuade current smokers from quitting.
Worse, an existing product can be deemed a “modified risk tobacco product” subject to FDA approval if its manufacturer indicates on the package, in advertising, or in any other forum that it’s less hazardous than cigarettes. If an executive at a smokeless tobacco company mentioned in a TV interview or an op-ed piece that his products were much safer than cigarettes, which is indisputably true, those products could suddenly be considered illegal.
Here the concern is not fraud but accurate information that consumers might “misuse” (by, for example, switching from cigarettes to oral snuff instead of giving up tobacco altogether). As far as this bill’s authors are concerned, you can’t handle the truth.
The bill not only authorizes the prohibition of safer tobacco products and the censorship of potentially lifesaving information about relative risks; it gives the FDA permission to make cigarettes more dangerous by ordering reductions in nicotine content. Such a mandate, aimed at making cigarettes less attractive to new smokers, would force current smokers to absorb higher levels of toxins and carcinogens to obtain their usual doses of nicotine.
According to its supporters, this bill, backed by the biggest tobacco company, will enable the FDA to protect smokers from Big Tobacco. Who will protect smokers from the FDA?
April 2, 2008
McCain’s stand on tobacco is put to test
Senator steps back on oversight measure
By Michael Kranish, Globe Staff
Tobacco Control Bill Advancing in Congress
By Susan Jones, CNSNews.com Senior Editor
FDA tobacco legislation is on hold for now
December 13, 2007
By Sean Mussenden
WASHINGTON – A plan to give the Food and Drug Administration the power to regulate cigarettes is on hold for now, but supporters said today it likely will resurface in Congress early next year.
“By no means is it dead,” said William V. Corr, executive director of the Campaign for Tobacco-Free Kids, a public health advocacy group that has long sought FDA regulation of cigarettes.
Supporters of a pair of similar bills in the House and Senate – including several leading anti-smoking and cancer research groups – argue that FDA regulation would further curtail tobacco marketing messages aimed at young people and bring about a reduction in cigarette nicotine levels.
Opponents – including the Bush administration -argue that tobacco oversight by an agency charged with protecting public health could fool smokers into thinking cigarettes are safe.
Fifty-four senators are co-sponsoring the Family Smoking Prevention and Tobacco Control Act.
It passed a key health committee earlier this year and likely will come to a vote in the full Senate “early next year,” said Melissa Wagoner, a spokeswoman for Sen. Edward M. Kennedy, D-Mass.
In the House, more than 200 representatives have lined up as co-sponsors, but the bill has not yet emerged from committee. A committee vote could come “early in the new year,” Wagoner said.
Though the proposal has attracted strong support in both the House and Senate, it still faces significant hurdles.
Sen. Richard Burr, R-N.C., who opposes the legislation, earlier this year promised a filibuster if necessary to prevent a vote if it reaches the Senate floor. At least 60 votes are needed to overcome a filibuster.
“He’s going to continue to find a way to improve tobacco products in a way that makes sense and does not harm North Carolina farmers,” said his spokesman Chris Walker.
Should Congress eventually approve it, the Bush administration has signaled its clear opposition to the legislation.
In an October letter to the House health subcommittee, which held a hearing that month on tobacco regulation, FDA Commissioner Andrew von Eschenbach wrote that “approval of tobacco products that are dangerous to health even if used as directed runs directly counter to FDA’s historical mission to protect and promote public health.”
Rep. Henry Waxman, D-Calif., a lead sponsor of the legislation in the House, discounted that argument at the October hearing.
“Some have raised concerns that FDA is not the right agency for this job. I disagree. No other agency shares FDA’s strong, scientific foundation, together with a public health mission and comprehensive regulatory authority,” he said.
