Happy Independence Day.

Its funny to think I’ve now been writing this column for over a year. Last year at this time I wrote a brief article encouraging ex-smokers to celebrate their independence from tobacco, and reminding us that the history of the United States is very closely tied to the history of tobacco. You can read it at:
http://www.healthline.com/blogs/smoking_cessation/2007/07/celebrate-your-independence-from.html

This year, I’ve had reason to think about another form of independence: namely independence from funding sources.

First of all, lets clarify what the word means in this context. A quick googling of “independence” gives various definitions, here are some:
“The capacity to make ones own judgements”. It has also been described as the opposite to “dependence, subordination, subservience”.

In the past week a journalist published an article implying that because I have done some work for pharmaceutical companies that my opinions or recommendations to patients have somehow lost their independence and become biased.

Part of the reason I have chosen a career as a professor is that in this profession I enjoy academic freedom: the right to express my opinion on my area of expertise without being censored by my employer or any other source of funding. In this job, the main thing affecting what one says is simply the question of whether it can be supported by the best scientific evidence. If I was primarily employed by a pharmaceutical company (or pretty much any for-profit company for that matter) I may have greater limitations on my freedom to express my opinions, particularly where those opinions were either not relevant to that company or could have a negative impact on the company’s bottom line.

So to have my independence questioned is deeply insulting, particularly by individuals who know almost nothing about me and have taken very little time to enquire as to whether my opinions are based on evidence and expertise/experience, rather than the bias they presume. In my previous blog post I have explained some of the various inaccuracies and misrepresentations presented in the recent article. I will continue to express my opinions based on my own judgement and on the best scientific evidence.
I am aware that there are some people out there who jump to the conclusion that if someone has done some work for a pharma company they must suddenly lose all ability to think for themselves or express an honest opinion. This is simply not true, any more than it is true for the 90%+ of my work funded by New Jersey Department of Health and Senior Services, the Cancer Institute of New Jersey, the Rutgers Community Health Foundation, the Robert Wood Johnson Foundation or numerous other funding agencies.

Freedom of expression is one of the most highly valued rights in this country and one that I will continue to enjoy. Feel free to post your own thoughts and opinions in response, whether you agree or not (except of course for John Polito…just kidding).

Labels: cigarette smoking, independence, jonathan foulds

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Celebrate your independence from tobacco

Here in the United States, the 4th of July is the day Americans celebrate their independence from Great Britain. It was on this day in 1776 that the 12 colonies agreed on the text of the Declaration of Independence and the first copy was signed by John Hancock (President of the Congress). It is certainly appropriate to celebrate the birth of this great nation and I hope everyone in the U.S. (and Americans abroad) enjoys their barbeques and fireworks today.

However, I think it is also appropriate for all of you who have at one time been addicted to tobacco and managed to quit, to take a moment to celebrate your own independence on this day. Giving up smoking is no easy thing to do and many of you will have taken many attempts before finally succeeding.

There is also some irony in celebrating your independence from tobacco on the 4th, because in fact this great nation was partly built on the proceeds from tobacco farming. In 1609, John Rolfe arrived at the Jamestown Settlement in Virginia. He is credited as the first man to successfully raise tobacco for commercial use at Jamestown, having brought the preferred Nicotiana tabacum seeds with him from Bermuda. . Shortly after arriving, his first wife died, and he married Pocahontas, a daughter of Chief Powhatan. Rolfe made his fortune farming and exporting tobacco. In the 17th century the English government increased import taxes on tobacco by 4000 percent, (increasing dissatisfaction among colonists and moves towards independence). During its first century after independence, tobacco taxes accounted for a third of the internal revenue collected by the US government.

The need for cheap labor to drive the profitable tobacco industry was also a primary reason for the introduction of slavery in the south. At the time of the signing of the Declaration of Independence, almost 50% of the population of Virginia were African slaves, numbering almost half a million by 1860. So the first colony in America (Virginia), the introduction of slavery, and the opposition to British taxes were all largely based around the growth of the tobacco industry.

So here we are on 4th July 2007. Those who have achieved mental and financial independence from tobacco should give themselves a pat on the back for succeeding in freeing themselves from this most deadly addiction. For those readers who are still smoking, what better day to make your own personal declaration of independence?

Labels: declaration, dependence, independence, nicotine addiction cigarette smoking tobacco

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