All posts by Pepe Lepew

California moves toward raising smoking age to 21

people-smoking-art-a5608c6973c633acCalifornia is the latest state that is seriously considering raising the smoking age from 18 to 21. The California Senate passed a bill raising the smoking age (pretty easily with a vote of 26-8); now the bill goes to the State Assembly.

The Hawaii Legislature passed a similar bill earlier this year and New York City raised the smoking age to 21. Some other states like Alabama, Utah, Alaska and New Jersey have a smoking age of 19.

This is an issue where I’ve dragged my feet a bit personally getting behind. A whole bunch of tobacco control groups are fully behind raising the smoking age to 21, such as Campaign for Tobacco-Free Kids and the American Cancer Society.

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However, where I am reluctant to completely jump onboard is the knowledge that very, very few kids start smoking between 18 and 21. Most kids start smoking when they are 15, 14, 13 or even younger. So, it’s already against the law to sell cigarettes to kids under 18 and yet kids are managing to get their hands quite easily on cigarettes. I question if raising the smoking age to 21 is likewise going to have a constructive and tangible effect.

The Washington Post did a pretty good story on this, suggesting that there is data supporting the argument that raising the legal smoking age does have an effect on teen smoking rates. I’m guessing a reason why — it’s not very hard to 15- and 16-year-old kids to find 18-year-old friends at school or older brothers or sisters to buy their cigarettes for them. Not too many 21-year-olds hang out with 15- or 14-year-old kids, so with a higher legal smoking age, it might be harder for kids to find someone to buy their cigarettes for them. That’s a total guess on my part, but it makes sense to me.

There is also the Libertarian argument, that kids over the age of 18 are old enough to vote and die for our country, but they’re not old enough to buy cigarettes? I actually get that argument and have a hard time refuting it. At the same time, the argument for not allowing 18-21-year-old kids to drink makes sense to me, however, that kids do not have the judgement or experience yet at 18, 19, etc., to know when they should and should not get behind the wheel of a car if they have been drinking.

Nevada increases cigarette tax by $1 a pack

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Nevada isn’t a state where I would have expected this, but the state Legislature of the Silver State just passed a $1 a pack increase in its cigarette tax.

The bill, which as near as I can tell has yet to be signed by the governor, would increase Nevada’s cigarette tax from 80 cents a pack to a more reasonable $1.80 (According to the Campaign for Tobacco-Free Kids, the tax was Governor Brian Sandoval’s idea to begin with, so he is expected to sign it into law.) . 80 cents a pack is pretty low. The average state cigarette tax in the U.S. is around $1.50 a pack and state cigarette taxes range from a ridiculous 17 cents a pack in Missouri to a kinda ridiculous $4.35 a pack in New York.

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$1.80 a pack is a good spot for a cigarette tax. Studies have shown that cigarette taxes do provide an incentive for smokers to quit and helps to discourage kids from smoking; in fact, a recent study released a few weeks ago bolsters this argument. According to the Campaign for Tobacco-Free Kids: “Studies show that every 10 percent increase in the price of cigarettes reduces youth smoking by about 6.5 percent and overall cigarette consumption by about 4 percent.”

However, I think if you make the tax too high, like New York’s, I think you start encouraging a lot of people to buy black market cigarettes or to go to the trouble of driving out to an Indian reservation to buy their cigs. New York not coincidentally has a huge issue with black market cigarettes and cigarette smuggling, especially when nearby Virginia has a cigarette tax of only 30 cents a pack. Honestly, I could see smokers making a trip from New York to Virginia two or three times a year to stock up on cigarettes. You buy 10 cartons in Virginia, you save $700 over about three months (if you’re smoking roughly one pack a day) … and it’s only a 220-mile drive.

Anyway, I digress … I like doing math. The real solution to those problems is for states to have more uniform cigarette taxes, which I don’t see happening. Mostly of the really low cigaratte taxes are in the Deep South, which again not coincidentally have some the highest smoking rates in the country. Surprisingly, one of the lowest states in the country is California at 87 cents a pack. California has tried to raise its cigarette tax through voter initiatives, but those initiatives have failed. The California Assembly just needs to suck it up and pass a bill and quit screwing around with passing the buck to voter initiatives.

 

 

Court upholds New Orleans smoking ban

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A lawsuit filed by several bars against New Orleans’ recently passed smoking ban was tossed out of court by a judge this week.

A coalition of bars made a number of arguments on the technicalities of the law, mostly claiming that the law was “too vague” (I’m not sure I’ve ever seen that argument before, I’m not sure how a smoking ban could possibly be “vague.” The whole concept of a smoking ban is pretty straightforward), but the judge ruled that their arguments had no merit.

Smoking bans almost always survive legal challenges — I’d say 95 percent to 99 percent of the time. No state smoking ban has ever been overturned, though multiple lawsuits were filed several years ago when a flurry of states passed smoking bans. Only in a handful of small towns and cities (Jackson, Wyo., comes to mind) have lawsuits been successful in overturning smoking bans. So, this struck me as being kind of a frivolous lawsuit.

I would suggest to these bar owners to give the ban a damn chance, it only went into effect April 22, about six weeks ago, before freaking out about it. Smoking bans in most other localities have had little or no effect on the economy. I would argue people are still going to vacation in New Orleans, especially since there’s varying level of smoking bans in about 31 states and most major cities in the country, so they’re used to it. Geez. I predict a year or two from now, most people will be used to it, the economy of New Orleans will be humming along just fine and some people will still be grumbling about it and claiming its cost them business (but they will have no proof of this).

 

 

Quebec court: Tobacco companies must pay $15 billion in damages to as many as 1 million people

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Big story out of Canada! Thanks very much to my friend Classical Gas for the tip.

A court in Quebec today ordered three Canadian tobacco companies — Imperial Tobacco, Rothmans Benson & Hedges and JTI-MacDonald — to pay $15 billion Canadian for “moral” and “punitive” damages.

This lawsuit began way back in 2012, but the roots of it go back much further.

From a CBC.com story:

“It’s a big day for victims of tobacco, who have been waiting for about 17 years for this decision. It was a long process — but arrived at the destination and it’s a big victory,” said Mario Bujold, executive director of the Quebec Council on Tobacco and Health.

The plaintiffs are a number of people who were sickened by smoking and/or their families. The groups alleged that Canadian tobacco companies:

  • Failed to properly warn their customers about the dangers of smoking.
  • Underestimated evidence relating to the harmful effects of tobacco.
  • Engaged in unscrupulous marketing.
  • Destroyed documents.

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    Lise Blais holds up a photograph of her husband, Jean-Yves Blais, who died from lung cancer after launching one of the two lawsuits, during a news conference on Monday in Montreal. (Paul Chiasson/The Canadian Press)

I’m not clear just how many plaintiffs there are (this sounds something like the Engle class action lawsuit in Florida), but according to the CBC, possibly as many as 1 million smokers and former smokers in Quebec will receive varying settlements. Here is the breakdown:

The plaintiffs with cancer who began smoking before January 1976 will get $100,000 each. Those who first lit up after that date are entitled to $90,000.

Those with emphysema will receive $30,000 in moral damages if they began smoking before Jan. 1, 1976, and $24,000 if they started smoking after that date.

For the almost one million Quebec smokers who were unable to quit, the breakdown comes out to about $130 per person.

From a wife of a smoker who died:

“I am so relieved with what has happened,” Lise Blais, whose husband Jean-Yves Blais initiated one of the lawsuits, told a crowd at a news conference.

“Did you stop to think what a cigarette is? It destroys you — your health is totally destroyed,” she said, holding up two photos of her late husband, who died in the summer of 2012 from lung cancer at the age of 68.

The companies plan to appeal. A lawyer for one of the companies made the weaseling comment that since the 1950s, Canadians have known the health danger from cigarettes. Hey, Pro-tip to weasel tobacco lawyer … tobacco lawyers have been trying to use that excuse since the beginning of Time, and for the past 20 years, it hasn’t saved their asses in court. You guys went to considerable time and expense to create doubt in smokers’ minds about the dangers of smoking, and the bill is coming due for your decades of lies and cover-ups.

 

 

What is taking the FDA so long to make a decision on e-cigarettes?

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Oh God, I’ve finally resorted to using lame clip art. I’ve gone to the Dark Side.

The other day, I was wondering, “what the hell is going on with the Food and Drug Administration and e-cigarettes, it’s been forever since I last heard.”

So, a quick Google and found stories stating that I’m not the only one out there wondering, “what the hell?”

Over a year ago, the FDA released its proposed regulations for e-cigarettes. The agency received so many comments about the draft regs that the comment period was extended. Over a year later, we’re still waiting for a response.

TIME.com stock photos
TIME.com stock photos

The FDA did one right thing in its draft regulations, which was to ban all e-cig sales to minors (42 states have already banned e-cig sales to minors, but this is not slowing their popularity with kids.). However, in the draft regs, the agency completely punted on regulating sugary candy flavours for e-cigs (Even though the FDA banned sugary, candy-flavoured cigarettes) and ignored regulating e-cig marketing (Again … even though the federal government has strict guidelines for tobacco advertising, like no more Joe Camels.).

Many of the comments the FDA received were outrage over the lack of regs over flavourings and marketing. I’m not sure how to read the long delay for the final regs, I’d like to think it’s taking so long because they’re making a lot of changes, but I’m not that naive to think a federal agency is actually going to listen to the public.).

Last week, 31 public health organizations urged the FDA to stop dawdling and taking action. In the past year since the FDA has been working on the final version of the regulations, teen e-cigarette use has skyrocketed (It literally has more than tripled since 2013, which is hard to believe.). These groups agree that regs regarding marketing and flavouring need to be stronger than what was in the draft rules (I feel very strongly that the feds need to crack down on the out-of-control Joe Camelesque advertising for e-cigs, and I’m starting to feel more strongly about them banning the candy flavours, too.):

From a Time.com article:

The medical groups say cigar and e-cigarette brands are using marketing tactics that they feel appeal directly to young people, like promoting candy and fruit-flavored products, and they want regulations to put an end to it.

“It’s no wonder use of e-cigarettes by youth has skyrocketed,” the letter reads. “This process has already taken far too long. We cannot afford more delays that allow tobacco companies to target our kids with a new generation of tobacco products.”

 

“My concern is always the first-time users,” says Shyam Biswal, a professor in the department of Environmental Health Sciences at the Johns Hopkins Bloomberg School of Public Health. “It’s bad it took so long to make a dent in [conventional] tobacco users, and we are now starting something else, and we are just waiting and waiting and waiting. We don’t have the data that e-cigarettes are a gateway [to other tobacco products], so we just wait. It should not be like that.”

Noted tobacco control advocate Stanton Glantz sounds like he’s in the same boat with me about the FDA, given the agency’s track record so far with tobacco. (The FDA gained regulatory control over tobacco products in 2009.)

“Given that the White House has blocked eliminating menthol from cigarettes for years despite strong evidence—including from the FDA’s own analysis that doing so would protect public health—I am not holding my breath,” Glantz said.

I mean, I expected the FDA to begin actually regulating nicotine when it took over tobacco regulation six years ago, and other than banning candy flavours  for cigarettes and bidis, it hasn’t done all that much with nicotine. This agency moves glacially slow. It’s frustrating.

Big Tobacco ordered to admit it lied; Industry appeals, appellate court says, ‘You lied, admit it’

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“We’re sorry we lied…”

Hah, I thought this story was GREAT.

Several months ago, Tobacco companies were ordered by a federal district judge to take out full-page ads in a bunch of major newspapers, admitting that they lied for decades about the dangers of cigarette smoking.

The decision was made as part of a racketeering case filed against the industry by the U.S. Justice Department. (I love the term “RICO case” … sounds like something out of the Untouchables.)

Well, the tobacco industry doesn’t like being forced to say “we lied” and appealed this decision. The appellants were the three major tobacco companies in the U.S. — Philip Morris, R.J. Reynolds and Lorillard.

Last week, a U.S. Circuit Court of Appeals upheld the lower court decision.

From a Campaign for Tobacco-Free Kids press statement:

(This)  ruling upholds the specific language of the five corrective statements ordered by Judge Kessler. The corrective statements will address the companies’ deceptions regarding 1) the adverse health effects of smoking; 2) the addictiveness of smoking and nicotine; 3) the false advertising of low-tar and light cigarettes as less harmful than regular cigarettes; 4) the design of cigarettes to maximize nicotine delivery and addiction; and 5) the health effects of secondhand smoke.

The Court of Appeals did remove a preamble stating that the tobacco companies “deliberately deceived the American public,” but the bulk of the “corrective statement” — the five specific lies and deceptions of the tobacco companies, remained intact in the ruling.

I don’t know if the tobacco companies will appeal this ruling (or where such an appeal would go — the U.S. Supreme Court?)

The District Court judge who issued the original ruling stated in her decision that:

“[This case] is about an industry, and in particular these Defendants, that survives, and profits, from selling a highly addictive product which causes diseases that lead to a staggering number of deaths per year, an immeasurable amount of human suffering and economic loss, and a profound burden on our national health care system. Defendants have known many of these facts for at least 50 years or more. Despite that knowledge, they have consistently, repeatedly and with enormous skill and sophistication, denied these facts to the public, the Government, and to the public health community … the evidence in this case clearly establishes that Defendants have not ceased engaging in unlawful activity.”

Joining the case as intervenors are the American Cancer Society, American Heart Association, American Lung Association, Americans for Nonsmokers’ Rights, National African American Tobacco Prevention Network and the Tobacco-Free Kids Action Fund.

UK study: E-cigarettes not effective in the longterm in helping smokers quit

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This study is going to go against a lot of anecdotal stories that I see repeatedly on the Internet. A study done in the UK has shown that E-cigarettes are not very effective for helping smokers quit and that most smokers who use E-cigs as a smoking cessation tool are back smoking within six months.

In a way, it’s not terribly shocking because the biggest problem with using e-cigs to quit is that the smoker is keeping the nicotine in his or her system and is not kicking the nicotine … which is ultimately what a smoker must do in the long run. I’ve seen a lot of e-cig advocates online touting them as a great help in quitting smoking. They claim you can slowly ratchet down the amount of nicotine you’re inhaling over the course of a few weeks.

I’m sure they’re a great help for some people, but I’ve also sure wondered at times how many of those people online telling these great success stories about e-cigs are actually from the marketing or public relations department of Blu E-cigs and other e-cig companies.

These findings were based on a review of 22 studies on e-cigs involving a total of 2,223 smokers. The study states that e-cigs seem pretty effective in helping smokers quit for three to six months, but after six months, most of the e-cig users were back on cigarettes. (So maybe some of the anecdotal stories I’ve read are coming from people in that three- to six-month period in which the e-cigs are still working.).

Scientists behind the study said that if smokers are serious about quitting, they should probably try more traditional methods, such as patches or gum, rather than e-cigs.

From the article:

Lead author Dr Riyad al-Lehebi, of the University of Toronto, said nicotine patches and other aids to help people quit should be used if there is no evidence e-cigarettes help people kick the habit.

E-cigarette users took up smoking again within six months, and the devices caused side effects like a dry cough, throat irritation and shortness of breath (file photo)

He said: ‘Although e-cigarettes are widely promoted and used as a smoking cessation tool, we found no data supporting their long-term efficacy and safety.

‘While e-cigarettes have been shown to significantly improve abstinence at one month compared with placebo, no such evidence is available supporting their effectiveness for longer periods.

‘Until such data are available, there are a number of other smoking cessation aids available that have a more robust evidence base supporting their efficacy and safety.’

Dr Penny Woods, chief executive of the British Lung Foundation, said: ‘Smoking remains the number one cause of preventable death in the UK, and we would encourage smokers who wish to quit to first try more well-established methods like smoking cessation services.

‘E-cigarettes are likely to be much less harmful then smoking conventional cigarettes so people who can switch using e-cigarettes have taken a big step forward.

‘However, the use of e-cigarettes is still relatively new, and these studies serve as a reminder that there may be potential risks attached to the long-term use of e-cigarettes so users, especially those living with a lung condition such as COPD and asthma, should try to quit them too.

My biggest issue with e-cigs isn’t whether they are an effective or ineffective smoking cessation tool. It’s the fact that a number of e-cig companies are very blatantly marketing to teens and kids with sexy and suave ads mirroring the sexy and suave ads used by Big Tobacco for several decades. Largely because of this advertising, and the lack of regulations over e-cig sales, teen use of e-cigs is skyrocketing while teen use of cigarettes is plummeting. To me, this is not the right answer. Nicotine is nicotine whatever the delivery system and It’s still massively addictive and this study shows to me that e-cigs are not an effective substitute for tobacco.

CVS study on smoking cessation: When money is on the line, it encourages smokers to quit

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CVS Pharmacies, which is well-known for pulling all tobacco products out of its chain of drug stores, recently helped with a study on smoking cessation with some interesting results.

Participants in the study were actually recruited by CVS, which apparently is very serious about combating tobacco use. Participants were offered a variety of incentives to quit smoking and one of the conclusions of the study published in the New England Journal of Medicine is that it appears that providing a financial incentive to quit worked much better than expected.

Smokers were given a choice of which program to participate in. One scenario had smokers give a $150 deposit, and they would receive their deposit back, plus a $650 bonus if they quit. The other simply offered an $800 payment if they quit.

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Only a small percentage of people agreed to the deposit, but those that did were much more successful than the group vying for the $800 reward. So, the incentive of not wanting to lose money seemed to have more power than winning money you didn’t already have.

“People don’t want to part with their money,” Dr. Scott Halpern, a researcher at the University of Pennsylvania Perelman School of Medicine who led the study, explained to NBC News. “Among those who would have accepted either program, the deposit-based programs were twice as effective as the rewards-based programs and five times more effective than the standard of care which was provision of free access to behavior modification therapy and nicotine replacement therapy.”

While overall, the financial reward/penalty group had a low rate of success in quitting smoking, it still had a higher success rate than people being offered Nicorette or nicotine patches.

CVS is going to put this idea into practice. The company will offer its employees a $700 bonus if they quit smoking (plus the return of a $50 deposit.).

More companies are providing financial incentives on health coverage for smokers to quit. Also, this someone backs up a point I’ve made for several years — one of the benefits of raising taxes on cigarettes (and one of the quiet benefits of the 1998 Master Settlement Agreement, which helped raise the cost of cigarettes) is that it does work to encourage smokers to quit. When smokers realize they’re spending $50-$100 or more a week on cigarettes, that’s a real-world incentive to quit.

“Mad Men” and the smoking culture of the ’60s — killing off one of its characters through lung cancer

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Betty Draper is being killed off with lung cancer

One of the things that the show “Mad Men” has gained notoriety for is its depiction of the hedonistic culture of the establishment of the 1960s — from three martini lunches to infidelity and most obviously, smoking.

Main character Don Draper smokes heavily and has been in charge of advertising campaigns for cigarette brands. In fact, most of the characters on the show are seen every episode smoking. I’m old enough to remember that that’s what it was like back in those days. Virtually everyone smoked … and in my experience, virtually all of those smokers eventually died or was seriously sickened by their smoking. Smoking was glamorous in the 1960s, it was a horror in the 1970s and 1980s when all that “glamour” started killing everyone off through heart and lung disease.

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One of the main characters, Don Draper’s ex-wife Betty Draper has been diagnosed with lung cancer and is dying. The show takes place in 1970 and it’s very true that a lung cancer diagnosis in 1970 was pretty much a death sentence. So “Mad Men” is not only showing the Devil-may-care culture of the 1960s, but one of the consequences of that culture — which is a hell of a lot of people back then died of lung cancer (In fact, I’ve called it the “slow-motion tobacco holocaust of the 20th century.”).

HuffPost wrote about how cancer diagnoses worked in the early 1970s and suggested “Mad Men” was spot-in about the stigma around a cancer diagnosis in those days.

Smoking seemed cool and glamorous well through the 1960s. It was cool and glamorous not only in billboards and magazine ads, but in countless movies of the time. James Bond smoked cigarettes. Matt Helm smoked cigarettes (and Dean Martin died of lung cancer and emphysema), etc.

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Don Draper

From a Daily Beast column on Betty Draper’s lung cancer. This column by Lizzie Crocker about smoking on the show is absolute awesome. I’m quoting several paragraphs here because she is explaining this much better than I can (Since I’ve never really watched the much of the show):

As with many of the series’ final episodes, the decision to kill off Betty with lung cancer was rather on-the-nose. For a show in which so little actually happens, it’s clear Matthew Weiner, the show’s creator, is rushing to tie up loose ends, like Betty and Sally’s fraught relationship, which has led to some soap-operatic plot twists.

We knew someone was going to die in these final episodes, and the fraught, discontented, ill-fated Betty, still in her 30s, had to suffer the health consequences of chain-smoking that everyone else on Mad Men has managed to avoid. Roger had a heart attack earlier in the series and he still puffs away with impunity.

But not Betty, whose diagnosis is confirmed not by the doctor but by her husband Henry, having just received ‘the news.’ When she reaches for a pack of cigarettes in the car, he angrily snatches them and tosses them in the back.

We see her disease-clogged lungs on an X-ray; a desperate Henry breaking down when he visits Sally at school; Sally devastated and covering her ears when Henry tells her about the diagnosis.

—–

The link between smoking and cancer has always lurked in the background of the show. In the pilot, “Smoke Gets in Their Eyes,” Don has to think of a clever way to sell Lucky Strikes after the 1960 Reader’s Digest report linking cigarettes and cancer. The client isn’t pleased when Pete suggests they work society’s “death wish” into a new campaign slogan.

But Don saves the day with a pitch emphasizing how Lucky Strikes are made: “Everyone else’s tobacco is poisonous. Lucky Strikes are toasted.” All cigarettes are toasted, of course, but consumers don’t know that. “Advertising is based on one thing: happiness,” Don tells the client.

Happiness is “the smell of a new car. It’s freedom from fear.” And all Lucky Strike smokers need is “a billboard on the side of the road that screams with reassurance that whatever you’re doing, it’s ok.”

—–

And as we close in on the series finale, Betty’s diagnosis seems to be the apogee of the show’s relationship with smoking.

That slow-motion shot of the sauntering Peggy from two Sundays ago, one of the most memorable moments this season, will likely be the last time that we see a cigarette as emblematic of anything other than anxiety and death.

Cigarettes, and their celebration, were one of the vital accessories of Mad Men, the show’s perverse fuel. Now, stripped of their allure like those stripped of their status in the move from SCDP to McCann, they’ve come to signify the very literal death of the show.

Madison Bumgarner, Bruce Bochy both support ban on chewing tobacco at AT&T Park

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Surprised me a bit that these two would step into this issue, but I thought it was great. The city of San Francisco banned chewing tobacco recently at all sporting venues (It won’t actually take effect until Jan. 1, 2016), including at the Giants’ stadium, AT&T Park. This means that not only fans can’t chew in the park, but players can’t either.

World Series MVP Madison Bumgarner and manager Bruce Bochy expressed their support for the move last week.

From a Los Angeles Times article:

Giants Manager Bruce Bochy applauded the decision: “It’s a step in the right direction,” he told the team’s website. “I think it can be a good thing. It’s going to be hard to enforce. It’s a tough habit to break.”

Giants ace Madison Bumgarner also supported the law. “Hopefully it will be a positive thing for us players. It’s not an easy thing to stop doing, but I support the city.”

There is also a bill winding its way through the California Assembly to ban chewing tobacco at all ballparks in the state, which would include AT&T, Dodger Stadium, Petco in San Diego, the Oakland Coliseum and the L.A. Angels’ stadium.

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AT&T Park (AP photo)

Major League Baseball is under increasing pressure to ban chewing tobacco in all ballparks, especially since the death of Tony Gwynn from salivary gland cancer (Tony blamed chew for his death and another high-profile player, Curt Schilling, recently underwent treatment for oral cancer which he also blamed on chewing tobacco.). For some mysterious reason, there is a culture of chew deeply embedded in baseball culture. Not only have quite a few ballplayers over the years died of oral or throat cancer (Babe Ruth is the most well-known), but it sets a bad example for teenage baseball players.

However, MLB can’t simply ban chew by players on the field without the approval of the Players’ Association. A chewing tobacco ban is expected to be one of the topics of negotiation between MLB and the Players’ Association in their next contract.

Chew is already banned in all minor league and NCAA baseball parks, so it’s not like there isn’t any precedent.