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    Monday, April 14, 2003

    Punitive Medicine II: Although commenting on public health medicine’s inclination to expand the definition of disease to include social problems that are better handled by law enforcement (domestic violence, or any violence, for that matter) or the conventions of polite society (smoking), causes a bad case of the vapors in some people, episodes like this one in Italy illustrate just how this approach quickly turns public health medicine into punitive medicine:

    Despite being a non-smoker with smoke sensitive eyes, I am strongly opposed to the new restrictions on smokers. At least once a week, my wife and I take our two-year-old son and four-month-old baby to eat out in restaurants in Italy and we encounter smokers. But like most people, I am perfectly capable of asking people near us not to smoke.

    In these situations, the Italian health minister advises, "call the police." In the city of Trento patients recently did exactly that after a physician refused to stop smoking in a hospital waiting room. He was fined and reported to the national health service. Are we really so pathetic that we need the intervention of the health police?


    No doubt, that physician was being very rude. But, what do you suppose motivated his rudeness? Was it a total disregard for those around him, or a rebellion against the draconian smoking laws? Remember Prohibition, and all the violence it bred? Well, look what happened this weekend in New York. It isn’t a stretch to say that people are beginning to feel needlessly put upon by these stringent anti-smoking laws. Wouldn’t it make more sense to provide a separate smoking room in public places than to ban it all together?
     

    posted by Sydney on 4/14/2003 08:00:00 AM 0 comments

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