Any practicing nurse in Massachusetts has to renew his or her license every two years. As part of the license renewal process every nurse has to have done 15 hours of continuing education credits otherwise known as CEU’s. Before I retired it was very easy for me to acquire those 15 hours because of trainings and in service workshops that the agency I worked for provided.
This year the renewal process snuck up on me and I had to figure how to meet the CEUs requirement. There are places online that allow you to fulfill the requirements by reading scholarly articles on various topics and then filling out a questionnaire. One of the essays I chose was about tobacco and smoking cessation.
I found the article informative. Something that stood out is that young people are continuing to become smokers. This is concerning because once you have the habit it is very hard to break it. Reading the essay about tobacco reminded me that in 2009 I had written a blog post about the liquor industry facing new regulations that the Obama administration had passed. I am reposting it below.
The interesting thing about the original post was that I discussed how tobacco’s fortunes had fallen while brewers and distillers were enjoying a great deal of public support. Public health advocates were not gaining much traction in their attempts to convince the public to drink less.
Society approval of the liquor industry, particularly beer, has only continued to increase in the 13 years since I posted about those tobacco regulations. Not only did the liquor industry get a tax break from the Trump legislation but most municipalities are thrilled to have a craft brewery in their town or city.
Neither the article I read for my CEUs or the blog post from 2009 talk about marijuana, but marijuana has also gained in public approval as many states including Massachusetts where I live now have recreational sale of THC.
Last week, Congress passed, and President Obama signed legislation that greatly enhances federal regulation of the tobacco industry. As a historian, I generally think change happens slowly but the rapidity with which American society has transformed from cultural acceptance, even approval of smoking, to a completely negative view is startling.
When I was growing up, my parents and almost all the adults I knew smoked. As a teenager and young adult smoking was both everywhere – bars, restaurants, public events, and arenas – and heavily advertised on television. In the forty-five years since the Surgeon General’s report on the harm smoking causes, there has been a warning label, a ban on television advertising, the creation of smoke-free indoor space and, recently, smoke-free outdoor spaces.
The newspaper stories discussing the pending legislation use the term “addiction” to describe the practice of smoking. This also represents significant change. For much of American history, society has characterized nicotine, caffeine, and alcohol as legal, primarily harmless habits. Alcohol was usually the most problematic of the three. Now, nicotine, although legal, falls under the broad category of psychoactive, addictive substances, similar in their effects on the body.
Moralists have always viewed smoking as undesirable behavior. This attitude kept women from smoking for many years. When smoking and exposure to second-hand smoke became a public health issue, the battle lines changed. If alcohol use and or abuse ever became predominantly a public health issue rather than one of individual choice or morality, brewers and distillers could face more of an uphill battle to maintain the legitimacy of their industry.