Showing posts with label federal. Show all posts
Showing posts with label federal. Show all posts

Saturday, November 12, 2011

Anti-tobacco Groups Praise Bill To Ban Smoking In Federal Buildings

A bill to widen current smoking cigarettes restrictions to cover all federal buildings was introduced this month by Rep. Susan Davis, D-Calif., after President Obama declined her request in 2009 to enact the policy through executive order, Davis press secretary Aaron Hunter told Government Executive.

The legislation is being hailed by anti-tobacco groups as "long overdue."

Davis' Smoke-Free Federal Buildings Act (H.R. 3382) would prohibit smoking cigarettes in and 25 feet around all facilities owned or leased by the federal government nationwide while also barring designated smoking cigarettes sections.

"Exposure to secondhand smoke cigarettes is a serious health issue that drives up health care costs for all of us," Davis said in a statement. "Federal workers should be able to work in a healthy, smoke-free environment." Enforcement would be up to each agency.

Current policy, under a bulletin the General Services Administration issued in December 2008, contains similar requirements but is not enforced at buildings not administered by GSA.

GSA's directive ended the designated smoking cigarettes areas option that has been in place since President Clinton issued an executive order curbing smoking cigarettes on federal sites in 1997. GSA gave agencies six months to negotiate enforcement with employee unions, which have expressed skepticism about the enforceability of a policy, given the nature of cigarettes addiction.

One purpose of the Davis bill, said Hunter, is to codify the GSA policy while also expanding its reach.

Erika Sward, director of national advocacy at the American Lung Association, said Davis' bill is "needed and long overdue," citing a Congressional Research Service report that GSA's policy applies to only 30 percent of buildings housing federal employees. The state of Maryland has enacted a smoke-free workplace policy, she said, "but if you're a federal worker in Maryland, you may actually be subjected to secondhand smoke cigarettes and forced to breathe it. And if a federal worker develops a disease because of breathing secondhand smoke, the taxpayer pays through their health care bills."

The American Lung Association rejects the argument that smoking cigarettes bans aren't enforceable. Data from the state experience show that "the policies are often self-policing and self-enforcing," Sward said. "Smokers actually like them because it gives them an approach to quit. It's a win-win."

Those sentiments were echoed by Marie Cocco, spokeswoman for the Campaign for Tobacco-Free Kids, who said there are no significant enforcement problems in the 29 states that have enacted comprehensive smoke-free indoor workplace laws. "Even in taverns and restaurants, once the policy's in place, people love it," she said. "To do anything else would mean forcing someone to choose between their health and their paycheck."

The Davis bill is co-sponsored by Reps. Diana DeGette, D-Colo.; Rush Holt, D-N.J.; and Gregory Meeks, D-N.Y.; and Del. Eni F.H. Faleomavaega, D-Samoa. For the required constitutional authority statement, Davis cites Article I, Section 8, Clause 1, which is to provide for the general welfare.

Thursday, July 7, 2011

Healthier, But Worth The Cost?

I think I understand the frustration behind what state Department of Health Services Secretary Dennis Smith said when asked why the department wouldn't support requests from UW-Madison's student health center and the Milwaukee Health Department for federal grants aimed at preventing obesity, smoking cigarettes and other public health risks.

"Why are we asking for taxpayers' money for stuff that we are already doing?" he told the Milwaukee Journal Sentinel. "How long have people been doing tobacco cessation, for heaven's sake? This is stuff that goes on all the time."

Indeed it does. Moreover, it's not like anyone with halfway functioning frontal lobes doesn't know that smoking cigarettes is bad for you, or that eating too much is bad for you, or not wearing a seat belt - and so on and so forth.

Still, the percentage of adults who smoke cigarettes cheap cigarettes in Wisconsin was about 19 last year, down only from about 24 percent in 2001, according to the Centers for Disease Control and Prevention. Weight problems were worse, with about 27 percent of our state's population officially overweight or obese, up from about 22 percent in 2001.

"We do have programs now that we're involved in that get at some of these chronic challenges," DHS spokeswoman Beth Kaplan told me, and pointed to three in particular that are funded to the tune of about $22.7 million to prevent smoking cigarettes, obesity, heart disease and other health problems.

Kaplan denied DHS refuses to support the additional federal grants because they are being offered through the federal health reform law - which Smith opposes and the state is suing to overturn. Rather it's "more a sense of not wanting to do what we're already doing," and to be good stewards of taxpayer dollars.

But it's not like Wisconsin's prevention programs have reached the point of diminishing returns, said Donna Friedsam, a researcher at UW-Madison's Population Health Institute, nor that the programming doesn't work.

There is a "range of research that's showing some very promising programs," she said. "They don't do these things because they say, ‘let's try it and see what happens.'"

I believe DHS could be eschewing the federal dollars to avoid the hypocrisy of taking money from an initiative state Republicans assail. But I also have doubts that a few million more will result in a healthier population 10 years from now.

What I do know is that consumption is probably the strongest cultural force in American society - and that we vary widely in willpower and in the genetic makeup and social backgrounds that partly determine our health.

Which brings to mind the obese man in the battered minivan who pulled up next to me at a stoplight a few days ago. He was smoking cigarettes a cigarette and I think there were a pair of empty children's car seats in the back. I looked at him and thought, with some disgust: "For God's sake, dude, get it together."

An hour later, after the kids were in bed and despite a full dinner and the extra five to 10 pounds around my midsection, I was headed to the local frozen custard shop.

I wanted a milkshake.