[HN Gopher] I quit - Peak indifference, big tobacco
       ___________________________________________________________________
        
       I quit - Peak indifference, big tobacco
        
       Author : Arubis
       Score  : 127 points
       Date   : 2021-09-21 18:22 UTC (4 hours ago)
        
 (HTM) web link (doctorow.medium.com)
 (TXT) w3m dump (doctorow.medium.com)
        
       | gumby wrote:
       | Wow, I had not known this:
       | 
       | > As Tim Harford documents in his brilliant 2021 book The Data
       | Detective, the 1954 classic "How to Lie With Statistics" was
       | authored by a payrolled shill for Big Tobacco, Darrell Huff,
       | whose planned (and never realized) followup was to be called "How
       | to Lie With Smoking Statistics." Huff's work wasn't just about
       | debunking bad stats: it was also about casting doubt upon the
       | statistical evidence linking tobacco with cancer.
        
       | umvi wrote:
       | > you disagree on whether there is such a thing as truth, and, if
       | there is, how it can be known
       | 
       | People will only believe information to be true if it comes from
       | a source they trust. And when a source of information becomes
       | politicized, then suddenly only half of the population will
       | believe information from it, while the other half will be
       | suspicious and distrusting of it.
        
         | mcguire wrote:
         | The neat part is that you do not have to be part of the source
         | of information in order to politicize the source of
         | information.
        
       | dhosek wrote:
       | I never understood how anyone under the age of 50 could take up
       | smoking. It's been abundantly clear since I was a kid that
       | smoking would kill you slowly and painfully and we had numerous
       | presentations at my grade school in the 70s to that effect. And
       | yet there was a crowd of teenagers at my high school in the
       | designated smoking area in the outside space between D and F
       | halls (the location seems ironic in retrospect).
        
         | dsclough wrote:
         | The "ima be dead by im 30" mentality is common. I've smoked my
         | fair share of cigarettes but never found nicotine addictive.
         | Lots of people just dont care about themselves.
        
           | the_only_law wrote:
           | Don't expect to dead at 30, but don't expect to be in any
           | position in life where I would care either way.
           | 
           | FWIW I picked up smoking hanging in certain social circles.
           | It was kind of just a thing other people I was hanging out
           | with did.
        
         | tonymet wrote:
         | Let me help your intuition. Think of all the bad habits you
         | have that other people wish you didn't.
         | 
         | Everyone has a vice. smokers are just easy targets.
        
         | dleslie wrote:
         | Do you drink alcohol, regularly? It's also very likely killing
         | you slowly, and leading to a diminished quality of your later
         | years.
         | 
         | People smoke for similar reasons to why people drink: it's
         | social, there's a (pleasing to some) chemical component, it's
         | habitual, and so on. For many, it's the cheapest way to manage
         | to self-source some quick relief in their day.
        
         | lordlic wrote:
         | I understand why people take up smoking but I don't understand
         | why people expect credit for breaking out of it. Addiction is
         | an ugly thing and seeing a public personality parlay their
         | experience into an excuse to write a blog post is pretty
         | distasteful to me. Just quietly stop; not everything has to be
         | an event in the history of internet culture.
        
           | NoSorryCannot wrote:
           | Just quietly ignore it and move on; not everyone needs to
           | hear about what you find distasteful.
        
       | gumby wrote:
       | How soon until someone can write the same article about the oil
       | companies? Whenever that it it's not soon enough.
        
       | jerhewet wrote:
       | I'm 65, and started smoking when I was 14.
       | 
       | I will not quit smoking. Ever. I enjoy my cigarettes (10 a day),
       | and I'm careful not to smoke around anyone that will take
       | offense.
       | 
       | I honestly don't give a shit if your prejudices and bigotry make
       | it hard for you to accept my decision to keep smoking. If your
       | world view is that narrow I won't lose even a minute of sleep
       | over it.
        
         | DonHopkins wrote:
         | You consider belief in peer reviewed science and universally
         | accepted empirically tested medical research "prejudices and
         | bigotry", so you play the victim of science and medicine, yet
         | you don't consider yourself the victim of corporate sponsored
         | tobacco addiction and self-inflicted lung cancer and heart
         | disease, who will lose a hell of a lot more than a minute of
         | life over it. Ok, boomer.
        
       | chiph wrote:
       | Those smokers that live to 85 or 90? They're the edge cases.
       | 
       | Most do not make it that far, like my grandfather. He smoked
       | Chesterfields, just like the ad with Ronald Reagan in Cory's
       | article, only the unfiltered kind.
        
         | paulpauper wrote:
         | unfiltered may be safer because smokers do not inhale as deep
        
       | caturopath wrote:
       | Demanded I sign in to read the article, but it worked in a
       | Private Window.
        
       | mcguire wrote:
       | I do have to admit, he has a way with words.
       | 
       | " _It's how homeopaths, anti-vaxers, eugenicists, raw milk
       | pushers and other members of the Paltrow-Industrial Complex
       | played the BBC and other sober-sided media outlets, demanding
       | that they be given airtime to rebut scientists' careful,
       | empirical claims with junk they made up on the spot._ "
        
         | SavantIdiot wrote:
         | "but I also know that keeping an open mind doesn't require that
         | you open so wide that your brains fall out."
        
       | swayvil wrote:
       | FTA
       | 
       | >Denialism over masks, vaccines, opioids, problem gambling and
       | gun proliferation all follow the same playbook, often because the
       | same handful of profiteering firms are behind them.
       | 
       | Before we start congratulating each other for being such smart
       | fellows, let's all keep in mind that it works both ways.
        
         | Mountain_Skies wrote:
         | People who label themselves as skeptics are often the most
         | blind to their poorly supported beliefs but that sure doesn't
         | stop them from using the skeptic label as proof of their
         | correctness.
        
       | version_five wrote:
       | I smoked for 15 years, and it's been 10 since I quit. I'm glad I
       | did. That said, I hate it when I hear the "don't make the same
       | mistake I did" stuff from ex smokers, especially ones who
       | obviously enjoyed smoking and for whom it was a big part or their
       | identity - certainly this was true for me, and it appears that
       | way for CD.
       | 
       | Keeping on the theme of "science denial" - it reminds me a lot of
       | the developed world lecturing developing countries about
       | pollution. Yes, from the hindsight of maturity and comfort it's a
       | bad idea, but when you have other immediate concerns, the
       | calculus is very different.
       | 
       | Smoking is unhealthy, but people have to make their own mistakes.
        
       | a-dub wrote:
       | > Importantly, it helped me overcome my fear that if I quit
       | smoking, I wouldn't be able to write anymore, since I'd always
       | done the two activities together (today I tell writing students
       | not to smoke at all, but if they must, not to smoke while
       | writing, lest they prolong their addiction to protect their
       | artistic production).
       | 
       | this.
       | 
       | psychological nicotine addiction has the uncanny ability to find
       | the tiniest smidge of what-you-thought-was-dealt-with impostor
       | syndrome buried deep within your soul, poke it with a stick and
       | then chase you around with it with threats of total ruin, hoping
       | you'll give in.
       | 
       | there's a famous book by allan carr called "the easyway to stop
       | smoking." it can be a little silly at times, but it did have one
       | idea i liked that basically boiled down to anthropomorphizing
       | your nicotine addiction, imagining refusal to smoke as a way of
       | starving it and then basking in the schadenfreude as it dies a
       | slow, painful death.
        
       | delsarto wrote:
       | John Safran has just released a book Puff Piece about the
       | incredible way Philip Morris has rebranded as a "health
       | enterprise" and released the "heatstick" with their "vaping" IQOS
       | platform (quotes are intentional, because as the books shows,
       | words mean nothing!)
       | 
       | https://johnsafran.com/
       | 
       | The podcast below sums it up perfectly:
       | 
       |  _Three years ago, tobacco giant Philip Morris announced they
       | were moving away from cigarettes and that they were campaigning
       | to "unsmoke the world".
       | 
       | They said they would offer people a better alternative to the
       | cigarette, a device that would give you your nicotine fix from a
       | "HeatStick".
       | 
       | Author and documentary maker John Safran discovered the HeatStick
       | is made primarily from tobacco, and that it still generates
       | carcinogenic tar.
       | 
       | John soon found that Philip Morris were financing "anti-smoking"
       | initiatives all over the world.
       | 
       | They look just like conventional Quit programs, but they are
       | designed to shift people onto this new device._
       | 
       | https://www.abc.net.au/radio/programs/conversations/john-saf...
        
         | TaylorAlexander wrote:
         | Private advertisements that pretend to be public service health
         | announcements seem particularly evil!
        
         | casefields wrote:
         | >John soon found that Philip Morris were financing "anti-
         | smoking" initiatives all over the world.
         | 
         | They are literally obligated to fund them according to the
         | Tobacco Master Settlement Agreement:
         | https://en.wikipedia.org/wiki/Tobacco_Master_Settlement_Agre...
        
           | delsarto wrote:
           | In a big picture sense they've managed to reverse engineer
           | this from a message of "quit" (i.e. do not ingest anything,
           | which is what basically all health-based quit campaigns are
           | about) to "stop smoking" where their IQOS system, which uses
           | non-combustable tobacco-in-a-cylindrical-package-with-a-
           | filter tip "HeatSticks" is "not smoking".
        
           | robbedpeter wrote:
           | What's being discussed here is not real "quit smoking"
           | campaigns but "get addicted to our shiny new thing" campaigns
           | disguised as such. The anti vape campaigns and reporting in
           | recent years has been heavily influenced by Philip-Morris and
           | their iqos strategy, which is to get people to switch to non-
           | combusted tobacco sticks instead of alternative methods of
           | delivery.
           | 
           | Vapes have turned out more or less ok, with a negligible
           | impact on health and lung capacity. Chronic nicotine has its
           | own impact, certain flavorings are problematic, but it's
           | orders of magnitude better than smoking. There's no
           | indication that iqos is any better, but it's certainly far
           | more expensive.
           | 
           | IQOS by Philip Morris is the latest cynical plot to get
           | people hooked and extract endless streams of cash. Vape is
           | cheaper, iqos far more expensive.
           | 
           | It's an interesting bellwether for news organizations. If
           | they run anti-vape, PM has their hooks in.
        
       | throwaway-Dkd4 wrote:
       | Will we eventually end up with this same sentiment but for
       | cannabis? Something which is gaining widespread acceptance and
       | becoming a regular part of every-day life, at least in some parts
       | of the world. Is it "smoking" that's bad or "smoking cigarettes"
       | 
       | I started smoking occasionally before the pandemic. Since the
       | pandemic my usage as increased to nightly. It has without
       | question helped me manage my anxiety levels (and isn't the only
       | tool I've used along the way) but I'm not sure which is the
       | lesser evil. At this point I teeter between wanting to stop and
       | really appreciating the help. I convince myself I'm at least a
       | little safer by using a vaporizer (flower, not oil based) and
       | keeping the temps below 400.
        
       | dbt00 wrote:
       | That was always my dad's pitch to me. Don't give those fuckers
       | one thin dime. I casually smoked cigarettes in college, but never
       | seriously and every time I bought a pack I looked at the logo on
       | the back and reminded myself that I hated those fuckers and I
       | wasn't going to keep doing it. I quit before my first kid was
       | born.
       | 
       | My grandfather had lung cancer twice. He quit smoking after the
       | first time. His wife couldn't. She spent 10 years in long, slow
       | COPD decline after he passed.
       | 
       | Don't fucking do it. And don't buy fucking nicotine vapes,
       | either. Fuck those assholes.
        
         | jay_kyburz wrote:
         | I've seen a few posts around saying vapes are about to be
         | banned here in Australia. Have no idea if its true or not.
        
           | pvarangot wrote:
           | Get a dry herb vaporizer and vape loose leaf tobacco. Takes a
           | while to find the combination of temperature and herb that
           | doesn't taste like shit, and it's also not the same as a real
           | cigarette but it does the thing.
           | 
           | You also inhale less matter than with an ecig, so I think it
           | may end up being healthier... but I'm like, the only person I
           | know that does this daily so science may never know.
        
             | lambdaba wrote:
             | Totally with you, my intuition is loose leaf pure tobacco
             | is much less harmful and for a while when I still smoked I
             | couldn't stand regular cigarettes, also preferred rolling
             | my own, both for the gesture and the taste.
        
           | Sophistifunk wrote:
           | Nicotine vapes have been banned for about a year here, the
           | stupid fucks in government just love to funnel cash to big
           | tobacco.
           | 
           | Nicotine is as harmful as caffeine, no more, no less.
           | Nobody's going around campaigning against Big Espresso.
        
           | Rooki wrote:
           | Still available with a prescription:
           | https://www.smh.com.au/business/consumer-affairs/vapers-
           | told...
        
         | neartheplain wrote:
         | What are the negative health effects of nicotine versus, for
         | example, caffeine? I've always wondered how much "healthier"
         | vaping really is compared to cigars and cigarettes, but I
         | wouldn't know how to make an evidence-based argument. Googled
         | it a few times with mixed results.
        
           | nradov wrote:
           | Dr. Peter Attia has a podcast with detailed medical
           | information on the effects of nicotine.
           | 
           | https://peterattiamd.com/ama23/
        
           | [deleted]
        
           | wincy wrote:
           | It's not super helpful for aiding concentration. I tried it
           | for a few months this year in my 30s, thinking it'd help with
           | my ADHD. Never been a smoker. It didn't help. Also any time I
           | had it on me I'd find myself absentmindedly puffing on it. If
           | you really are into nootropics just be real and get an
           | Adderall prescription.
        
           | retrac wrote:
           | Pure nicotine seems to be harmless except in overdose, the
           | main side effect being a compulsive need to consume more
           | nicotine. Whether the delivery mechanism in vaping, year
           | after year, is harmless, is a different question.
           | Anecdotally, I used a nicotine vape to quit smoking -- and
           | they're wonderful for that -- but when I quit that as well,
           | my chest went through a phase where it cleared out all manner
           | of gunk not unlike when I quit smoking cigarettes.
        
             | the_only_law wrote:
             | > Pure nicotine seems to be harmless except in overdose
             | 
             | I think there's also some sort of negative cardiovascular
             | symptoms, but I would be unsurprised if caffeine had its
             | own.
        
               | type0 wrote:
               | Cardiovascular effects of nicotine are probably more
               | dangerous than potential carcinogenic nature of smoking.
               | 
               | edit: smoking is carcinogenic, but how much of it is
               | because of nicotine I wouldn't know; a smoker might not
               | live long enough to find out at what age the cancer
               | develops if he drops dead because of the heart infarct.
        
               | Veen wrote:
               | This is contrary to everything I have read about the
               | health impact of nicotine. Do you have suitable
               | references to back up these claims?
        
               | [deleted]
        
               | liamwire wrote:
               | I cannot imagine sincerely believing a statement that is
               | so blatantly wrong. Moreover, there's nothing
               | 'potentially' carcinogenic about smoking, it is a known
               | carcinogen.
        
               | loeg wrote:
               | > Cardiovascular effects of nicotine are probably more
               | dangerous than potential carcinogenic nature of smoking.
               | 
               | Have any evidence to support this novel claim?
        
               | loeg wrote:
               | It's hard to separate the impacts of plain nicotine from
               | the impact of cigarettes because the literature is almost
               | entirely focused on smokers, and scientific writing
               | sometimes conflates the two. That said,
               | 
               | > Nicotine constricts blood vessels, including those in
               | the skin and coronary blood vessels, but dilates blood
               | vessels in skeletal muscle. Vasoconstriction of the skin
               | results in reduced skin blood flow and reduced fingertip
               | skin temperature.
               | 
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958544/
        
           | TedDoesntTalk wrote:
           | I don't know the health effects of pure nicotine (say, in
           | liquid form) vs caffeine, but one is certainly much more
           | addictive than the other.
        
             | capitainenemo wrote:
             | https://www.gwern.net/Nicotine#sn2
             | 
             | The vapes don't have the MAOIs, which could also be why my
             | brother didn't find them very satisfying (apart from the
             | THC vapes).
        
             | loeg wrote:
             | > I don't know the health effects of pure nicotine (say, in
             | liquid form) vs caffeine, but one is certainly much more
             | addictive than the other.
             | 
             | Which one did you have in mind, and why do you say
             | certainly?
        
               | TedDoesntTalk wrote:
               | Nicotine is more addictive than caffeine. I'm not going
               | to find peer-reviewed, double-blind studies to back up my
               | claim. I'm going to go with the anecdotes I've heard for
               | decades and from personal experience.
        
               | loeg wrote:
               | I'm not going to argue with your opinion -- but I suspect
               | you are conflating tobacco (usually smoked) with
               | nicotine.
        
       | buescher wrote:
       | Ironically, given that the data on tobacco use and COVID gives
       | the medical establishment fits, now may not be the best time to
       | quit. Not an argument for starting, of course.
        
         | flerchin wrote:
         | What is this? You think smokers beat the 'rona?
        
           | buescher wrote:
           | Oh yes, smoking is very bad and only very bad people do it
           | and they will die and you will live forever if you don't
           | smoke. Is it a happy story now?
           | 
           | Please don't accuse me of "thinking" anything I didn't say.
           | 
           | In the meantime, there are clinical trials going on now for
           | the use of nicotine to prevent COVID:
           | https://clinicaltrials.gov/ct2/show/NCT04583410
        
             | _kst_ wrote:
             | "Oh yes, smoking is very bad and only very bad people do it
             | and they will die and you will live forever if you don't
             | smoke. Is it a happy story now? Please don't accuse me of
             | "thinking" anything I didn't say."
             | 
             | Nobody accused you of any of that.
        
               | buescher wrote:
               | I didn't say smokers "beat the 'rona" and I'm not arguing
               | for the virtue of smoking. I also do think the moral tone
               | in "what is this?" is childish and inappropriately
               | peckish.
        
             | criddell wrote:
             | There are lots of reasons to like nicotine, there are no
             | good reasons to get it through smoking.
        
           | 1986 wrote:
           | There were some studies that observed a low prevalence of
           | current smokers hospitalized for Covid, compared to smoking
           | rates in the population, and hypothesized that nicotine might
           | be having a beneficial effect. On the other hand, it
           | obviously stands to reason that having stronger lungs would
           | be better for outcomes of a respiratory disease. I'm pretty
           | sure there's been no definitive research findings one way or
           | the other.
        
             | robbedpeter wrote:
             | It could be related to smokers spending more relative time
             | outside, since covid-19 seemed to not do well in fresh air
             | and sunlight (significantly faster oxidation and high
             | susceptibility to uv.) Some newer variants seem to be
             | surviving outdoors a little better, but we'll need months
             | to see reliable data.
             | 
             | It could also be related to buildup from smoking coating
             | the lungs and reducing the available points of infection,
             | which in not sure you want. All that black tar and crud...
             | I'd rather get covid.
        
             | buescher wrote:
             | It also stands to reason that not developing a respiratory
             | illness at all is better than having a better outcome when
             | you do. Note that data that doesn't "stand to reason" is
             | super interesting as science. There are a lot of such
             | studies now; the Nature article cited above has a whole
             | list of them. The authors' argument of "the myth" is
             | basically "smoking is still bad because smokers have worse
             | outcomes if they're hospitalized for COVID, also smoking is
             | bad, mkay" which is just avoiding the point.
             | 
             | You and they are right that it is not clear whether smokers
             | have an overall benefit or not with regards to the whole
             | chain of causality from contracting COVID to
             | hospitalization to "worse outcomes"
        
               | handrous wrote:
               | > The authors' argument of "the myth" is basically
               | "smoking is still bad because smokers have worse outcomes
               | if they're hospitalized for COVID, also smoking is bad,
               | mkay" which is just avoiding the point.
               | 
               | The author engages the data directly, as well as broader
               | context about smoking and infectious disease. Now, they
               | may be lying by either commission or omission, for all I
               | know, but the above does not accurately characterize the
               | piece.
        
               | buescher wrote:
               | They give two methodological nitpicks, which is not
               | really "engaging the data directly". One is basically,
               | there are other paradoxical results in with this
               | paradoxical result, so obviously this paradoxical result
               | can't be true! Really, even in the COPD patients they saw
               | the same result, which means it's obviously wrong. Right?
               | Right?
               | 
               | The other one is fair enough: self-reporting has its
               | limits. But what are they really?
               | 
               | Let's do the thought experiment: if the converse result
               | were being reported, i.e. non-smokers were having worse
               | outcomes than expected, but growing evidence showed
               | smokers developed serious cases more frequently than non-
               | smokers, would that article be any different? I think you
               | could just write it paint-by-numbers. Also, kids, don't
               | start smoking no matter how cool you think it is, mkay?
        
             | Sevii wrote:
             | Might have been a weight issue since smokers are usually
             | 10-15 lbs lighter.
        
         | _kst_ wrote:
         | No, that appears to be a myth.
         | 
         | https://www.nature.com/articles/s41533-021-00223-1
         | 
         | > To date, there is no strong evidence (i.e., evidence based on
         | causal research) that smokers are protected against SARS-CoV-2
         | infection. Moreover, there is growing evidence that smokers
         | have worse outcomes after contracting the virus than non-
         | smokers.
        
           | buescher wrote:
           | That's an example of the "fits". Lots of data, replicated
           | across the world, but plainly it suggests something
           | unacceptable so it is not evidence.
        
             | rackjack wrote:
             | Can you provide some links to the data?
             | 
             | edit: Oh, I see the link you posted below.
             | 
             | edit: That's a link to an ongoing clinical study, no
             | published data yet. Can you provide some links to the data?
        
               | buescher wrote:
               | Read the Nature article; it cites a large number of
               | studies and dismisses them.
        
           | nradov wrote:
           | There was at least one study in France showing that smokers
           | had a lower risk from COVID-19. (I'm not recommending
           | smoking.)
           | 
           | https://academic.oup.com/ntr/article/23/8/1398/6073671
        
       | andrewstuart wrote:
       | I "gave up smoking" by not giving up.
       | 
       | I just deferred the decision to have one cigarette.
       | 
       | When the urge came up, I put it off five minutes.
       | 
       | And crucially, the rules allowed me to have one if I really
       | wanted.
       | 
       | At first there was lots of deferring and then deciding to have
       | one.
       | 
       | Eventually I just deferred the decision five minutes then five
       | minutes more and on and on forever.
       | 
       | The reasoning is that your subconscious mind does not like
       | "giving up" anything. "Giving up" implies you are losing
       | something you value for nothing in return.
       | 
       | When you defer the decision to indulge your addiction, you are
       | not fighting against your subconscious - remember the rule is you
       | are allowed to have the thing you crave.
       | 
       | So in effect I never gave up smoking, I'm just a smoker who
       | deferred the decision and never decided to do it.
       | 
       | I "stopped smoking" about 20 years ago. I'm still a smoker but
       | just haven't had one for a long time.
       | 
       | "Giving up smoking" is very hard. Deferring one cigarette for
       | five minutes is easy.
       | 
       | Off topic also, I highly recommend the podcast "The Vaping Fix".
       | It's closely related to Silicon Valley and is compelling binge
       | listening.
       | 
       | https://podcasts.apple.com/au/podcast/the-vaping-fix/id15628...
        
         | lnwlebjel wrote:
         | I think you're on to something. Similarly, doing this one
         | exercise, one more time can be easy, but committing to a
         | lifetime of it? No way.
        
           | [deleted]
        
         | qntty wrote:
         | This is interesting. It reminds me both of a common piece of
         | advice for meditating ("If you feel overwhelmed by the task of
         | paying attention to your breath for X minutes, just ask
         | yourself if you can pay attention to just one breath, then just
         | one more, etc.") and procrastination. Two things that I don't
         | normally associate with each other.
        
         | fossuser wrote:
         | "Two young Silicon Valley entrepreneurs set out to rid the
         | world of smoking with an incredible new product."
         | 
         | This seems a little like revisionist history? Apologies for
         | awful forbes link, but it has some of their early ads:
         | https://www.forbes.com/sites/kathleenchaykowski/2018/11/16/t...
         | 
         | I don't really hold a strong position on this issue, but it
         | seems obvious their early ads targeted high school kids (and it
         | worked). It was only later after their success (and regulators
         | started looking at them) that they focused on smoking cessation
         | and being an alternative for smokers as their purpose (rather
         | than getting non-smokers to vape).
         | 
         | That plus it came out after the success of their weed vaporizor
         | Pax which they made first right? I don't really know if
         | nicotine vapes are dangerous or not, almost certainly better
         | than tobacco - but I don't buy that it was about switching
         | smokers to vaping early on. Maybe the podcast gets into it more
         | and I'm over indexing on that subtitle. If so, I'd be happy to
         | read your reply.
        
         | the_only_law wrote:
         | Is there anything you picked up instead when you had the urge.
         | I've never tried quitting, but I have ceased for up to a week
         | (visiting family, etc.) and get incredibly agitated and fidgety
         | after a day or so.
        
           | shriphani wrote:
           | The book that had an amazing impact on lots of friends who
           | smoked is Easy Way by Allen Carr:
           | https://www.amazon.com/Allen-Carrs-Easy-Stop-
           | Smoking/dp/0615...
           | 
           | (No affiliation).
           | 
           | Friends report there are no lasting urges, no mental blocks,
           | no inner demons etc. etc.
           | 
           | reddit testimonials: https://www.reddit.com/r/stopsmoking/com
           | ments/odyv6/anyone_t...
        
           | throwaway-jim wrote:
           | Anecdotal, but things get much much easier after like 2
           | months. The first few weeks are the worst.
        
           | andrewstuart wrote:
           | If you really want one, have one, don't fight it.
           | 
           | Just ensure that every time the urge comes up, you say to
           | yourself:
           | 
           | "Do I _really_ want this cigarette RIGHT NOW, or can I have
           | it in five minutes? "
           | 
           | If you cannot wait then have it.
           | 
           | In five minutes time when. the deferral has expired, ask the
           | same question.
           | 
           | Don't fight yourself, agree with yourself.
           | 
           | And don't attack yourself for making the decision to have one
           | - just ensure that the next cigarette gets the same question.
           | 
           | This process might happen hundreds of times but don't worry
           | about it, just keep asking the question.
           | 
           | It's a long series of very short term decisions.
           | 
           | It doesn't work if you have a rule in place that you cannot
           | have a cigarette - this approach means you can, so your
           | subconscious can relax - you are not depriving it of what it
           | wants.
        
             | MauranKilom wrote:
             | A different perspective is that it's decoupling the impulse
             | from the reward. Very powerful at taming these kinds of
             | habits.
        
             | axiosgunnar wrote:
             | Thanks, will try this out soon (with a different addiction)
        
           | hourislate wrote:
           | There is nothing, you will have to run the gauntlet of
           | addiction. It isn't pleasant but in the end it is incredibly
           | rewarding. You're basically given your life/freedom back.
           | Quit a 2 pack a day habit cold turkey back in 2009. These
           | days I get nauseous when I'm around smokers and can't believe
           | I was once one of them.
        
         | SkipperCat wrote:
         | What you are doing is a core tenant of survival training. When
         | in a situation that seems doomed (ie: lifeboat in the ocean,
         | lost deep in the woods, etc), you don't focus on what will
         | happen tomorrow, you just do what you need to do to survive the
         | next 4 hours. You repeat this over and over until things get
         | better.
         | 
         | Check out the book "Deep Survival" by Laurence Gonzales if
         | interested.
        
           | nradov wrote:
           | Same thing in endurance sports racing (running, cycling,
           | etc.). Mentally break the race down into little pieces. Just
           | suffer for one more minute. Make it to the next mile marker.
        
         | TaylorAlexander wrote:
         | In a similar vein I "stopped drinking" 18 months ago with no
         | set goal for how long (but one year was a desirable milestone)
         | and I sometimes say I "quit drinking" but really it's more
         | about deciding not to do it for a while and then not deciding
         | to do it again. Maybe I will some day but I actually don't
         | desire it right now and I do like having this long time period
         | "18 months no alcohol" so if I drank it would reset that. Which
         | some day may be fine, but it's nice for now.
         | 
         | I also quit smoking in my 20's. I succeeded by focusing on how
         | physically bad a cigarette made me feel. There was some kind of
         | tobacco buzz but also an obvious depressant effect and it made
         | me feel like shit. During the period I was quitting I would
         | sometimes smoke a little more to make myself feel physically
         | worse so that I would be reminded of this bad feeling and want
         | to avoid it. It worked!
        
         | toss1 wrote:
         | Interesting and probably highly effective. Immediately reminds
         | me of a study where they got people exercising to focus only on
         | the track ahead of them and only on the finish line, in some
         | trial to the point of putting horse-blinker like glasses on
         | them. Alternate sessions were to widen their focus to the
         | entire workout.
         | 
         | Those who were in the narrowed focus trials ran on average 22%
         | faster and simultaneously felt that their effort was
         | subjectively 17% easier.
         | 
         | Similar advice I read from a former Navy Seal about their
         | training sessions and in particular "Hell Week". He succeeded
         | by narrowing his focus to 'just last until the next meal - they
         | have to feed us every 6 hours', and he made it through, but
         | many in his entering class did not, and he noticed that they
         | were overwhelmed by 'how am I going to last this whole week?'.
         | 
         | You just narrowed your focus to the next 5min, and succeeded -
         | congratulations!
        
         | treve wrote:
         | Also having smoked for almost 20 years, and finally kicked it
         | about a year ago, in hindsight I found this kind of advice very
         | unhelpful.
         | 
         | There's lots of different people, and there's not really a
         | universal way that's going to work for everyone. I doubt that
         | there's solutions that work for the majority. I believe most
         | smokers wish they never started, so if it was as simple as
         | 'deferring for 5 minutes' or 'have willpower' we'd have a lot
         | less of them.
         | 
         | > "Giving up smoking" is very hard. Deferring one cigarette for
         | five minutes is easy.
         | 
         | For me, it definitely wasn't, but when I read things that are
         | written as 'general advice' that I couldn't follow it made less
         | motivated to try to find a way to quit. It's was also
         | frustrating to read other people being successful with
         | seemingly 'simple tricks'.
         | 
         | "Allen Carr's Easy Way to Stop Smoking" is another example that
         | has near universal praise, and was mentioned here on HN. Also a
         | total dud for me, which only made me more depressed; there must
         | be something more wrong with me...
         | 
         | My suggestion now would probably be to treat it as an illness
         | and go talk to your family doctor. But also: your mileage may
         | vary and perhaps just waiting 5 minutes at a time will do it
         | for you!
         | 
         | Hang in there.
        
         | escapecharacter wrote:
         | Quitting by induction...
        
           | loteck wrote:
           | By procrastination, really.
        
       | skybrian wrote:
       | This is a terrible argument. It starts with something we have
       | high confidence about (yes, smoking is proven to be bad), and the
       | fact that there were companies that profited from it, and then
       | extends that to say that doubt and epistemic uncertainty are bad.
       | 
       | And therefore you should believe the author's other hobby-horses,
       | because if you doubt it you're the enemy, or a sucker.
       | 
       | Being able to recognize what you don't know isn't going to help
       | you quit smoking, but it helps you from falling for conspiracy
       | theories, and that's important too.
       | 
       | (A good way to learn to live with doubt is to collect questions
       | you don't have good answers to yet.)
        
       | i_am_proteus wrote:
       | >there's no ethical consumption under capitalism
       | 
       | This part of the article seemed like a non-sequitur.
       | 
       | I smoke two or three packs of cigarettes a year. It doesn't seem
       | like it's an unhealthy thing to do, and I enjoy it.
        
       | paulpauper wrote:
       | "denying the science"
       | 
       | and yet ppl still smoke in spite of warnings and knowing the
       | risks ...
        
       | lordlic wrote:
       | It's kind of jarring to see Doctorow praise hypnosis in one
       | paragraph and then excoriate tobacco companies for their science
       | obscurationism in literally the next paragraph.
        
         | 542458 wrote:
         | Why? Like, don't get me wrong, there's a lot of woo
         | practitioners around hypnotism, but hypnotherapy does seem to
         | have real scientific support.
        
       | Factorium wrote:
       | Smokers and the Obese save Governments money on healthcare costs,
       | by dying earlier:
       | 
       | https://www.nytimes.com/2008/02/05/health/05iht-obese.1.9748...
       | 
       | This study only included healthcare costs, and so the savings
       | would thus be even greater when considering pensions.
       | 
       | "On average, healthy people lived 84 years. Smokers lived 77
       | years and obese people 80 years.
       | 
       | The healthy group cost $417,000, the obese $371,000, and smokers
       | $326,000."
        
         | umvi wrote:
         | Using that logic, the government should be eager to keep covid
         | around as long as possible because of money being saved by
         | people dying early.
        
           | kimixa wrote:
           | The question would be how does that balance against
           | "productive" years, where they're paying taxes, their work
           | increases the GDP etc.
        
             | Factorium wrote:
             | According to this UK COVID Risk Calculator:
             | 
             | https://qcovid.org/Calculation
             | 
             | An average healthy White British male of 66 years
             | (retirement age) has a hospitalisation risk of 1 in 831;
             | death risk of 1 in 2786.
             | 
             | By contrast the yearly risk of death in that age bracket
             | generally, from any cause, is 1 in 42:
             | 
             | http://www.bandolier.org.uk/booth/Risk/dyingage.html
             | 
             | COVID is accelerating deaths from existing comorbidities or
             | very old age; based on this data it is not felling healthy
             | workers.
        
           | Ekaros wrote:
           | One could argue that fighting against covid was worst thing
           | we could have done for climate in long run...
        
           | DonHopkins wrote:
           | We just voted out a government that tried to do that.
        
         | [deleted]
        
         | smorgusofborg wrote:
         | I wouldn't expect that to stay stable any more than doing the
         | lifetime cost calculations for HIV initially and today. Cancers
         | are increasingly being survived, usually with at least some
         | additional lifelong health care requirements (which pharma will
         | always be looking to expand upon) on top of the costs for a
         | healthy individual.
        
         | Spooky23 wrote:
         | Not really.
         | 
         | When your diabetes leads to kidney problems and stroke, your
         | last 5 years of life likely cost more than the rest combined.
        
       | rawoke083600 wrote:
       | I'm ready to be judge and called an idiot (Not even going to
       | disagree) :/
       | 
       | I use to smoked for little over 10 years. I also quit smoking
       | about 11 years ago.
       | 
       | Recently I started pipe smoking again. Man do I love it :) The
       | *hunt* for the next perfect blend is fascinating and lol I dare
       | say addictive. Cracking open that new "tin" (yes pipe tobacco
       | comes in tins, like big shoe-polish-tins). Nothing like the
       | expectation of waiting in the mail for that new batch of tinned
       | pipe tobaccos you bought after spending days reading their
       | reviews and comparing notes.
       | 
       | Of course we don't inhale ! (like that is really going to save
       | us).
       | 
       | PS. Not suggesting its anyway healthier nor better for you that
       | *yukky* cigarettes, I kinda wish someone can just make it less of
       | a health risk :(
       | 
       | I can say smoking 1-2 pipes (yes the bowls are bigger than your
       | avg cigarette) a day is way wayyy more enjoyable than 20+
       | cigarettes a day.
       | 
       | Oh well, time to load up some "SeattlePipeClub - Plum Pudding"
       | (it's been called the nirvana of pipe tobacco) in my
       | ole'reliable-but-not-fancy Lorenzo pipe :)
        
       | Causality1 wrote:
       | _That was my homework: go away and think of an immediate reason
       | not to smoke._
       | 
       | Smokers truly are oblivious to how godawful they smell to
       | everyone else. I'd rather sit next to someone actively shitting
       | his pants than someone who's smoked in the last three hours.
        
         | Mountain_Skies wrote:
         | Marijuana smokers too. Wish more of them would switch to
         | edibles but apparently it's a different type of high that some
         | simply don't like as much as what they get from smoking it.
        
       | erichahn wrote:
       | Tabacco is a magical plant that will grant you increased
       | alertness, stress and anxiety release, decreased hunger, ...
       | 
       | Our problem is not smoking. Our problem is how and why we smoke.
       | It has nothing to do with the drug itself but everything to do
       | with us.
        
         | ng12 wrote:
         | The worst part is the carcinogenic chemical soup they add to
         | cigarettes is to make it more palatable to smoke several times
         | a day. Self-medicating is big business.
        
           | erichahn wrote:
           | Are they really doing this?
        
             | TedDoesntTalk wrote:
             | "According to the U.S. National Cancer Institute: "Of the
             | more than 7,000 chemicals in tobacco smoke, at least 250
             | are known to be harmful, including hydrogen cyanide, carbon
             | monoxide, and ammonia. Among the 250 known harmful
             | chemicals in tobacco smoke, at least 69 can cause cancer."
             | 
             | https://en.wikipedia.org/wiki/List_of_additives_in_cigarett
             | e...
        
               | loeg wrote:
               | You got the right link, but the quoted excerpt is not
               | responsive to GP's question.
               | 
               | The short answer is, "yes."
               | 
               | > This is the list of 599 additives in tobacco cigarettes
               | submitted to the United States Department of Health and
               | Human Services in April 1994.
        
             | loeg wrote:
             | Yes.
             | 
             | https://en.wikipedia.org/wiki/List_of_additives_in_cigarett
             | e...
        
         | Grimm1 wrote:
         | "stress and anxiety release" is strictly bs. Smoking raises
         | your baseline anxiety and stress. Those only continue to
         | increase as the time it takes for you to start withdrawal
         | shrinks as you become more tolerant. A quick google will
         | confirm this or I can do it and provide sources.
         | 
         | I also know this empirically because I was a half a pack a day
         | smoker for a few years and I have never been more anxious, it
         | was what drove me to quit.
         | 
         | You feel relief shortly because you're satisfying the addiction
         | but at the general level you have more stress.
        
           | erichahn wrote:
           | Withdraw shrinks in only when you use tabacco regularly.
           | 
           | It is not the drug that is the problem but how you used /
           | abused it.
        
             | Grimm1 wrote:
             | Then you get no relief when smoking, it's literally a
             | stimulant.
        
               | erichahn wrote:
               | It is both. A stimulant and a sedative (dumb categories).
        
               | Grimm1 wrote:
               | TIL and it's actually the fact that causes the seeking
               | behavior which eventually forms the addiction.
               | Epinephrine causes the kick and beta-endorphin the drop.
               | Neat. I went and searched it up because I was curious and
               | you surely are correct. Not sure why they're dumb
               | categories though
        
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