11 April 2012

Court weighs graphic warnings on cigarettes

A US appeals court weighed the constitutionality of requiring large graphic photos on cigarette packs to show that smoking can disfigure and even kill people.


A US appeals court weighed the constitutionality of requiring large graphic photos on cigarette packs to show that smoking can disfigure and even kill people, with two of the three judges questioning how far the government could go.

Some of America's largest tobacco companies, including R.J. Reynolds, sued to block the mandate. They argued that the governments proposed warnings go beyond factual information into anti-smoking advocacy. The Obama administration responded that the photos of dead and diseased smokers are factual.

In February, US District Judge Richard Leon ruled that the requirement ran afoul of the First Amendment's free speech protections and blocked the requirement. The government appealed.

The nine graphic warnings proposed by the Food and Drug Administration include colour images of a man exhaling cigarette smoke through a tracheotomy hole in his throat, and a plume of cigarette smoke enveloping an infant receiving a mother's kiss. These are accompanied by language that says smoking cause’s cancer and can harm foetuses. The warnings were to cover the entire top half of cigarette packs, front and back.

Are smokers idiots?

At hearing, Judge A. Raymond Randolph, an appointee of Republican President George H.W. Bush, asked if the government could go so far as to require cars to carry a warning that "speed kills," with a graphic illustration. Justice Department attorney Mark B. Stern replied that he didn't think there would be any problem with that.

Another Republican appointee, Judge Janice Rogers Brown, asked if the government could mandate a cigarette warning that said, "Stop! If you buy this product, you are a moron," or "Smokers are idiots."

"No, I don't think saying smokers are idiots are accurate," Stern replied. He said such a warning would be "problematic."

Brown also questioned if the government was on a path to put warnings on other legal products.

"Where does this stop?" asked Brown, who likes District Judge Leon was appointed by Republican George W. Bush.

Government sending a strong message

Lawyers for the tobacco companies made a similar argument in their brief. They superimposed the FDA tobacco image of a cadaver onto a McDonald's bag with the warning that fatty foods may cause heart disease, and the FDA's image of a premature baby in an incubator on a bottle of alcohol with a warning that drinking during pregnancy can cause birth defects.

They also showed a Hershey's chocolate bar with half the wrapper covered by a picture of a mouth of rotting teeth and a warning that candy causes tooth decay.

Stern said those comparisons trivialised an important issue. "Addiction really means addiction," he said, and it was not like eating candy.

The third judge on the panel, Judith W. Rogers, an appointee of Democrat Bill Clinton, didn't ask any questions of the Obama administration, but she grilled Noel J. Francisco, a lawyer for tobacco companies. Rogers asked Francisco if he was challenging the accuracy of the FDA's text warnings, such as smoking causing cancer and heart disease. The lawyer said he was not, but that the government was going beyond mere facts by including a phone number to quit.

"The government is trying to send a powerful message: Quit smoking now," he said. When the message tells people to live a certain way, it crosses the line from facts to advocacy, he argued.

Tobacco companies rely on packaging

But Randolph said he had a hard time finding that line, adding that the judges were in "new territory."

In his ruling, Leon wrote that the graphic images "were neither designed to protect the consumer from confusion or deception, nor to increase consumer awareness of smoking risks; rather, they were crafted to evoke a strong emotional response calculated to provoke the viewer to quit or never start smoking."

"While the line between the constitutionally permissible dissemination of factual information and the impermissible expropriation of a company's advertising space for government advocacy can be frustratingly blurry, here the line seems quite clear," Leon wrote.

Tobacco companies increasingly rely on their packaging to build brand loyalty and grab consumers - one of the few advertising levers left to them after the government curbed their presence in magazines, billboards and TV.

(Sapa, April 2012) 

Read more:

Fight against tobacco gathers steam

What do your cigarettes mean to you?


Read Health24’s Comments Policy

Comment on this story
Comments have been closed for this article.

Live healthier

Mental health & your work »

How open are you about mental illness in the workplace?

Mental health in the workplace – what you can do to help

If you know that one of your colleagues suffers from a mental illness, would you be able to help them at work? Maligay Govender offers some helpful mental health "first aid" tips.

Sleep & You »

Sleep vs. no sleep Diagnosis of insomnia

6 things that are sabotaging your sleep

Kick these shut-eye killers to the kerb and make your whole life better – overnight.