The politics of health: the case of smoking control

The policy of the United Kingdom government towards the control of smoking has been characterized by a non-interventionist approach such as persuasion and industrial self-regulation, as opposed to more direct intervention through fiscal policy or control over tobacco production and sales. The effectiveness of the policies adopted by the UK government is difficult to assess, although there has been a reduction over the last ten years in the proportion of smokers in the population. However, evidence from other countries shows that a more comprehensive programme including direct legislation controlling tobacco advertising has a much stronger impact on tobacco consumption. The determinants of the UK government's policy position are analysed and the evidence suggests that this policy position is determined in part by the power of the vested interests in the maintenance of tobacco production, as well as the confusion of interests within the government itself.