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IN DEFENSE OF SMOKERS © 1999, Lauren A. Colby. Version 2.3 |
Chapter 2: The Burden of Proof |
Chapter 2: The Burden of Proof
Recently, a client wanted to know whether a particular document
was filed with a government agency. I told him my records did
not show that it was filed and that I presumed that it wasn't.
That didn't satisfy him. He demanded a "yes" or "no": was it
filed or wasn't it? I explained to him that I could send a
researcher to the agency, and if the researcher found a copy of
the document in the agency's files, that would prove,
positively, that it had been filed. If, however, the researcher
found nothing, it would prove nothing. There would always be the
possibility that the document was mislaid or that the researcher
overlooked it.
Tobacco companies know a lot about "burden of proof". That's
why tobacco executives don't deny there's a risk in smoking. In
fact they even boast that there's a risk. One of their own
employees testified to the Waxman panel that he wouldn't want
his daughter to smoke. You see, the tobacco companies have
frequently been sued by people suffering from lung cancer who
claim that they got the disease from smoking cigarettes. The
conventional wisdom says that smoking does, in fact, cause lung
cancer, but the conventional wisdom is often wrong and, in this
instance there is plenty of evidence that it is wrong. The
tobacco companies, however, don't need to buck the conventional
wisdom in order to defend lawsuits. The tobacco companies have
found it easier to defend lawsuits by saying to the plaintiff
"Didn't you read the warnings on the cigarette packages? Didn't
you listen to all the warnings from prominent physicians and
public officials? You went ahead and assumed the risk!".
Back in 1890, the conventional wisdom said that masturbation
caused blindness. Suppose some doctor dared to challenge the
conventional wisdom, and advised a patient that the practice is
harmless. The patient takes the advice, goes ahead and
masturbates and goes blind. He sues the doctor and I'm hired to
represent the doctor in court. Believe me, if I'm a good
lawyer, I'm not going to challenge the conventional wisdom and
say the blindness had nothing to do with the plaintiff taking my
client's advice! A much better defense is to cross examine the
plaintiff: "Haven't you read books written by prominent
authorities about the dangers of Onanism? Haven't you heard the
preacher warn about it, in church? Haven't you heard the
lectures by prominent temperance authorities about this
dangerous vice? You proceeded at your own risk!"
Where smoking is concerned, it's obvious that if everybody who
smoked developed lung cancer, we could say, conclusively, that
smoking "causes" lung cancer. But we all know that not
everybody who smokes develops lung cancer, and we also all know
of many people who don't smoke a day in their lives, but
none-the-less develop lung cancer at an early age and die from
the disease. Hal Roach, the producer of the "Little Rascals"
movies, was a heavy, 3 or 4 pack-per-day cigarette smoker for
his entire life, but died recently, at the age of 101,
apparently from simple old age 1 . A former governor of
Virginia died recently of lung cancer; he was in his 50's and
had never smoked. Just the other day, CNN showed a picture of a
Lebanese gentleman, who claims to be 134 years old. He was
vigorously puffing on a cigarette, burned down almost all the
way to his lips. His formula for a long life: smoking and
drinking every day, along with the consumption of fresh
vegetables. The world's oldest woman, a 125 year old resident
of France, smoked until she was 123.
In my own family, my aunt died recently in Florida, at the age
of 78, from lung cancer. She'd been a smoker in her youth, but
gave it up about 25 years ago. A family friend, also a female,
died in New York at about the same time as my aunt died. The
family friend was in her late 70's or early 80's, and had never
smoked a day in her life. Thus, these little old ladies became
statistics. Or did they? Actually, it may surprise the reader
to learn that death certificates never contain any information
concerning the life-styles of the decedents. Therefore, while
the Public Health Service keeps certain records showing the
cause of death from various diseases, nobody, but nobody keeps
any records to show whether the decedents were or were not
smokers!
There is an Internet News Group devoted to smoking
(alt.smokers). Recently, a participant called the Office of
Smoking or Health, in an effort to find out how the government
arrives at its estimate of 450,000 annual smoking related
deaths. After repeated calls to different individuals within
the government, it turned out that nobody really knew how the
figures are compiled. Some bureaucrat said he thought the
calculations might come from a book, "Foundations of Modern
Epidemiology", by David Lilienfeld. They don't. I'll discuss
this and other interesting statistical manipulations, later.
Before leaving this subject, however, a recent (04/19/95)
letter to the editor of the San Jose, Ca., Mercury News
sheds some light on the methods used by the anti-smoking lobby
to generate false reports of "smoking related" deaths. The
author of the letter, Mary Ellen Haley, reported that a loved
one died of adenocarcinoma. Only 17 days elapsed from the
deceased's first visit to the doctor to the day of his death.
The letter writer was provided with the information for the
death certificate, which she took to the attending physician for
completion.
On the death certificate there was a line for the doctor to
insert the immediate cause of death, and then three lines for
"due to". The doctor inserted "cigarette smoking" under "due
to". The letter writer questioned the doctor: was he sure the
tumor was caused by cigarette smoking? The doctor said he
wasn't sure about that, but there were guidelines issued by the
American Cancer Society, and that when a person dies of certain
conditions and has smoked, the doctor is instructed to list the
"due to" as "smoking". In this instance, Ms. Haley persuaded
the doctor to omit the usual "due to cigarette smoking", but
obviously, this was a rare occurrence. The willingness of the
medical profession to blindly observe "guidelines", issued by
the Cancer Society generates a continuous stream of death
certificates, validating the official line that cigarette
smoking causes everything from heart disease to uterine cancer;
yet, there is no shred of scientific evidence to validate any of
the certificates; they are based on nothing more than official
instructions to put down smoking as the cause of death!
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