scholarly journals Trade Controversy Amidst Tobacco Control Provisions: Dynamics on the Establishment of U.S Tobacco Control Act 2009

2017 ◽  
Vol 13 (2) ◽  
pp. 171
Author(s):  
Puguh Toko Arisanto

<p align="center"><strong>Abstract</strong></p><p>This article examines the dynamics­­­­­­­­ on the establishment of a health policy that U.S suddenly issued, so-called Family Smoking Prevention and Tobacco Control Act (FSPTCA). Some provisions of this act having something to do with trade were assumed controversial policy due to two reasons. First, it banned the circulations of specific flavors in cigarettes but allowed menthol-containing tobacco products. Second, this act involved tobacco industry participation on Tobacco Products Scientific Advisory Committee (TPSAC). In short, this article addresses interest groups consisting of tobacco companies and civil society groups influencing U.S government to take action regarding ratification of World Health Organization Framework Convention on Tobacco Control (WHO FCTC). They both have contradicting interests and race against each other to influence government through varied means. I argue that this opposing domestic dynamics influences U.S government to issue FSPTCA that contained two controversies and adopted provisions of WHO FCTC as win-win solution.</p><p> <strong>Keyword</strong>s: tobacco control; interest groups; ratification; influence; win-win solution. </p><p align="center"><strong><em>Abstrak</em></strong></p><p><em>Artikel ini membahas mengenai dinamika pembentukan sebuah kebijakan atau undang-undang kesehatan Amerika, FSPTCA yang dikeluarkan secara mendadak. Beberapa ketentuan dari undang-undang ini berkaitan dengan perdagangan dan diasumsikan sebagai kebijakan yang kontroversial karena dua alasan. Pertama, undang-undang ini melarang peredaran rokok beraroma rasa namun mengizinkan produk tembakau yang mengandung mentol. Kedua, undang-undang ini melibatkan partisipasi industri tembakau dalam sebuah kelompok para penasehat ilmiah produk tembakau. Singkatnya, artikel ini merujuk pada kelompok kepentingan yaitu perusahaan-perusahaan rokok dan kelompok masyarakat sipil yang mempengaruhi pemerintah dalam meratifikasi konvensi kerangka kontrol tembakau dari WHO. Mereka memiliki kepentingan yang saling bertentanga</em><em>n</em><em> dan saling berlomba untuk mempengaruhi pemerintah Amerika melalui berbagai macam cara. Akhirnya, penulis beragumen bahwa dinamika domestik yang saling bertentangan mempengaruhi pemerintah AS untuk mengeluarkan kebijakan FSPTCA yang</em><em> memuat dua kontroversi dan</em><em> mengadopsi ketentuan WHO FCTC dengan dua kontroversinya sebagai win-win solution. </em></p><p><em> </em><strong><em>Kata Kunci</em></strong><em>: kontrol tembakau; kelompok kepentingan; ratifikasi; mempengaruhi; </em>win-win solution.</p><p> </p>

2017 ◽  
Vol 33 (suppl 3) ◽  
Author(s):  
Cristina de Abreu Perez ◽  
Vera Luiza da Costa e Silva ◽  
Stella Aguinaga Bialous

Abstract: This article aims to analyze the relationship between the Brazilian government’s adoption of a regulatory measure with a strong impact on the population and the opposition by invested interest groups. The methodology involves the analysis of official documents on the enforcement of health warnings on tobacco products sold in Brazil. In parallel, a search was conducted for publicly available tobacco industry documents resulting from lawsuits, with the aim of identifying the industry’s reactions to this process. The findings suggest that various government acts were affected by direct interference from the tobacco industry. In some cases the interventions were explicit and in others they were indirect or difficult to identify. In light of the study’s theoretical framework, the article provides original information on the Brazilian process that can be useful for government policymakers in the strategic identification of tobacco control policies.


2020 ◽  
Author(s):  
Putu Ayu Swandewi Astuti ◽  
Mary Assunta ◽  
Becky Freeman

Abstract Background Indonesia shoulders a significant tobacco burden, with almost two million cases of tobacco-related illnesses and more than two hundred thousand tobacco-related deaths annually. Indonesian tobacco control is progressing but lags behind other countries. Our study evaluates factors that contribute to the slow progress of tobacco policy change in Indonesia from the perspective of tobacco control experts (TCEs). Method We conducted qualitative interviews with four international and ten national TCEs, who have been active in tobacco control for at least 5 years. Our interview guideline included questions on the current tobacco control situation in Indonesia and explored reasons why tobacco control is progressing so slowly. The interviews were conducted either in English or Bahasa Indonesia, recorded and then transcribed verbatim. We conducted a thematic analysis based on five core causal factors for policy adoption: institutions, networks, socio-economic factors, agendas and ideas. Results The multistage delay of tobacco policy adoption is principally due to political structures and policy hierarchy, complex bureaucracy, unclear roles and responsibilities, and a high degree of corruption. The low bargaining position and lack of respect for the Ministry of Health also contributes. There are contrasting frames of tobacco as a strategic economic asset and tobacco control as a sovereignty threat. There is an imbalance of power and influence between well entrenched and resourced tobacco industry networks compared to relatively young and less established tobacco control networks. The policy agenda is likely influenced by the privileged position of tobacco in Indonesia as a socially acceptable product with high consumption. There are constraints on transferring ideas and evidence to successful policy adoption. Conclusion Tobacco companies have substantially influenced both policy decisions and public perceptions, signifying a power imbalance within the government system and broader networks. Acceding to and enforcing the World Health Organization-Framework Convention on Tobacco Control (WHO-FCTC) would enable the Indonesian government to shift the power imbalance towards public health stakeholders. Tobacco control advocates must enhance their network cohesion and embrace other community groups to improve engagement and communication with policymakers.


Author(s):  
Aloysius Anandyo Pambudi

This article aims to analyze Indonesia’s decision on World Health Organization Framework Convention on Tobacco Control (WHO FCTC) in the leadership period of President Joko Widodo from 2014-2019. As one out of nine states which have not to sign and ratify WHO FCTC, historically Indonesia is one of the full drafting member states which actively involved in the convention’s making and negotiations since 1996. However, from 2003 until 2019, Indonesia still refuses to sign or ratify WHO FCTC. From past years, studies about Indonesia’s non-compliance decision on WHO FCTC limited by the analysis focused on domestic factors to explain state’s behavior, non-state actors’ interest, or discourse about tobacco control issues. This article provides an analysis of the state’s (Indonesia) behavior from the systemic level by using the theory of international regime’s functions. By using secondary data obtained from official documents of state or international organizations, books, journals, and other online sources linked to Indonesia’s decision on WHO FCTC, this article shows that Indonesia’s non-compliance decision to WHO FCTC in the leadership of President Joko Widodo from 2014-2019, caused by Indonesian government’s negative interpretations to the legal liability, reducing cost, and information facilitation functions of WHO FCTC.


Author(s):  
Kelley Lee

This chapter examines the politics that has shifted tobacco control policy over the past three decades, from a long-neglected public health issue to a flagship global health issue supported by collective action by state and non-state actors. These efforts were spurred by the expansion of leading transnational tobacco companies (TTCs) into emerging markets, beginning in the 1960s, amid growing regulation and declining sales in traditional markets. By the 1990s tobacco use was steadily rising in the wake of the global expansion of the tobacco industry. The negotiation of the World Health Organization Framework Convention on Tobacco Control (FCTC) became the focus of intense political contestation between a powerful industry seeking to protect its commercial interests and an alarmed public health community. Since adoption of the FCTC in 2004, this political battle has shifted to its effective implementation in signatory states. This has included the eventual negotiation of the FCTC Protocol to Eliminate the Illicit Trade in Tobacco Products and continued efforts by the tobacco industry to sustain sales through a variety of political strategies.


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