Clttsr nf Nr}lrrnrtRtttiurn, 1{. 0.
Clttsr nf Nr}lrrnrtRtttiurn, 1{. 0.
Clttsr nf Nr}lrrnrtRtttiurn, 1{. 0.
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Vol . 4<br />
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Report of Proceedings<br />
Hearing held before<br />
COMMITTEE ON INTERSTATE AND FOREICW COMMERCE<br />
H .R, 2248<br />
TO AMEND THE FEDERAL FOOD, DRUG, AND COSMETIC ACT<br />
SO AS TO MAKE THAT ACT APPLICABIF TO SMOKING PRODUCTS<br />
H .R . 3014, H .R . 4007, H .R . 7051, H,R, 4244<br />
TO REGULATE THE LABELING AND ADVERTISING<br />
OF CIGARETTES, AND FOR OTHER PURPOSES<br />
Friday, April 9, 1965<br />
. C .<br />
WARD, SMITH, PAUL & AL1)ER80N<br />
Gehim'aA StrnoOgpe Reportinq<br />
917 G Strcat. N.14C 306 Ninth Stroat, N . W .,<br />
Washington, D . C . I20001 Washington, D . C . 20004<br />
628-4406 638-5032<br />
028-02t7 - 028-840J<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
.Washington, I)
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ttu,t, 1°9'he g;ener'a1 pub7ic: kno'ns aJa St tiredg to knon e .boub the i<br />
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CANCER CONTROL PROORAM<br />
DIVISION OF CHRONIC DISEASES<br />
U . S . PUBLIC HEALTH SERVICE<br />
Aeaedlel Action StetementE : ;<br />
Part of a Natlonel Btudy on SmokSng Bchavior and Attitudes<br />
Daniel Horn and Selvyn Waingrow<br />
March 2?, ;965<br />
In October 1964, a notione .l probability study of smoking behavior,<br />
attitudes, and beliefs was conducted under Publie Health Service direction<br />
among adults, 21 and over, Sn about 3,500 households randoml,v selected in<br />
an interpenetrating sample design wlthin 106 prlmary ssmpling units from<br />
which were drawn 424 segments .<br />
The Snterview itself lasted from about one hour to an hour and a half~<br />
depending upon the person's smoking history , and lncluded among the qucstions<br />
an agree-disagree series of 23 statements which the Investigators have labeled<br />
the "remedlal action statcments" since they deal with either general or<br />
specific ections vhlch might possibly be taken in the contro l of cigarette<br />
smoking .<br />
These statements were culled from books , magazine articles , newspaper<br />
editorials , articles , or letters to the editor after the Report to the<br />
Surgeon Ceneral vas released on January 11 , 1964 and , while most of their<br />
orlglnal tone and intent was generally malntained , they were usually para-<br />
phrased in order to better fit within the context of an interview situation .<br />
As part of the research design, the statements verepresented differently<br />
Sn the four forue used by the intervievers , vith the selection of the form<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
•<br />
Horn and Waingrow Hemedial Action Statercents Mnrch 22 , 1965<br />
to be used being predetermined on a randov.ly selected basls so that each<br />
respondent theoreticslly had an equal chnnce of being given any one particular<br />
form .<br />
The differences and e .inilarltlee between the four forms -- A~ B, C . and<br />
D -- are as follovn :<br />
Nordi n - Some of the statements were worded exactly alike on all<br />
four forms , but other statements were presented conversely in one of the<br />
forms (D) . For example , if Ftorms A, A, and C contained the positive version<br />
of a statement , then on Form D the converse of that statement ws presented ,<br />
that is , e a negatively worded version . The percentages agreeing or disagreeing<br />
in response to the version given on most forms (A , B , and C) are provided in<br />
Col` 2~ Sotal p Forms A~B 1 C of the attached table , while the percentages for<br />
the converse statement are presented in Co1 . 3. Form D , Converse .<br />
' Hocever) the assumed effect of differences In vording is best<br />
estdumted , for reasons explained below , by comparing percentages in Col, 3~<br />
Form 1) with those In Col . 4 , Form C .<br />
The differences In the percentages between these two forms<br />
are listed In Col_7 . C-D , Sording .<br />
Positlon qucetlen Number e'Sthin Intervlev ScheBule - The state-<br />
ments were presented early In the Intervlew .situati .on In Forms C and D, but<br />
late 1 .n Forms A and B ., Although in terms of their position within the inter-<br />
view schedule Form C and D are equal as are F'orms A and B, the best estimate<br />
of the assumed effect of position upon answers Ss achieved by romparing the<br />
percentages In Col . 4, Fonn C with those in Col . 6, Form A. '<br />
The differences in the percentages between these two forms<br />
are listed In Col- . <strong>0.</strong> . A-0, Positio,n .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
40<br />
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and Maingrov Remedlal Action 6tatements Xarch 22r 1y6$<br />
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Order Within This Particular gcrics - The statements were presented<br />
in the Identical order on F'onos A , Cr and D but were reversed on Form B , with<br />
the last , fYrst , and the first, last , and so on . Since there were an odd<br />
number of statements p statement No . 6 in this report (letter-e on the forms) .<br />
remained 1.n the middle on all four forms .<br />
For apparent reasons described in the above two sections , the<br />
assumed effect of the order of presentation within the seri .es of statements<br />
is best estimated by compsrl.ng the percentages in Co] . F'orm B with those<br />
in Col . 6 . Form A .<br />
The differences Sn the percentages between these two forms<br />
are listed in (:ol . 91 A-D , Order .<br />
The Percenta ee_-and Differences Between the Percentages - The<br />
. . . .<br />
following is submitted as a general guide to the statistical significance<br />
of the data presented<br />
: Since each of' the forms was used In approximately 1r200<br />
Snterviewsr the standard error of a given percent obtained from any one form<br />
is in most cases approximately 1-1/ 2 percentage points ; theref'ore , differences<br />
between percentages obtained from two different forms are probably not<br />
statistically significant vhen the difference Ss less than 4 percentage points .<br />
In cases vhere the percentages being compared are less than 20 percent each<br />
or more than &i percent each, differences of less than 3 percentage points<br />
are probably not statistically significant .<br />
AlthouyJi pereentages ere here given in terme : of "agree" or<br />
"dieagree" : percentages are also available for each statem :nt indicating<br />
the extent to Miich the position was "strong av" or "mi]dly" held . In addition,<br />
although not presented here, ecores for each stetement based upon a five-point<br />
scale .are also availaGle .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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c:i.t,arobtc )abc7.in(;<br />
.n.s :lo objectSvc , The t or theuc bi?.7r. -- ih:ir narna<strong>nf</strong>; of heo.]t h<br />
risLe to the protrpcet,:ivo eoncumer Of cAucrct'c.cr: -fis stSH(r]y<br />
oupporQcd by our llep„rtanont .<br />
We have sovcral rocotaaendat3ou ;: oosmerning the provis :ion¢ of<br />
thc[:e biJ.7r .<br />
9'he [Y ecciicnt and zt s z¢ of tha aiorrr:ng wcr.sa(;c arc of reea<br />
cmtce:rn to us . To the cxtc:nt that the Wu .rnin; goes tumot :icc0, it ao<br />
u£cAc D £ . H . H . 3011! and YL R . 4007 roould P]ttoe the o-rraiugs o n<br />
one of the c5[l.e pane-'Jt, 9xi rather Etroll type . ldc+pnin ge An tP .ia<br />
Jocat]on and of this ci.z.c r+ou 3.6 hardly :nv5te the conourncr'3<br />
attciltton .<br />
M . B . 824R doer, not c+tato the typc: U SZe ttd iocut6on for the<br />
vtarri9rtg Mc1 but wouid requJ»e Out the nax n5ng bc"pr:intcd<br />
on (tLe) cait.s5dc: . . . In c:l e.ar, )ec010 and [0ta1.n2y visS.bSc<br />
prInt. ." He praScr the rcn,uircinent, of the rcGorc,7. L'er r.cu flouc<br />
F:ubott:nec;: Ir,tro) l nG A04, tLu.i: ti m rrr5u(; etfl.t.emc:ut be lor,t;4.cd.<br />
"proni.ncn4l.y . . . In conttDdcuou s and 7.o;yib7 .c: t,vpc: in contrur;t by<br />
Oy0(:i'afrhy, .Iktyot.lt" , (+)` OGlhi' with otlt0:x' rl'.9ntCalifixttel' on tiiC<br />
J¢lio:i . . . t At IN :tmpm'tant, that t.hin pequ A: cment aEe Snoh that<br />
the evo,,tgo connuiaer M aulci bc :tilccJy to mcei6 the 7c.be7 .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
Idyth Pc(,qPB to the who7.C E?uc£tilon of 19oS6i-nQ,1(reption and
•<br />
•<br />
vinib9).ity, we feel It wou :tG be preferable to lcave formul .at7on o/'<br />
the npecAfio rtqv :9x•ewemtn to e.dmin3s,trat :lve ret:u7at .i .on . 'i'hA .e ;<br />
f.lexibAl3ty woulQ al.]ooi for etnmGes .tn the phrasi .n@; of the taarnln(t<br />
whlch m9ght re,Ult from renearoh or ter,hn5c .a :r f.lnpiovennntn [:aoh<br />
stn the development of a 2ena ha•r.ardovs c :lf ;a.rebt,e . At t.ime Shc:rse<br />
developmonts mtghtt justif'y a reduecd marn :ing or perhaps even Af .s<br />
ominnAon .<br />
7.n order toine.Urc the nv,ximum effoeti .venoeb of the vrcrnG.<strong>nf</strong>i<br />
label itseJ .f, 1t ;lo Amportant tlutt. ot.hcr afutcmentc on t.he fvelwl(?;o,<br />
or An other 7a .hel ;inG, or An aGvert9[+Sng do not An any t•iay ecrve<br />
to nog6ito nvch ca tcarn :cng, hcaacve p P ubt]y . flo u outd sug oestt that<br />
spoc2f'Sc avthoP 5 ty be inc :l.UOSd to prohSblt vse of ni,ettementrc t]Wt ,<br />
oithc+r negate thc eia,rnin(e or, whi)o not . clsir :ly doing no rnd •nt .<br />
)east rmt dornone.t rabay faAne, might give the oon o umor the<br />
rnie :ieadAng 3mprecn9.on ths of ti rAek than othert&,<br />
We aro a ].ao oonoerncd about the fa,ctt that theac two b511s<br />
YIouJ.d Porb+-d any rccfU :+relnOnt., inC)uGSne any h%'C reCu .ireiuents,<br />
for 9ncaur.Aon of a hc:itth InornEl ge An acive r t:t o fng ior cAtSetrotter~<br />
that are a .aboi.ed an require;d by the bi7 . :tc., Whether the effcot<br />
of a :tabe] rlarning can bo ade quate An At se).f, and whether It Ac<br />
lil
3<br />
•<br />
0<br />
9<br />
hae s pecS .1' ;ca,11y :1nvC,Led intcreotcd partScc+ to apply for t ;uspensaon,<br />
mod5f7cat9on, or abrogat3on o .4 Sts ru]c tsii :h respoet to advcrC5u5n,;<br />
of o5garett,cs before its ef£c :c.t•Avo date aA' c%rcuuvstanooa have<br />
sufP5c5.cnuly ainr,ngcil . Th7.s oould Sncaudo cwys]cicrat5on of the<br />
effect of a].a,ne) . wa.aro :ing . VIe Go notbca :leve thatt the pub]S .a hctt) .th<br />
tvoua@ be lac :U3 e,erved by strfkc4n(S from the hcu'ldr . oP the Cominlno]on<br />
the Put.hoW ty over adveWs5rtg that Ss asscrCs .<br />
Onc of the b571,a, H . R . A0t}71, requ :irca a i+taCemcnt of tar<br />
and n'.toob :ittc aonl .cuts on i ;hc ef( ;aret4.o rztota .;Bc . !tc one Mx: thc :<br />
use of Car and n .tcot,5ne contentola9,mS, 0;0oG ou na var .fet.,r oP<br />
IilCaUlireli1611t MhoGS, caused t15yeH1)r@ad COLfVI',16n $n to the f>oBbS .b :l .t:<br />
hcalthku].nacs of one cigarmtte a : opposcd to emothk Noviever, there now 7<br />
1 fl<br />
.: a stondptrQ9zed method of ineasvrfng tar and n9ootinc<br />
y5.cid mh5ch oui be dup]SCat-ad . f+lLhou[Sh ue cannot dcPS .nS.t.e].y<br />
prove that u r•edvct.i.on of tar anBd nicot .nc content in aigarctte<br />
smokc tcS7a sif;ni.fSoanUl.y decrcanc the hoa).th hasard, 7-t S.a n<br />
rcanoriabl .e eassutnpB7.on that t.his vtoud .d reeW .b . Pherc 10 ev7.dcnce<br />
that rryrlptonrs uasooSetQOd wiif-h ocsotaan dA&cae,cc are lcss c .ormnon<br />
7n those who use thu ? .onct-• n5coc7no, loeie:r tar eggaret.8es . )+ut<br />
R 7s exeecfi5nlb'ly SMportant that the ooneumei, Lc S<strong>nf</strong>orwed that<br />
liMe such O .il;are8tc6 rlW:l,l' bC .7 .C85 Yk1Yar'(ieV.S, idley arC Ilol. EElfe .<br />
Dltny srnoKCrs, aE : ) tnrve s¢150, f7ntt 7L dSS'f ;cu)11: to sCop smolcSnp:,<br />
but the l:ubetE,u6i :,2) ec5t.nh tc, fDt.cr o5.l ;;o•cia.cF 9.nQ :icat.ca they b.ro<br />
o.re :?ovo t., hrnt+c.tU idioir hoR) .th by mao/c :uni; W'it t .hcy .krol :iove to bc<br />
0 Me hr.znVcious Won.voY . . P0P t.her..c t;evcral . rsr,eont:, ere fbo)W t.hn.t.<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
?n•r<br />
a btatclaent. cn the (x;o4vr•,oc aC tdrr and n :1c yt3 .he contcnt txte :ed on u<br />
L•,ta<strong>nf</strong>laz-U9zed dei:cr•r~5 .n(rtAon P,ou7 .dM be uss.fu. .<br />
IDonevor„ om°pent re :oe:&.r,oh oonncrni .nEr; the va+r5 .ous eomponcmts;<br />
of c!gar•ettc Sroolce inry oaiJ i'or ohahE9e ;R in the tar ar,d nSOot :ine^<br />
ctt,tcmont or 4n0 :1 .eFnte other colaponents that Shou'Sd be _=4stc2on the c5<br />
.etuvatto Ptaetcc)io . We wouisl recon,mend that :1noLeac7 of a<br />
r>peoAS'Se r;tectutory r^odu9 .re:ment for a z.tt-r8omant cu to (_urt.7cuJS.r<br />
oomPorrenta of' eSgaxet.to crmoke:, rc'GUla .tory ;tuthw3 .ty be ProvAdcd to<br />
cSeo:ido WhSCh PartSCU7ar componontr e.hou).d bo disc].osed on f;ha<br />
:Labe7 . . 9'hSe flcx9b9J.5Ay of' Ruthar:ity ohoui.6, a7soextond to the<br />
anU7yt9.ea1 rnothocie to bc uecGand the nanner :n fih :i.ch the :l<strong>nf</strong>orusttior<br />
is prc:,cntcd to the cormtuncr . Any stet,cmcnt an to cont .ente : s+hou?.d,<br />
in our• v9 .elu, .be baecd upon a at.andard :ixcQ a¢t.©em?.nat9.on and e.hou :tci<br />
bC ut9J.9zcd to pr'eeent mcan9.nEful a<strong>nf</strong>orirat?orz to the con ::uincr . lIe<br />
wou7d f•ur[:her nonommnnd that the rot4ulatory aEeney be authora .ecn<br />
to r•ecSu1.rc the l,a,nufitetvzes)r.r to ProvSdc tho agenoy t/ :i.th cont :a,uSpC<br />
:1 .<strong>nf</strong>01'!n'lt :iWl aE~ to thE AR(i)"U[75 .Cnt6~ :rI1G1Ud5)9,E; E+C?61~ciVCb', :q1<br />
cAp:nrotbc: :: .<br />
h . F . 307E!c:ud S . It . l:0U% defbnc the t.erm 'c :i .t;areT.te° oe. "any<br />
x'ol.a of tobe.c:co nr other cub :a;Emoc tivaPPed in taPOr or 9n any r>ub•-<br />
nLanoe obhc :p t•lron t.otnoc.o, and 9<strong>nf</strong>.ondcd for cmoka.r,g," 97ic x•ofo'r-onoc<br />
to "ot.hMcutr,;t.e:ucu" t,cvy Du o. :w)efl ut, pol : ::9b7.c f,ulx,oeo av.l•sS,? .tut'.ec,<br />
but thorc an c7liaont no Sa'd'o=Kon nr+ to the Posuabic hc0 .th<br />
IRtza ; - de; :l.n tt6r .: >•et•;trd eaiqk;+'ab1e to tho J e, ;.o,rat,tF .on nba)t .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
in the accnptc0 ec n ue of the Ivor-d .
$ Xastly, I r hovlu aflce to touch brlafa.y on the gu o&4:S.on oS<br />
1 98<br />
the agency or afyc:ocice. :in elh:ich Lhse.c fuuct :l.onr shou).d be vcst:ed .<br />
Yt: Ae oJe:ar,. In vA .ew of r1h10 ] have n?.ready t;aS.Q, that itt rtoul .ct<br />
over :::1tnp7Sfy the hrsttor, in ou :r oti5r,5on, to crttcmptt to t ;pci. :f out<br />
the rcqu'Lrcment.es 7-n the stUute 1tse7f and c2aepc=nse alf .otether+<br />
erSLh rep,u-l.at.ory adm9n .i .ntstatlon . 4I5 ;;h reg;arct to the aabe7 .5nt; o,<br />
cAgurett.e: [v.cleahec+, the beliartmcnb hals concluded, on W0wco, th.,.tW<br />
responsfb ;l7.a.ty uhou7d be vostcci 1n our llo6lir>tmcalt, pr'of ;ero.bay by<br />
c+ay of eppropris.to amen«ments to the h'ei+.eral }]azar@du :. subs : .unaesd<br />
labot5ng Aet„ This c+ono?us9on wae rc:achcd aPter conslderat.iou of<br />
Yhe typo ok regttl.atory aVpa'oEic.h reguirc:d and the ins(iect .i .olt, se7•r.m•e<br />
and ot3rn :* o<strong>nf</strong>'orocmcand: provA#s :ions rlht .oh Ivould tlx^n bo uutohaC7cn'!]y<br />
• avai)ab?.c, Sn aC{dS .tSon, the [sta VP and rolcavaht eaper9enoe built<br />
up 1n the adi<strong>nf</strong>n ;u,trat5on oi the b'cdoru). tkazhrdous SuhrstcuDoeo<br />
Ia bel9<strong>nf</strong>; Flc t and the oJdvr 7rood, IArug and Co u metac 4ct S:'urther<br />
oomnlends this spproaoh . ll9'ie rc(;ulatAon oi c7hatrefite ndvcrti ;ing,<br />
on the o6her horsd, r.+holU .d, ivo bo l leve, cont9nue to b e left to the<br />
1'eCroru7 Prab.e Couna9esf .on e . .: :I Yrive a7rcady auctaeated .<br />
13sq Cha9rl+r :.n, the Yutl,c I1o83 .th 9orv]co han be:on o ;q~dm•1u6•<br />
the 6+}'obJ.em c,f' clnolc ;ng uhd ho'r,ith for bmue ta .me non, IAe hctvo be(:un,<br />
9n a very ]9 .mAW r+uy, to arulr,~omc?ntthe rcoommondatdons oY my<br />
• a.GV? .cory corr,m7t uc' :; regro?°t . P.^c:acnL)y our ect.i .vit,tl .os .are pr :hMFI r+5] .y<br />
?.11 the Pb :/ ;1(r,9Jli( ; feuP a rp.U: :<br />
(;1) d5a6omi .n7L :inL' :[rPoi'b/:t$on to prof'C/ :U :i0h:1) and loy (:r'(<strong>0.</strong>1p1%<br />
oli the hce;]th Lc.vi+d. ;• o :i o5t;arct,t.e: ne,olclng ;<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
•<br />
6<br />
f<br />
C<br />
)<br />
e<br />
C<br />
10<br />
st<br />
f7<br />
Is<br />
le<br />
ili<br />
St<br />
kf<br />
5+<br />
599<br />
(?) c+eterminSni; e£YentSvc ways of hol .pi .ni; t'.hoae: 3.ndiv :lvrErJ, an6 }s1'< :ho]of` :~eg] . £z.oLocl~<br />
wh4ch dot•orm]ne r;mdkrlnlt hol:tevtor, Le.'ESe-f'Er al.+outi emoicing, en(1 ~<br />
attStuoeu towarciE: smok5r}g,<br />
Ar, Vou1r,~,Y lcnow, lac,re thsan $5t4(100 copaes oS tho report h .avcl i<br />
been 0003101,011 .<br />
?n af•Q9tion, 7 a( sela, ya te 1[ImPhlc.tC on<br />
var]ov aC:p(m.ts of' tho rGport h?(ve hccr, prcp, .rcd and a ;tsaAVtQ<br />
!<br />
$'e (;)'e (<strong>Nr</strong> rohly E p onKo:Z•Sn . € }~<br />
'<br />
!• sLwki(y w a Bh r",.rruc, ~ : -i. cnn . '1,or; - [i u(<br />
I<br />
C&.1 5_corv,Sc+ ana Pennoy?vatiSe . 3" Waonn, wc arC; ass+]nc :v,g a p1'o1ic<strong>nf</strong>•<br />
d.oWp:ne&tc: (valnate' oh3arlren's re4met3 .ons to a e•nhool eciuoatSOnnJ-I I<br />
smoKPafe; prog;n,,ni„ He Yx :vc• st.udSoci the sulolcSno; },oYrtUCi]F,P OS' ot .l'loi"<br />
profe.>;ei ar,a) groni'e .<br />
I )n )5.,JQ tLr 1'uh}Sc Rcs2tL ::erviao beg:m t.n Rc,ci .gu e; :F(u[co<br />
~BtL10V Wnlt wOV1G (t+:}iipllC i11 ('(:pt .h t1zC 1)u1/(IV`,oP, Wit .KtiQ6 0nQ<br />
I<br />
iiJ() .9@f'R of 1;hC /IL,(•1'9C+On IIhO10P tD1Pft1'C' Ra(F4PPt .t(' FWGkCi11FG `J'hP .<br />
Ir•oopc, on4 (aunp]rr,p4 ; oS bha fi4.uftp P.e :l.pycE1 Uhc. f:F(J6 uc/lT anb5?<br />
I]UtC: :I(0! F :.h(i thh. )'rFi AYti )',YPn j1)ft7•R60nt.1Y nUhlE' 6Vil of ( .h(,<br />
i<br />
le-0Ul{ .eSoi' . "9,c 4iJ•NO:cO'hNR btt11 l-i,n to (ce-16p ill ciS' .1t5oh q<br />
;h. thc: D:aSo rarb;; vop.nr; . yA <strong>nf</strong> : owk .tn t bcm i„r• PLc- r r( b)ct y nr<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
I
•<br />
7<br />
F<br />
2<br />
fi<br />
E<br />
i<br />
t%<br />
SE<br />
ro:<br />
Y ;•<br />
2i<br />
0 S ><br />
Y .:<br />
o9t;arettc f:motc7ng :iE a r•e]at.Sve)•y un7qve one in the fie].d crf ~<br />
pukK.b health, ?t inv() .vca hwrom reretSon to ti rxab•at Sbrmerl.y<br />
I,a.eceptCtj a : hAr•In).c66, and no'H 6eienti .f'JCU) .].y detePin7 .ned AF• harOP'<br />
~Ik•ul . 9h .s ch@ngc• fr[n, h,;r•eue :e: to Yrrl>z'ul hav cscaced a avmben cir'~<br />
prob)c .rn . . Some pcop)e at•c unut)_linry to aeecpt• tlnt. aruoxu :IrS.on,'<br />
and. othcrs f3rnd thcircLvo un ble- to do ahy0hin( : about thecr<br />
srnolCing habifsE dssp :,tc theSy des:irp to do so, ~<br />
]n order to ocvo.l.op an cFxcat9ve hea7th }royr-rn to dea7l<br />
vrCith th:,.C problem, +o E"e?,t Nu ncec7co to hsve z benter underctalid~<br />
int, of just reho tho peop7e ax•e who cmoke, why they swoKc, mhe .t<br />
Lhoi .r LeJS.oPr: about smof.in(; t.;r•e, rohaft smoldnP; Ineun :: to i.hera,<br />
what the condit :lms ere vnd.er.+ wbion thc :y e1•krn(.eci the,Ar hab5.ts I<br />
or deride to ehKgo 't•hcn, ethot. Ar9']_uenosd Ms:N st•a,rt•Ang to r,qnol
"3•<br />
6nd lisingrov - Heese dial Action Sta`.enants IlSareS 22, 1965<br />
PERM7AG_. DTST_' LTTU^_Z0_VS BY STATrwq_ A .`!D FORM<br />
The Pollovivg staterents are ordered according to the percentage o° people sipporting the need for ar.d./or<br />
the specific action o :aposed for t^_e control of cigarette sxoking. The first statement listed Selo+ '_s<br />
thnt vhich received the greatest support :ron a cigarette control vie-rp'_nt ; the lest stateasnt received<br />
the least supprt £roa that vie•+point .<br />
E~tetemnts :<br />
tv wrded on Forms A, B, C<br />
_ There should be a special<br />
ptogram oP edacation<br />
about c'_garette sao<br />
:ti~ag and heaLth ai+sed a<br />
:<br />
children in school.<br />
Thera should be nore<br />
educatlon of the puSlic<br />
about the health ris'2<br />
connected vith smoking<br />
cigarettes .<br />
Sales of cigarettes to<br />
people under a certain<br />
age should not be agaicst<br />
the Iav,<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
*Total<br />
Sa_^p1e<br />
Col . I<br />
Total<br />
A~B~C<br />
Co1. 2<br />
Form D<br />
Converse<br />
Coi . 3<br />
Fora C<br />
Co? . 4<br />
Forc B<br />
Co_ . 5<br />
.' vi.ie=ence<br />
' Betveen Fo,<br />
'C-D: A- C A-3<br />
wort_ ?osi-<br />
Fozm A ing tion Order<br />
Coi . 6 Col . 7 CoL 8 CoI . 9<br />
% Agree 92 .2 93 .3 8 .5 92 .8 92 .6 94 .4 f +4 .3 sI .6 +1,8<br />
% Disagree 5 .0 3 .9 88 .5 . .8 4,2 2 .9 1 -3 .7 + .9 -1 .3<br />
% No Optn•_on 2 .8 2.8 3 .0 2 .4 3 .2 2 .7 , -0 .6 +0 .3 -0 .5<br />
¢ Agree 89 .1 9<strong>0.</strong>4 11 .7 90 .6 90 .4 90 .1 +5 .9 -0 .5 -0 .3<br />
% 7sagree 7 .6 6.h 84 .7 7.1 5 .4 6 .8 I -- .6 -0_3 +i .4<br />
% so Opinion 3 .3 3 .2 3.6 . 2.3 4 .2 3 .1 ' -1 .3 +0 .8 -1 .1<br />
$ Disacs-ee 87 7 87.5 88 .4 87 .7 85 .8 88 .9 ~ -0 .7 +1 .2 +3 .1<br />
% Agree 9 .2 9 .3 8.8 9.0 1c .3 8.7 ~ +0 .2 -<strong>0.</strong>9 -1.6<br />
% No Opinion 3 .1 3 .2 2.8 3.3 3 .9 2.4 ~ +0 .5 -0 .3 =.5<br />
# HSere Fo :m D statevcnt was the eonverse o : that on Forms A, B, C, the agee-disagrec percentages wre reversed<br />
PY_ pu-^poses of si:W.ation or coaparison .<br />
iF Indicates s -r.e •.'ording on all four ?oxss .<br />
1
y<br />
•<br />
!fern and Vaingrov<br />
S4ateaents :<br />
=s :rorded o: For- --A, 9, C<br />
Athletes snd entertainers<br />
yovngsters should-not be<br />
used in cigarette<br />
edvex!ising .<br />
IS cigarettes am really<br />
haxc=f •y then °edere'_<br />
governmeY money should<br />
be spent on resea .h to<br />
Sin3 out vEw .<br />
6. Cigarette co^pan*_es should<br />
be required to put on the<br />
package the a a ount of tar<br />
and nicotine in thcir<br />
cigarettes .<br />
7. Clinics to learn hov to<br />
give up smoking sho~~.:d<br />
be set up to help those<br />
vho vant to quit but<br />
haven't been able to do<br />
it by therselves .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
Rexdial Aetion Statemnts<br />
•<br />
March 22, 1965<br />
Difference<br />
Bet"en Fo:ns•<br />
£orm D , *C- D A - C A-B<br />
*TOta1 1bta1 Con-<br />
' WordFosi- Sample A,B,C verse Form C Form B Form !~ ingtion Order<br />
Col. 1 Col . 2 Col . 3 Col. 4 Col . 5 Col. N Co1 . 7 Col : 8 Col. 9<br />
% Agree 80 .+ 81.2 77 .9 8<strong>0.</strong>5 8<strong>0.</strong>T .4 / 82 +2 .6 +1 .9 +y7<br />
% Disagxee 13 .7 12.8 16 .9 13 .6 12.9 11 .9 -3 .3 -1.T -]..0<br />
% So Opinion 5 .9 6.0 5 .2 5.9 . 6.4 5.T i +0 .7 -0 .2 -<strong>0.</strong>7 -<br />
% Ag-ee 79 .2 79.8 16 .9 82.7 72.3 84 .3 i' .5.1 +1 .6 +2 .0<br />
% Disagree 15 .4 1li.9 'n, .6 2.6 21.P 1<strong>0.</strong>5 t i. .3 -2 .1 -,±.2<br />
% No Op*_nion 5 .4 5.3 5 .5 4.7 6.o 5-.2 f -<strong>0.</strong>8 +0 .5 - 0 .8 - .<br />
% Agree 78.2 79 .1 16.8 78.4 76.9 81.9 +3 .2 +3 .5 +5 .0<br />
% Disagree 14.3 13 .6 75.2 15.2 14.0 n .6 -1 .6 -3 .6 -2 .4<br />
% No Opinion 7.5 7 .3 8 .0 6.4 9.1 6.5 ' -1 .6 +0 .1 -2.6<br />
p Agxee 76.5 q9,3 26 .7 ,n, .4 79 .6 80 .6 ; +9 .0 +3 .2 +1 .0<br />
% _ sa6ree 18 .2 15 .6 67.5 17.3 1u .8 2,4.9 - _9,u _2.u +0 .1<br />
% $o Opinion 5.3 5 .1 5 .8 5.3 5 .6 4.5 ~ -0 .5 -0 .8 -1 .1<br />
* Nhere Form 3 statement ves the converse oS that on Forvs A, B, C, the agree-disagree percentages . sane on all four Poras<br />
for purposes of sursation or caugsrison<br />
Indicates vrording<br />
:ere reversed<br />
.<br />
i
8orn and Waingrov<br />
$tatevents :<br />
as vorded on Foras .A, H, C<br />
R. Ctge.rete smpkina i s<br />
9.<br />
enough of a health<br />
hazard for socething to<br />
be done about it.<br />
The general pubL*e knovs<br />
all it needs to know<br />
about the effects of<br />
smoking and health .<br />
1<strong>0.</strong> _ndlvidvsl doctors<br />
should be active in<br />
making speeches to the<br />
general public abovt<br />
the ha,rfu~ess of<br />
ciga.-ette saolcing.<br />
11. Cigarette adver.ising or<br />
cozaenei.Als should not<br />
be requ'. rzd to carry a<br />
ve.^_Sng sta*.e m=^t to<br />
the effect that smoking<br />
may be harafvl to health .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
Resedial Aetion Sta'.ements<br />
Mareh 22, 1965<br />
Difference<br />
Eetveen Forss<br />
roz _ 4<br />
^- D A- C A-B<br />
*Tota1 Totai Con-<br />
Iuord- Posi-<br />
Sample AB,C verse Form C Form B Form A Ing tioa Or'ler<br />
Col. 1 Col. 2 Col. 3 Col. 4 Col. 5 Coi. 6 Col . 7 Co:: 8 Col . 9<br />
°p Agree<br />
f Disagree<br />
76.4<br />
16.7<br />
77. 7<br />
15.1<br />
22. 1<br />
71.8<br />
78. 5<br />
15.8<br />
76.0<br />
14.8<br />
78. 9<br />
14.6<br />
1+6. 7<br />
1 -6.3<br />
+0 . 4<br />
-1.2<br />
+2. 9<br />
-<strong>0.</strong>2<br />
% No Opinion 6.9 7.2 61 5.7 9-2 6.5 -04 +<strong>0.</strong>8 -2. 7<br />
% Disagree 71.5 73.6 64.4 68.o 75 .6 76.8 1 +3, 6 +8.8 + 1.2<br />
% Agree 24.3 21 .9 32.3 28.0 18.1 ao, 8 -4.3 -8.2 +L 7<br />
% No Opinion 4.2 4-5 3.3 4.0 6.3 3.4 1 +<strong>0.</strong>7 -<strong>0.</strong>6 -2.9<br />
% Agree 66.9 66.3 23.8 7<strong>0.</strong>5 62.4 66.1 +1.8 -4.4 +3. 7<br />
% Disagree 2L_7 25.0 68.7 22 .7 26.7 25.5 -1.1 +3.0 -2- 2<br />
% No Cpinion 8.4 8.7 7.5 6.8 1<strong>0.</strong>9 8.4 +1.6 -2. 5<br />
% Disagr~_e 62.6 610 25.2. 61.2 61.8 6<strong>0.</strong>3 -6.1 -<strong>0.</strong>9 - 2 . 5<br />
% Agree 27.9 28.8 67.3 28.1 28.3 z9.8 +3.0 +1.7 +1. 5<br />
% No opinio1 9.5 1<strong>0.</strong>2 7.6 1<strong>0.</strong>7 9.9 9.9 i+3.1 -<strong>0.</strong>8 0<br />
* tinere Fo_-m D state¢eat uss the converse of .that on Forms A, B, C, the ag:ee-disagree percentages were reversed<br />
for pu_-poses of su^sation or coaparison .<br />
*'* Indicates saae wordi .^.g on all four forms .
E<br />
(••:u .<br />
•<br />
- 7 -<br />
Aexedial Action Statements . Y.erch 22, 1965<br />
. Form D<br />
' rTOta: 2ate1 Con-<br />
Sta•.em-nts : Ss ..^!p'-e Aa3,C verse Forx C Forc B<br />
es ~rded on For=s A, B, C Co1. 1 Col. 2 Col . 3 Co1 . L Col . 5<br />
Ci&,,.~:e _ ._. .°_-• . .-e-s<br />
should not be reqev'ed<br />
to put on the ouis .de<br />
packa¢e a var:Lng laJel Fp Disagree<br />
11ke,-"cigarette snoxing $ Agree<br />
is dangerous to Seaith" . Fp 5o Opinion<br />
3 . It is not the govern-<br />
-_ t's'o•.zs!ness'odo ~'Jisag .^ee<br />
soaethLg eSOUt ~ Agree<br />
cigarette smoking. 4 Yo Opinion<br />
ihe advertising o°<br />
cigarettes shovld n et % Disagree<br />
be controll-ed or % Agree<br />
1lxSted.<br />
% No Opinion<br />
A cigarette coapeny should _<br />
have to prov_ that i<br />
ciga.^eaes are not ha=- ,<br />
! i1J1 to heelth before % Agree<br />
they are aaovefl to sel-I ~ Disa,cr.ee<br />
~ the^~. $ Ho Opi^Son<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
~ DS'_Yerence<br />
t__D - A - C 'A-S . .<br />
IWord- Posi-<br />
Fora A; in5 tio_ Order<br />
Col . 61 CoI . 7 Co:: 8 Co/ . 9<br />
61.9 6<strong>0.</strong>4 3<strong>0.</strong>6 60 .4 59 .6 61 .2 ' -2 .a +0 8 +1.6<br />
3<strong>0.</strong>'- 29.9 62.4 30 .9 29 .T 2? .2 f ._ 3 - .7 -<strong>0.</strong>5<br />
9-1 9 .7 7.0 8 .7 1c .7 9-6 ~+:. .7 +0 .9 -L1<br />
59 .6 61 .3 39.L 55 .8 8+ .5 63 .2 !+7. .8 +7.4 y3<br />
33-'- 31.2 5 .4.0 36.2 27.2 30 .4 ;-3,2 -5 .8 +3.2<br />
" .3 7.5 6.6 8.0 8 .3 6 .4 ;~i . I+ -1 .6 -1 .9<br />
57.1 56 .8 56.3 56.3 55 .7 58.2 I-2.0 +1 .9 +2.5<br />
35 .0 34-2 33 .4 34 .5 35 .4 32 .6 i -1 .9 -2 .6<br />
8 .9 9.0 8.3 9.2 8 .9 >^ .2 !+c.9 „ ae.3 /<br />
k<br />
56.2 55.8 33 .2 55.4 55 .4 56 .4 -2 .2 ~1 .0 +Lo<br />
31' .9 35 .° 57.6 36 .8 35 .0 34 .5 +3 .6 -2 .3 -<strong>0.</strong>5<br />
8.9 8.8 9.2 7.8 9.6 9.1 +1 .3 -0 .5<br />
4'heze Form D stateaent vas the covverse of the. on Forms A, B, C, the agrse-dlsegree percentages wre reversed<br />
:or purposes of samation or comparison. ,<br />
Indicates saxe wording on a'' four forms . ,
'~ .<br />
- 8-<br />
%crn and Waingxov Rexedial Action Statements IDlsreh 22, 1965<br />
-_ Stntements :<br />
~ as wrded on Fo :ms .A, B, C<br />
j 16 . Federal gove rnment money<br />
.<br />
. .<br />
4 1 ^eseereL sAo•ud to ~~ . develop P~n eo a<br />
n:~v ca . . _ . .<br />
T1e smok'mg of cigarettes<br />
should be aro4eL in<br />
°e uer places thea it is<br />
nov.<br />
8. aothing sho•~.ld be 3one<br />
about cigarettes until the cigarette manu-<br />
:act,uers a .^e given a reaso<br />
.naSle euount o°<br />
t!.m° to core cp w th a<br />
safer cigarette .<br />
19 . Selling cigaxettes<br />
t:rougC e1gs .-ette<br />
mscSines should not<br />
be against the '_av .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
- uaaieze :.ce<br />
9=trmen Forms•<br />
Fosm D •C - D A- C A-B<br />
•'Mta : Tota1 Con- Word- Fosi-<br />
Ssmgle AsB,C verse Form C Fo:va B Form !y" ing tion OrdeT<br />
Col. 1 Col. 2 Ccl. 3 Col . f+ Col . 5 col. 6~ Col. 7 Oo1 : 8 col . 9<br />
P ~ee<br />
% Disag.^ee<br />
>3.9<br />
38.9<br />
J~ .Y<br />
39 .5<br />
3'f .1<br />
57 .2<br />
56 .7<br />
35 .9<br />
>V.%+<br />
43 .0<br />
51 .9<br />
39 .3<br />
S -o .><br />
; -.2<br />
r..e<br />
+3 .li -3.7<br />
4 Fc Oolnio2 ?.2 7.6 6 .6 8 .9 ! +- .~ tLl +2.2 .<br />
-, I<br />
% Agree 52.3 52.7 51.0 52.5 52 .1 53 .h i +1.5 .+0 .9 +1.3<br />
$ D
-9-<br />
}51n and .aingrov Remediai Action Statements N.erch 22, 1965<br />
.."tatevents :<br />
as vordet on Fo :ms .A, B, C<br />
2<strong>0.</strong> The federal government<br />
should continue<br />
its practice o°<br />
-ob_ co ^^ice sa;rort<br />
Sor the Saraer .<br />
21. Cig%'ette adver'.'_sLng<br />
shotifl be sto_s_r_d<br />
cocp>tel,v .<br />
?2 Taxes on cigar~ttes<br />
should be mueh<br />
Sigher than they are<br />
nov .<br />
23 . The seliing of<br />
cigaxettes shoulfl not<br />
be stopped mnplet~'_` .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
-<br />
1 DiS'erence<br />
~ Be:veen sor^•<br />
Form D ~*C - D A- C A-B<br />
+Totai Total Con- ( vord- Fosi-<br />
S=,Se A,B,C verse Form C Form g?ora A ! ng tion OrCer<br />
Col . i Col . 2 Col . 3 Col. L Col . 5 Col . 6~ Col . 7 Col. 8 Col. 9<br />
~ -<br />
% Agree 42.1 43 .1 3 8. 7 43 .4 u3 .2 42 . 0 i 4<br />
- .9 -0 .5 -0 .3<br />
~ D'_sacc! ee 33.0 31.3 38.5 34 .2 3<strong>0.</strong>5 23 .~,<br />
I-" .5 -4 .8 -Ll<br />
% No Opi :.ion 24 .9 25 .6 22 .8 224 26.3 27 .7 j -0 .3 +5 .3 +i.k<br />
% Agree 35 .6 36.8 6^ .u 3h.? 38 .7 36 .8 i+3 .i +21 -L9<br />
% Disagree 55 .1 53 .9 31 .6 56 .3 53 .0 526 ' .4 .1 -3 .7 -c .a<br />
~ Fo Opin'.on 9 .0 9.3 8.0 9 .0 8.3 a^ .6 !+,_. : +1.5 +2.3<br />
¢ Agree 30 .2 30 .2 61 .0 28 . 7 28 .0 33 .? ~-1.7 +5 .0 +5-7<br />
% nisagxee 61 .8 62 .2 30 .4 62 '_ _ 65 .3 58.8 ~+ 1.' -3 .3 -6.5<br />
% No Opicion 8 .0 7 .8 8 .6 9.2 6.7 7 .5 '+0 .6 -1.7 •0_8<br />
% Disagree 22 .7 22 .0 68 .8 22 .3 24 .1 19 .7 [1 -2 .7 -2 .6 -4.4<br />
% Agree 70 .2 70 .5 25 .0 70 .6 69 .0 72 .1 +1 .8 +1 .5 +3.1<br />
% No opinion 7.1 7.4 6.2 ? .1 6 .9 8 .2 ~+<strong>0.</strong>9 +1 .'_ +1.3<br />
1<br />
+ Nhere Forc D statemnt vas the co^verse of that on ?or~*~ A, B, C, the agxee-disegree perce .^.TZges v .2re reversed<br />
for pn.-poses of susaation or comparison .<br />
f+ IndicatPS sane vording on aL' °o^_ Sorrs .
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C i r.trtceither tfay .r ro piratory 1 tam o) c3se thce cc .tlbci.um c.~<br />
lr,cir }odp ero ihai, they Locorac- e1rcan
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nroount finr tLat t :or},or:o to bo z:W i)x :bl(i 5.5, )9GS, Y:ui nr.i.i.on or,<br />
6 tk,i0 t :F QeTap'I ( IP ),y f41e lep)YO) :li.ti)Dl COhO [rC, x=1t rr1,E0' - ~<br />
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,<br />
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i<br />
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http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
I
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http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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havc reepondcd, yes .<br />
M1u• . Rogs~res of Aera..t : . vlou t:b,nt: they r+ou7d `r<br />
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to cnLer• Into,:onro future ookit.raots w5t .h t:onie of tbv>•sc survey<br />
peo},le to Ilutre strveys of:' tY,is kind, take PWI .t.P<br />
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:ontiriu3nC, oh3igeltiorl to study the nnt.urc of the ProDS .can e.nd<br />
ha: 9t. oY..np•.es ovc,r the yoetr> ; yest, sir .<br />
Mr .. 31op.ePB Df 9'Ckss . lar0U7f'6 yrnl F!ut . t1liSt c!,S1eFfii .on A FI8kvG.<br />
In the n6x .t. hUneht<br />
Mr . }F„rn . i fOoP$ OOrtl(k3n]y 4 :oAJCi bC happy to `VI03UQe It-,<br />
e..5.r, S9 ) ba ve e.nS rc : Fu,1',r.l?.bi).9ty for what p;oerr into thtr.<br />
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MP•• kOgOrH oi".Pf :Kkfs . Wel.al nobl,tlfi$ .Y a Ip7Yn7tC .<br />
l7bo taou?Ita hr,vc tho r.o[spona9b21At.y for th°+t?<br />
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http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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contractt d.o thct,?<br />
Na^ . Smro . 2'h1F; QeVUndRS on the riature of the E:onGrtaot, z;N o<br />
It ie t att .E;i y a r .i t,t•E:r of whether or not you tc seEl rn g -hr<br />
pro£e .sr .onO f.rai for Anvo&tt l F;utfon or p,r5 .mnr ly, the f 1 c!c, cisrvlcc<br />
!an outfifdS C-0rnp?..ny .<br />
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l educa.L9on, end ( t•hor aot9vSt•9es, nocneLh%nL' In the v5c9n5 .Ly<br />
of A 1/? 4 67 3 9on,<br />
&1ro Fog:ere aF Tlekao . $3•1/7 nd7 .a5 .on?<br />
Dr~ T'(:)^ry . •YBF, sdre<br />
14p> F:on:crc: of T'exa.s, Thank you, n9r,<br />
noo:, llwor, with x•epjix'd to your commont :; In your statewent•<br />
on khc: rr,rkhig of 4.he E)[rnkza.pe, •ycu nre fruu5Y5:;r u5 .t.h the bi5 .]<br />
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tm . ser1'y . vov hrAve betbvr v :i .rSon idv;n t tio, 7g yont van . j<br />
pm'• . Y.of ;ers of, 4'orsfi . 1s tihat your unclerE :ia.hd :int. e,r: to the ~ ~<br />
s9wa, or- km i eor r eeet.? i<br />
Iir. . 9'csa~Y . Tb7C, 4tr . Rogo rs, :,s ::, rooe.tc•isp oY the i•yP ;:. oP i<br />
)abe).9n g thet rloa7Ct occ:ur, mov1G be s•cqv :r•cc tmcs.cl' ';0))! i t<br />
tafr ha.s be:m te OrkcS Up by k•ha h'occR &,nd hx•up :<br />
the ]abc;tfnp. on t•he ( ftge, of M, Psakap;e hrrc, I<br />
2R,N t%hAfl'IRl.no Th:IB $5 ifh9$?<br />
'Pho r e por8en oan't Put the P3cti re of e'ha.t you havo "Ms"<br />
In the r eoozre. ,<br />
Pr . 7'cr'ry . F7e)•l, ise Lav€ nP f.eman&t•r•r,L .'..on her.c•e on i:hre:<br />
P:zr.Kr,.t;Gs of' a§.FSrAY.cn t^sACh the )abo)S .<strong>nf</strong>; r/h! .•h co<strong>nf</strong>•npsnr,: to<br />
the sPeW5ce.L ;ons Sn ti . N . 301t4, ena :[ Mu•t,Q :.t5.k.e to Presex,'Y•<br />
t•hese Qerdonst•refaonl< to yop Por• your itwora~ssia .on .<br />
!i'he Ch3. :.+Tan . 7•ct• S.t be reoe .',vcQ as ;;n ex.h9b7.i: .<br />
('A'he 7hCnis POPC .r)'4-0 tc :• wrxs nr.rkCG as Hn er.hib7t, ar,d<br />
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tlgn 74 6oos o£ t.Y,e Ictng. sA.e avch as t .h?ie .<br />
Idyo ftogetr> of 7'e> :oe:o Yes, sii',<br />
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Ar, '8orrp, Th?t. 9e: r ;rth., sir•,<br />
p%~r, Hngers ot` 7'snss, 13oW 7argo Stou1 .B you hive !4?<br />
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have presented herc :in th1r, uioow-up, both ;n t•er^n s of tho s9%e<br />
of' thu type ah vca7 of cY .e ].c•e ::4M1ou 17h er•c thrco P O.cta.ges ocF<br />
e3g[a e ttns uY4o1 . :IasC(-Yecn so ][PCICQ ct,rnt a stat'.crrettt cn<br />
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heseraoue toy.mr h(:.7i;h ." at 9s the sutac : a'orfi :urEr, t8rat 4n v^•cG<br />
7ai the ot.hol•, r<strong>nf</strong>i Sb i.5 SjIDli,ly r:g dS .AYO'ent: J .or.$.t:3 .oq . ?'o our<br />
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Iof, the t•onncoo Sf•r..ak'. II<br />
Ur . 9 1err,v . Yes, V.3 r .<br />
Ao . llogoxs w7 A`aY.es .. Nao,aou?.on't tho essuie: thing he tz•uo oF<br />
cAp:IPE ¢ :nd w9t.}, pirle FMoke or cheWrAp : Cob•c,er.aY<br />
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out int.o the ttre ;a tYot ho bes anc2cpi:anen t:onlwe 9 .n4o .<br />
UY . 9'Brly„ 7 P7oliACi OR3J to YotYP rit:tk`nt .`i .oL i1h9t% Ovr a0v :8oYy<br />
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Ui . ~ lex•x'y, J wrould a+t ;y t•h a t Chere 7r; ?pee ;t9o i<strong>nf</strong>'oruu.tSon<br />
on the srrbJeot in the e(d.v5 O ory oomn9tLC : % rr-port .<br />
i.)r . ftogE:rH of 9'c:xM s+ . T o sa.Y t:05.L the amok In g of c5gu .r6<br />
or pSPCS s.n(1 eaar.o oho;v9 .ng t.okracco cfluz+e cspnor't<br />
7)1' . J4)fti`0 IOD.E: A. l'1$,jChO)' fI)OJZiOnP.C OT c<strong>0.</strong>nC0r.' 03.' the<br />
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lr, . ; oitm'E of 'JC o.k !rhi .0 9r tcry ;.),gcr< t57)C;, Uoat.or, but ~<br />
erti Ir . Elf.l; yma Eu( Whor• ch4at(;, [vuo J . e i :U- c orrv!aaE+ St to LhSr;<br />
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t•Yat says ;t 0000? I<br />
rrr• . Terxy . ]lo, s5r, t•re do not se.y t.hc t t .o cause s 7t . V:e<br />
poitit• out tbea°c :r; a mUah hdf,r•her SncSdenoe of htx ;rtK d.5.sease<br />
, N011p: eJgB.Tet•tC 8nto1'OJ°& Y,(: CoMpa i'0$ to nolr- s V-.Okt`r4 :. `<br />
~ I7% F of;err of J c .zas Why 3 o tIlerc a nm oh hir,her Inoidenon? '~<br />
y 1dr o t. fi .t thab thE- E•s .E,nrc AUs do<br />
e Dx° . 7•erry• T hie•, t41° .tioge .rs , As one o f the r ravson'3 tvc- oont75,ur.<br />
6 to do reGES-crch . Vfe arEa at• teropting to f'ind the mneme r Co t Y is ~<br />
ro Muoet i-on V!c do Irot•Vnow it tcrday . IVe k.no's ac•rc in o pe-tw of ~<br />
rl thE: ef[e-Se+ of 61aoL9ng on 1410 b].ood oeESre?a, but :E don'c th2nt< ~<br />
f2 tint e.o lia.vean oxp7 a ne t9on><br />
yg A1l' . Ckix•tOr, 61ou7d the (lYtn'iJRnr~n EI'oW 'J'e~-ahF : y.iGld YCA` a<br />
iA ClUeati .0n?<br />
S4 A7» . ROp,ers of 5re%a±s, ) J59ou)d be h3 ppy to y+eld to the<br />
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v7 Pir,. Ca+lLCr . icn'f• 51, t-ruc:, U?' . 7•err•y, 4•hat a:mo<strong>nf</strong>: thofsc Ntm<br />
rg ]kfve smolted ar,d tLOn b"ve ouSt uaioNSnp tint ihore Ss : ]ees<br />
yg . 1no5@enc,e of heaa't Q7Fe:ara Lhvxn therc SE: amont; even non- :Inoker: ?<br />
yp Dx% Terry, Jri the Port.Aouiarei:ualcs E:eir•nioa out, ? . , •<br />
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i{?sc:aso, uwou? .dn't you 1:h5 .nk?<br />
lU, 9'[:rry a tio not fcet tYrst Pt• 1s euty rc .nt•ati.cn o3' ~<br />
the 8opie., or bei)oF that w(rAr'etYe sntok7nt, w ;y cavsc hs,art<br />
O.SflcY1PC .<br />
Mr . Ce.r•f.er . S8•i} . :c t hc P£oft of your ot :n :aive v ti. .gattJ .on revoa7l<br />
that• t•hosc wha hsve sn;okod and have 4n :i .t suok5.rtg ha vo n 7.csscr !<br />
ia o 5?enoo of heart ciiFOase BY an even nomsmokors, r2ght? II<br />
Dr, 91erry ., 3 boli.evo . . .. ~<br />
Mr . Ca:.rf•c:r, '1bank you, s5r. i<br />
Dr . 5'orry . ] woalci 7 .1ke to ohneK tJrAs ; wlth lle, Horito Thc :ref<br />
V10P Fi 6} .a$:h$ly 1C6Ser Jno$cl.CM-e?<br />
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stnt.cstiee?1y :In oLha r worQG, the levcto£' hcstr•t•<br />
U :tse£tse a.rnong 4hoso o,ho st•opped sraok i np, t•t6s Just E;bout the st i me<br />
as khFa.t xmong thoac 4rho ha@ nevcs srnoKec},<br />
Din,. CrarLer, b5A you sF! .y ;Just n}tout the estmc? hvf : it oXact]vY<br />
Cho statnc er vrue if• ]ossY f•ns)vcr my quost:Aon yos or no, ? I<br />
Gl.1o } :OPII> ) i.nl FOYS•y, & .'!T', t:h`F. 58 5 Ft2tt•iSl%i .(:a ;t [ ;l1eRt•jAn . i<br />
StiatisCioe4 daffereslecs arc : oS.tHor s7.gnif'7card~~ or not, sAr> Ij<br />
f3r, Ca.rt.ero Oct ,your f5gur•es out ctn8W rc'ae t;hem, if• you i<br />
17 ; :i7, iP you hwvo thcau. li<br />
You ori7a Sitid 'c)a!ti mnonC those )vho rmve smulceQ tcnd have eta ; .~<br />
moY ing Tnce AucSdp.nce Sn iCa t.lna_n that among those vho ncver<br />
rnofcect . 1 e :51.7 bc t•;0o. t.o bevo you :ec2 ;<strong>0.</strong> yoar• on ia~st, E<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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9Tio Ohs'irvone Any further of ihe Poctor?<br />
II p1r . Hogors oP Tcrcaso 7 am Y7nlshed, t•h,nk you,<br />
Tho Che.S .rrcr:n . Mr . Younger?<br />
~i Mr• . Yourrger, LChank you, Mr . ChaSrrrwm .<br />
I 7 thank ' ; ho rU001Y7, IMe }lUrii, RhUi?}d bE a .litb :LP. C .1eEtreT<br />
on youY tiiekt;r'ou0ci, . You ffire hot a if1F(i]ea7) doctAr7<br />
IMr . Horn, ido, s5.r, ]d3.d my undcrtraduate aturk S<br />
' (,re Yo ;nCer ., Ylhere?<br />
. :i took my Ph .P . 3n psyehoTogy,<br />
' Mr, 11ors . At Ilarveu ,d UuS.vers3ty .<br />
PIP . Yovrogor,. .I;t }.rrvard?<br />
' Mr•e Horn . Yec, s :i.r,<br />
A" , Terry, Mr, Youn}ter, 7 th1nY K that ]rr . Hcmn, 5n ox•cier<br />
to sube•tant:5ate h;is poaat3An, traAn]nE, shouad f;Ave further<br />
.n -)rat•hesratios, and<br />
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d.etx3).s of h1c: ez'.F*C:r3enoe sfnoe gctt3ng h :1s degroe or througl7out<br />
}IZ5 pre veFf: :ionp.3 l Iif G .<br />
Mr, lfox•n, 4Ye :U, s3.x•, :1 have been enMagoiA 1n resenr•eh<br />
].argoly 311 tdhc hcn :lth f7 .e?Q for the r(i5t 25 yesrs, J . [:ave my<br />
f'l.rst 7octvrc on Fazb]ic opA.nS.cm rcwthods mhon Y was an ,nsta•uotor<br />
at }kirvard Sn l .Ml2 . 7 have bocn on the facu7ty at Ya7.s• and at<br />
tr3nceton s.e w,.P>>., 7 served +n the lusvy as c .u av3atA .on , .<br />
[MychOJe( ;W (iUrSIrg the Y80", afi a(dOb't &dvi .s(»•y oS'fSeel' anU 8r1<br />
euucatdco,?] reata.rch offieer . ) mcsked . for t.hc Air Vorce I n t .hc<br />
p:,yohnJo(i6-W ;tvdy of a5ran.Zf't aoc]dente an 7c:r46 and pvb7 . 3 R1w?<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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w5.th aGinS .nict:rat%v!s r•etv}e;t9.ons for the hand3 .i.ng of accidcnts :<br />
both 7n t.hie eovriLry tndd i,n foreign eount•r :i .en,<br />
) hewc bccn ony,goG 5n cznccr research, cancer oontro]<br />
res ca r•eh, the ep3GOmoa.ogy , of caneer• and bc :}W ara K Problems<br />
.tn eHncer BinCo 3 .SI%, whCh 3I waH BItlp:Loyedd by t•he )1G1@r :iean CRhCB1l<br />
Society up vnti3. 1962 when J" leSf• the Amoracan Cancez•Sooiet•y I<br />
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and c81nc to worL• Sor the Yub]Sc He&.]th Serviee,<br />
}4ra Youn(SOr, J?i your r•esear•ch on oanaor, do ) : unctorst.:urd ~<br />
that St 2(7d not hstVC enytM9hQ ; to do wi.th t•he ms:diou7 a9peotis of It?<br />
You wore work i iig on statistAor.?<br />
I" I7r•, Norn .. I nac work9hg on behavinra7 pr•ob7 ems : in the f'iold. `<br />
of cancer and on the static4:9ca3 analysis of datar . Y wah one<br />
oY the ant :xiors of tho htimumnd ar,d }lorn Study whS,ch tu!s beon<br />
x•eferred to which iu bae:5eFt7 .]y e. long term pro9 :pect epiAemo] .oi,acFi' .<br />
3t:udy 5n whirh wo ecquirc•n i .<strong>nf</strong>ornutAon on t•ho f!molc)ng Y.abitn I<br />
of 200,OD0 men a<strong>nf</strong> .i'o33aacG ftem for four yea .rs, Sn order t II4o<br />
I etormiinc uhat the relflLiohsh£p was between t•hoi .r s moKinE ; Y,ubi .ts ~<br />
'nd thoir F:ubscwont expcrSence in mortal`sty. I<br />
Mr . YounCcr . 9%an4c you . 3 Just fcat the rc-corG shoulQ d5rclolje<br />
U111' IYJ.E :Kn)•OVl,d .<br />
1'1r• . }iUrn . Y'C3y RiS',<br />
6h•, Yo.e+nEkm . .P,• . 7"r!•y, oh your statcireut., page 6, to pursuc<br />
ubjcat a 7.S .t•iJ.c further the=.n the Clx! ;cariknt diA, "vlc renomotcnd<br />
zat• in.tcaA oi :' i_tariSS.c tatuLcrv zcyujrcmenCt fWp F, sc .ita :wc;it:<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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tuthm^ity be p>`oviflcli to d.ec9de whicb tart9 .cular comwnts ." i<br />
Now, ha, ca.n rsa manuPaeturer'oi' any product, Iku'tiov) .ar?.y<br />
,~kre'arcttes, arrarq ;o f'or a proqraro af msnuPaci.uro, ad.vert9c=S .ng,<br />
land to forth, 9f he Ss go:Ang to be oub joct to the whi .mo of<br />
?roc : individvaJ eheing?r1g h5,s rn:vici el .)l the tSms?71r,at 3 ;; the probl .er~<br />
that QSsturhs mo ..<br />
br . 4'erry . I don 't• think such regulatory d.ecAsions v:otild<br />
be ne?de by one indiv5duall ho vinP: whS ms- aW . cicingynt; his nri .nd,<br />
tJir, Yovn@:er. '<br />
Mre Younger . Wo)1, say a troup that. k,rive whfnhs and cYtnge<br />
their minds .<br />
D,^ . 9'orry . Y thinlC that . such a group whcr, given such<br />
r'Or9pDnBibil .ity would a0t :U] a rcSpon6i .bl.e ranner an d would OItiID g<br />
Lho reGu?.at5ons only when t•here was a so7ent :fic: bA sis for doin&;<br />
so .<br />
hh° . 1'ovnger . You are LrNUdine; here thot each t3me they<br />
ioUld go ttnvugh the proccss of the rogult:tory aut•hority wi .th<br />
heari .neF ard a)7 e :iF t,hnt what you pr'opo :;cY<br />
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Dr, 9'cr'ry . )I am not stcrc exeotl.y how 3 .t would. bc done,<br />
r2 ~ M.r„ Younger . 7a . dor•.ta='t Snd . :tnecte horo, your s :t[:.toment doosn' V•<br />
•re<br />
.~mcL'~cnte, other tJx;~n it. wolftd be the rogu7a :tory authorSty<br />
« h.nd yov wov :!.d tc the ret;ai&9ory authorxty, o* the Comm9sr.5on, anci<br />
. that thc .y Sd fhc F',r'vi1e:£c0 of chrm( ..ng the,fr ord cres chc-nvo r they ,<br />
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pxan a program of advertasa .ng and Ir~ .anuffleturc i£ he as Ecrine: ~<br />
to bc subJect to sorael .¢K+yo7.E:e't: OP,ange2 }.e oey pr ;nt a laho'l .e<br />
7ot of um.teraa] and t.hcrcu f :ixEd that St. hE+.c e,17) bcon cheng
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henYa.y, hea illvcnt ap t.o the 1rGi}ct of. ho .:)' :i}rJ,<br />
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40 Makinh,<br />
SN Nc)u, Socti.on 761 (i .ng d.nterc+eceQ ~<br />
p&rt,aci, l.ha htcve nelde 4hcac ohjoc2 .w'.+: earu c{cccad re aasz.bl.c ,<br />
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er qrouni+is oli .ilI hr hecvrf sncl tAle oviC}cuoo : .Oc>ocau ::nd tLo<br />
76 f-:i .nn7M c)orSE:ion i.s blu :r.f+ on t.htt rccorQ cd' the hneri .} .y r ;uc7 $hat. :<br />
1U I E:uh;iocc to judi.ci.a1l rovSe :m in n court of' E;ly>cv3o on tho ba>i .s<br />
£J ~ of the hcor3.nc,i r.ocor:G . .<br />
• ;,1 ~ tar . Yau.uyor. . Hut 4.ho Bocx•ot u r.y i .e the oa c that mr.ikee the<br />
e .. f f llbl Cicc}Gt611 .<br />
`rc f4.: . h3l .eul .p9en . Ycc, alt.houodl be Pre de.Yogr,tod ;hi.e £o.n.c_ .<br />
`! „ t5-on ifi chie r.celreri'M to t.hc Colan.itt.golma' of L'ooo e :nd 17ruga, N?'<br />
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caY pauo 8 youn e-ny, 'bux' .acn ivi.t £os br :o par3mr.Yil.y i-n the<br />
flol lotoi .ng {;our ,nrorae :<br />
"(3) lixhloring tcchnique,c fozr b.<strong>nf</strong>oaroi .ng e ;oen,ntw.e) .y younci<br />
c; I pcoplo e,nd t.hoir t.oz:chers cabnutt tkte: he<strong>0.</strong>th ha=cl :-: aS rior.ret.i-.a<br />
x euroki.ng .''<br />
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Mr . Y,orrn In the troQ) of T4oacrn W Sc . nc thor•c woro or4y<br />
. t; pcrcent . of Xhy 'citnt tYuct ci ra trcet t .th the t'0di <strong>nf</strong>s oP<br />
Itho SU ., (':COn tiCil(:i!D7'G iPOpCr rt ; an8 over 90 7x+i`CetY4 thF:t. AgrGOCt<br />
IS.th it, 9,", pc:rociit, :r heJ,Scve . :Ut othor ttonlr:, xor ovcvy<br />
gI ~,hysle r.an wlhv o r g g,t^cc< . t Jth the a epor•t, thc v o rcmc 3 / whc hgreeo~<br />
~ L'I :th e .<br />
~~ lY , hvx'ncf g . Y]c]a, (, ;fot oS them vho al,lrapontdy tg..ec0 u :tri~<br />
-. ~~1t. jnt19F i'liPNt inSt{z.nC(', t 1rlt. In when F. 5t t9 n F firft ,p,; 7 L .nhe6, i ~<br />
ii<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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t,a vc backed of% S'rom,l 7 .t notr, havort't they?<br />
306<br />
DSr . fiolrn . 3 don't, k:r'laa of any st,.oh ca.sc, Qar> ,<br />
Mr . Ko~rnc.(•;;cy . Wo).), Sn fi'act one mctaber•, haen"c Stt ba :ol byoogytiout, l aM noi<br />
. g.oYn(t: to re(Yat. it, ono mcmbcr of the Cowreic ;eS.oH ,.<br />
hCmoa]f. . .. !<br />
Mr . Cart.er . P7'!l) the f;onUloleran ysc)6 For e, cSuesi:aon? {<br />
IOr . W,irned?xy . 90k:, t;At`. ~<br />
Pir . Ca ;Msex Plont, 2Ycet 7 :inc you e:ov'lo pceoga9Ze D:r . Sw,( .•on<br />
of 4he 1b yo ( 1 Sntr0 an on &aLlmr,tl ?7.ong th, . I . >ic W ou 1.Q you j<br />
not?<br />
IN° . Ftozn . Om eutihol: :5.iy anG a good f•r : enU. c,y l~r;no . ;<br />
NL' . (nY'bei' . y e8, e.fr. . a hcJieVe t.hF4$ fl6orlg h ;i ;) Yt.&$OtrlCi,tt+ ~<br />
hE fla i <strong>0.</strong> : "S eN6 ol the !' .oaC?i.n r IaoU7.caal st•nC?.r-T.i~ciT.ns do not<br />
be).icve that a eeuse alnta a,4'f'coft reJ .at3 .onsh :ita hats boon Ueteon- ;<br />
str•atccL Au 'ong t.heln 'J.n Jof1el:.h Y.,crp:oon o% the D"=•ayo C).1n5c, P cncM pl}<br />
Lhe mo o Y emanonc wm :en the fiel.c3 ."<br />
you 000 thlif: ik not SIICS', a aGlil ILGG :i(e%tl IIIE+ ; but• Roliie o1' the !<br />
ma,t om3raoutr men, Sn the pofo> ;s:7on :cn the l)nS .CCro Statcs . f ~<br />
llr . Torry . Ur . 6ar•t•cr, S .C• ) me ;y st-op in t•here, the.r. hnl; ,<br />
not boon a¢:1n@9.c ruccilaa7 ow relatea prroUss :lontt .l o.°QZmS•r,at5on<br />
wh5oh hop t+s .kon e, po : it : r,q ; on Chit; euhJoct• wh7.ch he:o not bscn<br />
f<br />
Sn sufq'ortl oP t.hc fYrt .t, hhe :.t, o5ear¢Yd.e sumlc)te Sv tr ucrG .avs hcnltdj<br />
7r:;iarU, arili 7 c .e~.u g?VO yov a) 3 .ei:oP flo•r.olls c+r f,hc:eo, anGd i<br />
1.1-f .s. Snolrr."4os :pp oF pw• S£at:o moG :)caJ co05 .ci .9 .c•s. t<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
Dlre.v, to popt:nay f.Ynt. boozluse a f.'crer 1?< ;oLiJ .c d.4sa{,rcc, anc7 tee j
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I are goint to alyda,ys love thiF in the S :ie7.doP mcd. :telne und ,I<br />
2 ocSone o, but• to port•rAy f .t Sn E:uoh a way as to a<strong>nf</strong>'or td a t tP,rrc i i<br />
8 I Ss an equFaly divid ed oPSni .on :C t.h . Sa lnot, fa.5r, Ur• . Cas.=t:cr•, ~<br />
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I ~becF•.use ii. Ss not en,aal7 .y div :i .deu •r..t 01 . ,<br />
& I Ps . U,rtUr . 7. Ygtvo nevor• truftnta.Sncd t]rct•o a~ say thca•c a,re II; I<br />
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those wh o dSBSgrco ar,d they are em)nent men ivho dAsagree, Fmd. ~<br />
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na.mc•.d<br />
mon An<br />
t•hir,<br />
fSC7 .d<br />
ono whan yoear3 .wrrtt is one as<br />
the mos t emInent<br />
Sn the tlnS .t,ed Statcs ..<br />
S ],Y• . Terl'•y . ] aere¢ t•hat there : rc ao w c: emano n t nx3n ceho i<br />
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IfiSr,ogrec, cnN that we ur.,Jt . ;,]vlays tx,ve on any rovdfc .a]. [,ub,ie:ct: ~<br />
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Isoum d5eagreem .n°. `<br />
'~ rsut when you sot to lahere gg pereent of your phys5o5ous Iaholl I<br />
Ilare !>Na.ed say that they AoaS .ove smolcing is a hea]-th hasard., !<br />
'3 thihkk thi .s Ss moro o7.ear•7.y a. r05']cotion ot t .he tiay the med :ica3 .<br />
proRcssS .on takes :tt and eva].ua8es it .<br />
b7r . Car•t•crr . 7Tv ;rd),y thi.nk tkrt t•ir.+.t mr,ny tlou_iA arxy thdt•<br />
IS.t oauses 7 .unF: caneer, that 9 .t has defin5t•eAy becn proved that<br />
5.t oaugcst?ds . 9'hat is niy point .<br />
Ilhoa7 .th .<br />
Ar, aorry•,Dr . Carte•, we are tAlfcing ahout smold .ng and<br />
I No . Certer . Smoking Fsnd heslLh, ,r.S I Y,oJflCa^c ]ung e a nccr<br />
i5s a P'-rtt of tra;t .<br />
~~ Dr . Texa•y . 3t w
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Mr . Certnr . ]sut: c,t5.17. 1t has nevcr becm prwcn the:rc :<br />
. 'Ur<br />
. Werryo RrarJC].y, to iny [nind tho re ;tati.on of' cause anG ~<br />
effect --~ i<br />
The Cha3rrzzn . ldouldd the Cent] .enrrn i.nCr.ulge uie at th ;d: po :rnt ,'<br />
In vi.ew of this ool].oquy bo9wceu tho two esteoined and htt ;hl.y 4<br />
roc:ogn :ized proS'ess3 .ona1 gcntlemen? bet we po9cthIr; que:
~I 309 ~<br />
I r lia fact, but you be]3.eve S .t to be true and thex•c is a caus y 3.<br />
}, I~r'¢lat•10nRh£p,<br />
y I Pr . 9•erry, 'J'he tih£)l[; iha4• I sa.y is th7s, :1 think thc {<br />
I I~<br />
• ,p lsoiontifio evideJce at hand . ind5.eatcs that oi.prette srnoK;ing ~<br />
g Ii .s a prinei.FM oauso of :Isn(; c:anoer,. i<br />
t, The C1he;i .rttFm . hi.ght, I i<br />
y •1rI: . 4'orI`y . And other d9seeaes, though ) o2.nnot name the: ~<br />
a speo£fie substance in c :4@arette snmlro wh :ich is ,rosponsAb].e Sor ~<br />
p thin foet< ~<br />
yp 9`ho Chairnr.n . A1.7 rigAt . Noro , right at th, i t po9nt, Sn v£ew ;<br />
t/ lof that situat£on, At Ss t ruo, then, aocord.£ .np; to your be.lief, I<br />
rg I land based orull.e £<strong>nf</strong>ox•wzti.o) that you lave, tYu.t the smoKt .ng ~<br />
• )a ;jof cigarottos Se; a health 1MZa.rd and na•y very welloause caneer . `i<br />
f,t Dr . Terry . Ycs, sSr .<br />
yg The Chairnr,n . Naa, Dr . CaI•te r , crniYrrr1 :; ~~eian that you<br />
Ia are, w ha t womld be wrong with re quir•ing a labcla that would I<br />
I , acW}aoledpe th3s to be a i•aot, that there would bo a labo] or<br />
s8 whatever epgmopr•Snt•e tcrn, that the 3 .ntxustry, in car'ry£nt out that<br />
yv ~prineiple would come up with that the smngSng or e5[;arettes<br />
48 I i .e a hea.l.tdr hafrrii and ucr.y c+ause cancer? V7oulc, you af<br />
.d toor,c : wo.y to u,cottt•,is prohlem?<br />
• pt h Plr . Carter . 1. th1nK, nnyono mS.Nht• say th,.ct c:inoring is a<br />
9y I 1hoalt:h lzzz• :xrd . I i ate to bo put 511 tho porSbion e .t: a w5tneaa- :m<br />
2 .4<br />
InUOh E: od6o as tYds,<br />
&, I~ 'J7,e Cha9rnan . J an, sorsy, whsat. l am t•rying to ds Ae to try e,nd<br />
ii i<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
;roc thei4i,) that woul
6 0<br />
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Cot tilo great• Ininds Sn a profess]ontil. fie).d here tofSethem to I<br />
see tf we m•ight not got k'ack down to the proh7 .crn at• t,cvnd a ; to I<br />
& hom we U<br />
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.° . can resTorry tl~,yso]vC ys t thiiuan ts t &~ thir?p cannot pcs 5ti ;'eJ .y :h.ore the 5.€;etrb or<br />
s the subKtinco t'•hat oausetV thi e proY) .o, buL he: an oonvS .need Yrom<br />
s the se5.ent :if .o evSdenee thJ.t 3 .t• is there . ~<br />
> Now, fif• 8 .t. is adml .t•te5d on both oYd s We, vihy couldn' t r+c I<br />
i<br />
a agree to some approaoh to 3.t where the pcop? .c eloul.d be ad.v:sci+ jL<br />
E of what the f'oet.f are 3X?8of•8.T' as we know?<br />
to Mr, Cartor . I think, sAr, that. sartothang ] .A-Ke th)xt tnisgYR- 'i<br />
7t arrSve.G at .l%ol' lovex•, sinP.E` t•hCrC be ;n noaet•il.a)<br />
o<br />
apCl pc{ ;i .i•1V.e<br />
1T. aUSa) . relatfe A9tlSp &hoin, )th5 .nk the pl&AJ<strong>nf</strong>"• e f eanoeP upon<br />
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ti: , paalGtge oi' eig :;retf•e.^, teoulG uo grectc hcar•o. to an :itiSiustr,y, ~<br />
14 Ihon thoy proO neE. CanCOC i n eXpex• :Illtent@ .I anh216 by thC,• :SL1LalatAoil<br />
j`<br />
iG f' toYt~.ceo Nnlol:e as they have by the JnYx'17ation of hydroCal"o<strong>nf</strong>~ •~~-/<br />
ts ~i'he CYalrmen . Then let rno Itbvke 4h9o po5r,t . You ntoul .d adrnAt: t I<br />
lkt oi .parette stnok7ng - -• eu?ll l don't taant to •- - 7 am goSng to I<br />
ts sk Ah' . Ko~rrnegay this Sn a YnSUUte •~- 1 don't wantt to put you<br />
t¢ nt] .elnen Sn eh omb:ax•rassfng pos9 .t9on,lvt the record has got to Dr<br />
20 ,~:n, blo ir7v0 f71t1) .l.y got to E;et to ennr,7 .da>Ang Ang th:1s th5net, os• ~I<br />
2t avo " t (;o to a fliVe or f:}x yeftr• 1aRlsaS .t. ,~<br />
n% 1 it sctro/s to um yoo . v;ou)A c,gree, then, Unt a warnSng r,hoo)d<br />
PIIc gS.ven that slgarotto smokS .n[; 7s oa ha;).th ha var•(t .<br />
t< ~ 1<br />
lts•, Cartcr . :I. shou)ct c?e£'SnSt•e7y do th ;t•, s :r .<br />
S't ~ 'i'ho Chairncn . ]:u6 yc•u viou).d, not agrcc to p•,o Phc Yest os the 1<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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p. II lnr . Carter . UrrtSJ that is proven, 1 wou) .d not .<br />
9'he Cloairnuno Mr . Korr,oT,ay, vk,y :[ esic you the same clnest :ioir<br />
c Jl You como £ r orn &.n aroa that haa g5ven n lot oi' conE3do:'ad :ion<br />
g to t.hA.e grob} .en, and you Prl.vo pcop7.e, coneBAUontc of' youp own<br />
o Stat•o who havc g3ven th3s a 7oC of ctucay fr°om the stand .tioiin4t<br />
y oS the proiiuot :3on ao wel .l as other phaces of 2 .t, and 1 tx+.ve<br />
g hotm@ of the grcat re:cc>aroh labona:.toc5os propos.c.c7 ahG so forth<br />
s ; What woulcf bcywr r etictlon to that . Ki_no ds , an upprcaOoh7<br />
te !oW.fl you go t} u t far or not?<br />
It P . RorncC'y, m U, .carirr,n, r cou3c3 not ?trcc to .,hat., ,o; :l<br />
yiIthcac s^.asonr . A1s thP hoctorha .r pointr.P, out, F.f± h,s oeen ',<br />
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~Ipoird-od outav ;' tlis the course of these haru iny„ 4-he' e',a a t ucilrt (10ea<br />
.i. o£ oontnot'crr.y . ]don't icnor the Pe ;ecut .ges . aoorit In,ow {<br />
hOU m°,ny poop7r O r doctora, c;ua?Sfi .cQ sc : .ent :s•ir, cay that<br />
ICtit does oa.uoe oane,or or laow nlany that it Coes not cause aancat' . I<br />
S$o Chai-r9rc+'f, . l3 aM not ta).K?.ng aUout t.hat noW . t iNn V.+. :rkd.n(l,<br />
.Dout tr.ovRi you al;reo th-.t thcre :le a hea,lth )er•r.ard?<br />
JM1r .. l:crnot ;yo No, trO, no 1 o?'c th:an thero is a hca,7 .th hazer<br />
Ilin thc itRal.crAnt ur,c- o5 r :;oct r,nyth nr o]sc. ~<br />
Nun, noae in a poari 7 havcn't r11seU Gur9ng the hcvwrzngs .<br />
~t uat. ) i, rsfi 1 mb t5 mo . Do you F .y to r :-molcc onc e4t . o.etto 10 a ~<br />
f 'ie.: ith h :aaP;ru one lr;ai ., or 301 i ..ny 4 I<br />
! You got =n8o n yver+ti,crn c p tho ryqt+nt9ty . Yoitf„t Snto R .<br />
4~,V.G :=tS-on of tdaC :indiviciual .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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Ncw, Sf es are foing to start : label .in(S al.} of t•he cotnMi.t3ca<br />
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3n Flmer5cls, any kind of evidence you can coMct•, if it :s over^i<br />
ucod. it in a health tr- . :ard, ccrt•ain7y ] cow .dn't ast th:t i<br />
tosacco or at .garett•es bc exempt•o Yiut S tl?7.nk onoe m¢start tPi .s I<br />
6usinoss of ]abe]Sn[; fd,tnps because somebofiy or smi?e large ar,Q<br />
su.bstanti».] group says it fs 6.anP.crous, then ?ue nre satti.nµ, a !<br />
prett.y Gant;erous pr•ec:edcnt .<br />
Thero Ss on¢+ othcr re;ru+on, too, Ah+ . Che;drn on . :L an', as I<br />
Anterertcd ae anybody in thchea3th oP tn"a. Neti .cn . :[ am s.f; ~<br />
ir,tcrestea ac anybody In tryi . ng to Hrr.+ t-+hother• or not thor c :,s I ,<br />
isom• :thSn(; S :n c5gar•otte s ?noN.'Sn g that is dets•S .monta :t to hca)8h, i<br />
nd ]3 am i'aarfu] that ii'?ve p ut the stamp (,3' hcalth on tdie ~<br />
-Spgretto and cverybody says t ha t So whct cauecs lrmg canccr , i<br />
h»t happetfo to the r•osearch programR And suppose it is not ,<br />
I lrea]].y wha,t causes ].unr ca•naer• and usar•o ) .s,tt?ng : the cr9 .ra7nn] getj<br />
~rray vfhSle, we are ].ocklnC up somebody thr,t : vt bcsf. in M .y ~~<br />
i<br />
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The Ch'aSrm[m . X• woul.d ucorol.y like to suf3@c n t to tho t;cntlom2'n,<br />
rp knor:ing of his intenso Sptorest andd the aetSVS .ty th2?b hs hV, i<br />
pp d Sn thEs rield for a)ong time, and Uhe able way he rcprTsontsl<br />
21 ts Stat+e and h5s di»triet and h:7e oonst . :ituetroy, ]:wou]d Sust i<br />
22 I .S .Rr. to supF;er•8 to ,vou and to your g;z•eat Sridusta•y you h»d bvtt•er ' t<br />
2s ~t,c,rta. ].ot <strong>nf</strong> tihS.nlrir,t : on th!+: ar,d como up te :,th eo:nethU?t; tlx,t I<br />
25 licvcrybo!?y oau 7 .Slro w5bh or olcc :1 suspoot S .t in go4ng to bc, a) .otl: i<br />
scrrvcn•e t:brnr yoo udt ;Lb th5ne, ~<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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]1 N:r . YCOrnegay, Sp t)m Ohairurm w]ll 'Aet rne just say this, I,<br />
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7 th'inlc ho Knoua n(c^ t,e]'D enough to unovt that ] : am not sr, urircnsok<br />
ab]c n.rn, ano r ccx4aSn".y uaut to ao G!>.t ir not onry ,n Lhc<br />
g best 9 .ntExcsts of the oountry but i.n th„ best .ntorc.rt oY my<br />
G conrt7tuents, my o} .etr9cL, anu my state . I im trs.i . .l :ng to ) .asten<br />
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and. disouss t1,7.s thing .<br />
Tho GW9rnr?n . 3 ho(ro the g•-ntlenau rri 1)_ EtrrG.on me . :( just<br />
F thougbt it saas a gooQ oluanee to see if we oou'!.d.n't narrow thf`;<br />
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aont•roversy hore, buL a ean't sac that 3 y{,ve gotten too far<br />
w i t•h it .<br />
9 M,r . PCor4lepp y . 3 Lhtenk the Cha9r man hns eerta :tnly heAp a il a-<br />
great deal by that ots'Lente:nt .<br />
Jet mc just ask Ur . !Cerry a oouple of other quest :rons, ernd<br />
73 am goSnly to bc through, D1r . CY a 9rrrun .<br />
K Dr . TcrrY, :9cn't 5t reootaL'ze@ In meicioa) . c ;,•o] .es that<br />
9s<br />
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there Ac c:omc t .eneSS0a] ef'£'ects from .smoL:,ng In the ar•ea of'<br />
tuonts7) hea .7th? Ar<br />
. :corry, aI rea :U.y lon'8 knorr horr to anr.rsertYrtxG . 1 th?_nk<br />
lo Iyou Cet an extremo var9£ntaon of answerra if you ask rrany membc .rs ~<br />
yp of the pro9'ess5oi,i . Certt+ :.n?.y persons 9uho hteve beoome habitu :rts :8~<br />
YS i to smoking Tfnci some difY3cu7.ttes In stoppfurg, but 7l Qon't ;<br />
ys ~ think that 3 oouad Trane]y say thet S .t hee tnert ;] hea]th bsateP9tEll .<br />
9t II :)n the hrond sensc .<br />
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kS ~ Ah= . Kornege.y . 1nt . ma Qf-,,ccL goLAV at,tpnt ;.on to the suewsPy<br />
,.,.<br />
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I!on 6':?C;e ;Y . ;6 oS t),o roport, and l' am surc : you o ;~~e'Pewa ;ir,r v, :r;.B<br />
. ~~ ~<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
•<br />
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1 ~I51 ., Aootor, whieh FayU : 'h2ai ;.oal perr,poot :9.ve rcquires rccogu :ltion<br />
d of' slgnSf :leant. ben6f'3r.9a1M effcrc.ts o'.' sl .tok;nt YrSncvi .)y ,n thc :<br />
a ca of Mmltdr] hea)th,<br />
c 'h'hoac BoneSi.ts or3.ginato In a Nsyc:hc9mt ;c search f'o .r<br />
p iontwltment ana are uroasvxabl .o on?y In t.exi!s of i11G'iv5dua]<br />
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p hetav9or . SSnoo no nm^rns of nuanti .tat,nE; those he:neS :lta; . :is<br />
p aplHront thm Comr<strong>nf</strong>ttwe finds no 4ae . :is a or al ;iudgmont rrtsl.c.h Wo.1et<br />
a weSgh benef :its versuU flaRcrds of slnolxing 1 :e, :it tn•;.y apPly to the<br />
K~ goneralj pop~a] .at;ion .~~<br />
to Tlln othor wor'$s, there arc'll't yc'u bc+y :i .11Q;, not y[ra bUt yolU'<br />
It oomnii.tl.ee, the conmi5ttec tA,at has nmde ?t.s rel?ort to you say :ing<br />
/P }rlt In certtin 3nta.ncoe :,moK :nig 9as brnefic'~e~t ., and t8trt the<br />
• 18 co &ro7ttec found or krrc°e of no way whero they c:oul.d quant ;taMeJ .y<br />
te Iltwalancc off the bencfits against t,he detn ;p:ents of smolcang`~<br />
16 f~' Ure Tcrry, 3 suppose thJ.e. is what thcy are tryS .<strong>nf</strong>; to sfty .<br />
y<br />
ts ~) thinlc it :IS very ~iAf'ficu7t to he any rnoro spec5f9c than they<br />
Ip Iravc beon hore, and th7s r,as the op7.nionn of i.ho cosMt•ee .<br />
4s I Nh• . 6:o :^nceily . Jn othor words,, t.hcs report does recognSzc<br />
tA It'd>a.t In cortoai .n Artcarlces cigarottes ecrc benoficia), the rnnacing<br />
?o oA' c5.p„rottes fr, beneflo2al ? Woul .dnrt that be a fair anetSysSe<br />
pt of that statement anco eone] .usion and summ;ry7<br />
~ gx lry' . TePry, Y. Qell't: IUIOIV roally .<br />
v.' rw.y llr . }lvnd7.ey oommcnt on this?<br />
D1ro Sorne-y.:yp A7.7 r5t;h1., cfn,<br />
;'I~I Pr, },t,iad7cy . lt},inlc vra ;nly, Ufr, the Conirrita .ee's i'ndMP,<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
40<br />
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S9AS t•h.t t•h :io is a h'abnt that. 5s pructice6Q so teafiely hy pcop7e<br />
that thera [nust be some benefit in S .i. soma pi.acc o)en thougb<br />
they c+an't, mc:asure 9 .t wr d.efo ine :1.t. . .<br />
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huthority oP the Y*i"C and :t feo) . 9t Ss a oo<strong>nf</strong>~'essi .ona]. iratter,<br />
nd, of' eoin5o, ia" 9n the YlSsdotn of thAo Comtn :t .t.tce anci thG<br />
3l6<br />
•ongross, a.f'ter hearing this tcstactony the 3'eeiinR .is that bumo-<br />
th'ing rrocds to bc don2 andd shoW be done, )e.ou).d be snt :et' :.ed<br />
3-th the conc] .usions, knowSng this Corm¢ttt .ce and the 2air a,nct<br />
Judicio'us kay that; ne+.tters are handlu3 horc:, i r+ould aocept that,<br />
.orica ix,7. y o<br />
AL•> Cartlcv'•o P+ra OhaSrncen, ]tm in o.j,roUUm with the t;emtioac:.n<br />
rom North Caro)5.na .<br />
Thu Chm3r•nran, J3 hopo tiq col]es.y;ucfl rt?]l . unQerat£rndd that<br />
V1aE: Nere)y tS'y3ti g to get t11RSe h0ai"ing'E: l@eIK on the track to<br />
the spooSM prob).em tik:t t7c h a ve: bePore us, I+' not the aanC.uttf:e,<br />
M t Sn the pr3ne3p].e t:hst . Ss invo]vcd in the bi)7s that hsvc bcen<br />
roposed . 7. wou).d not cvant e5thar of my co)]caguos to t•hi .nk<br />
Yat 3 wa.s att•ornpt .ing to pin you down on any g3 v cn :te.nFSuc,.ge or<br />
~ny giver, pr•Sna3 .p).e . 7 t eras a general thou{;ht that I uas ta°y3.ng<br />
'.o got Sn t•he rooorci for our considerat3on a t the appropr .f.at•o<br />
d .nec., Ccrfs.iin]y ] vvant to make St very c] .o^.r td.1t )) have no i .rd.err<br />
L Son 01' ombax•r•essAng c :ithor oR you or l:nrttang e3ther of you on<br />
,he spot . ]do po[int• those 9nestd ons d3rcct)y at you beoausc Sn<br />
'oing so 3 th]nk S ao i a]ca~t :n'~g the Andue :t :ry : tee :tP to the f'stct<br />
,1at<br />
tho int•e7.]Sgenoo ibo t St tbas and, t•he calxrb :i].S .ties S.t• har :<br />
~c~t~ter start cotr~iuft ul, with sa~~tcthi .<strong>nf</strong>~; Por our consid¢ratE .on, tYe~.t<br />
PC 1 r0)Ph l with thehd R.n[1 with yoU hnd with the PUb),SR NPFn1t31 KrV :i9c'<br />
'~hnd lp :it'•h the Bed.Cx•r7.Trtadc Comm7 .ss4on eind tt :ith evorybody a)se N'k0t<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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is Jnvo]vod 511 t'.hSS th9n[g, we mAght do the right ttdng<br />
and ] hope you v.51]. ut'd'erst::nO .<br />
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.o'ltty at thc . Thxtvias t•he purpoee o£' nLp steppifl(t irdo the co) J tdlnc :-,<br />
X vtou7d 15 .Re to say to m,v oo].lcague, iho.t tJ,crc rr4,y be,<br />
there n 6 y vcry uro :1 .7) be u xv .:ul.t, tAlateve:o vc do, thrt t•ri .]] P,avo<br />
an ecorom .ic irn pa c'ct on the :Industry, bu.t ccrta'ln"Ay no one f^c,.nY<br />
i to unneoesttarSJ .y l.`eFtra lll the adUFtI'y 9nE.Of'<strong>0.</strong>r N6 tho coo11011ric<br />
impact SF coti0el'Ged .<br />
1nz5: wo ruust 831 rec•.ognizo that the hee,lth oi' the Nat :ort ia l<br />
~,p3ramowit• over wbsttever oconomflc resu7_tt= t.hat the lx'atiohzi) tsroeC ~<br />
Ihave . 1 don't• 4h'Lnlr we aan tako any ot:he:x• posAf:ion, recot,n ;.aint;<br />
the imporfa .noe of tho eowtonric rosul'ts, too, '.Ch„'i• ir, t•hc : res. ::on ~<br />
thin is a h9 .ghly soilnitilrc; a h :ighly dl,LYi .oUlW and a highay 1<br />
cont•rove.rsSa.1 suh j cot, Und 'J knort 3t is tr hot potato, but• ivo ~<br />
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arc go1np; to 6.oz,;u hor.t we can w3ih 5t. '<br />
Krr•o Nalr>en, our col7oague . Se recog rtSm ed not onl.y to ask '~<br />
ny qucst9on, o£' those gcntJetin n, that h e dos :r•cn, but hefore<br />
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doint; so we raoul d suggcst tHat: he pro::cnt to us the certa;F nly f.' .»'e - -<br />
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lookinF; groulp of youn(~• pcoplc ttat he bi'cmght l .n w55~,h hSm ahu ~<br />
that we are so happy to }x,vc w7th vs toQay .<br />
M :o . Nelson . hir . Chalx'Ir.Ali, tha111c you . The eJass from ~<br />
'orih .nl;ton, Mtnrtu otx, 3 th Schod t;roup Sx om UarRdrfn,tton,<br />
49YmcF ot~t . An0 13 uoua .d 0191,0 i75i:h you, t'li' . C) a xrlia n they are<br />
~l Vcil'y hc,5 .t.]ly •s;nCt [;oMi ./ .o0k'tllj; J .W .<br />
~', 'PhC t%1'~R~i]'GY.J'1 . NOfi•-£:IGUI(Cr6,7 preSV.nle .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
.<br />
)6 r 14P• YJ¢)r••Cn . 73 stn Stre, 8no AI m :i€;ht: put a 7Sf.a)c ooiacro4 ;:]<br />
~_ Sn hCYPo t'crtillA Q;i.or1, A4'iY,11C5ot0, 78 IJ1ok11 a5 thC tUPIC@y Pritl:.'GSl) .<br />
~ no t of' td,c a,ptt :c, not of the Not7oil, Lut of the woAsi, and . W s<br />
r, lI€'J`oup tt+?KCe a ta•5 p to l'•shfngi.on to vSSCtoLC NatJoil'h CzpfLSJ .<br />
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t [&nd h2tce been otc- cni t1-.e 3ouse ftoor t.o iry to €,et fl 3 . M o o ;f t:ho<br />
cai4vno>phcre of I v,r l .ogJ ; jo t . .te Dr o y p.ud t ;c xrc vcsyPt pNV tPrtt Q cy<br />
y~ICOVACt bv bc7`c to v5s :t a T our An_85a,1's PitPStat? .,<br />
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c: ~ ] w:t,r;Yuh aW so t.Ytc: t?=Cl t,Y,Eit fhis> Pmcir3.nG nkty Eo cc fccr<br />
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q somc t.5ha, Dut PcoJ r?:•oc to gcnt: uIr shd ?cavo rrhen you Uant to,<br />
yo bccauSc l knot ; i.:vcrc az .o wN_r:V Muga you te : .uh to soc-, c-r,(t P.ol't .<br />
yt ~fc:cl you z,re B]eturl:ng v.a, ldc crpoot• t•hect'~ you tea .7] wanC fin t°5.:; : .t:<br />
4F : ~otdlo- boJpfe har-e th the 1 :tion' C p .b
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G9nera)) of the 'On7tcd Stabc», :,e the m9tnesa at the nlonient•, urtd<br />
3 tn] .t;ht- Po1-ndt ot?t, Ph' . 'ibrry, that- Y am sure you kaos that one<br />
os• the b57J.s tx.t r7o hevo 'hoPore us : is Iny b :i :U., tmG :it. ;ie, my<br />
su(t(;c&t?on that ihe pac4st be :4F.bc-~ .~aod to .7.uo~ . .c u t~c 'c•hF, t i~hc- e :it;'ott.c<br />
s: Ilazy bo S .tijura .ou,, to hcaAt.h., or som M 7ng to that W ee.f. .<br />
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J'. Pl:i-ght also further e.dcl tlr t I 1oc~A this 7s a con - .-cra4ot.-N .<br />
r~res}[ns ..t5?ity, e .nd. t:Pu.tL t :e :•hou?d gOe.et tvh,tcver t--W the<br />
e IdofAni'aon ox' the 7angaag•c to T;o on tho 6k,cl;xge, a.nd 'vP~,t rte a] .so<br />
U~are a 1 :7ti:Le: bi.to jcAlouF oi' hot•1 fap vie p,nni :it a x•ogulct•ory agcnny<br />
,o ILo (to, and x•e feel vto shoutd mcet our rss„mnuab :Clity Sn the<br />
p.q 1 1eo.e7nt9vo proe.esa . J: anl sure that you tvoiid a.cee6''c. rt>;,t. S :C Mat<br />
q,2 IbC: the Jnd(:nlCnt of the Oon(;Y'U,CB .<br />
., 3 Yn,vea*:, tluoetsi,onF, b1,r . Terxy, but 7) wantt to erelcomr you<br />
M, IaE`-1`'n heSore our Cornm:ititco .<br />
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;;6 I TaP . 'PUY•I'y . l'Y&1n4; you, MY', 1$01501t><br />
M> i The CPpa7r'Im.m, Y.r', 6t:.44erf.'9 .c7.d`r<br />
hlp . F.•attorfa®]d . Y'tr:ullc you, I".T . Cho.A,r'uvan .<br />
21^foP o 1 be(;an, }: 14ou7d 1ik0 to W E:r braefJy to the<br />
iyo ~coli .oquy that Sttst• occurred., bec2 .use ) e.vi a now tnember oJ'<br />
.s ~CoiaFrccs [xr,c a ncu InernYc : of t•hir Cctmut.4•a:c 7) euu a]-euyer, ) tun<br />
,;2 Inot a ooc'.t-or or a cAerd0b, buL thczc are ccwe thingF abovt• tihAs ;<br />
who! .o r : .ta,ett .on tarat Qis•.t,urb Inc .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
9'he CYo- :irrntra . tdcru]ct the gentJ.eor,m Cx:cmtt nm at th :tn paint<br />
.t.i%G'%'Se7 .d., Yos, s :ir .<br />
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& : t.ho Con(:hc::,x, an(d of cov rse ot' thin Oon" :itte-c, tnt :k. wou)« ] :ICo<br />
" ito suggest the(t the gcnti)enO n 9s not eA :b'ol,y u, st r&r(ger to<br />
~jopa.oae95va Pz•ococd7 .ngG Lcauuss 4hc gH<strong>nf</strong>:)(tnu(n'e• dadscrvou an the<br />
'• COnC?°oss and :C Yr,d the prAv :C(ege of scrvJnl ; w :ith hfeu ]'or a goot<br />
i ra ny yos rs, anG, r onso9uo-h0 y, ho M tes soalot :h :iny Nbotait tzlrt,.c i.ho<br />
~ I r rrob) .act: arc, so T t.h3rr V cr,t:t~- 1kase(7, AnG a .l't ::istcuS»G' to 'iho<br />
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tE:Fi:JlilOny tIRJi• kS?s; beH11 aQ(IURe(i hFPe, T3 l,ltl (i1(,PUPbeLi that tho<br />
,o,ucs4clon of so7cnt :Y9_o Cu+sAe : on rahich ahso)utc oone] .ttuj .ons a :ce<br />
tu'o(aulra :d bo have Leon en :f•ivofl at, a nd the stE,temente that hicvc<br />
boon maue :in rasponso to Clncsb9one, bE0_k ;xlg about zr suB :gestaon,<br />
IItH)I(irlg about (ait::}FtJ .C o ) 1;I'oLRhU . : .t :,eS, flnd. :(<br />
I iIYG everl more<br />
Kiixta. ;.•bcd th at S M wc7.yht: and as•e05Gi_l5t:y oY' t.he hcc7.e r •r, :l . C:ove rn- .<br />
nent. Lflrs boen t0?cc4 ol,t5 ;,'c]y kroh .r,GN thin ooncl .ucion, s•:hfch Nn!te<br />
Iwo In the pos5t•Son of' not PvJ1y be :ing eble to exerc•~5 .so my eoelf~) .otr<br />
i~x•a•o1~C9gvo lncaE :.t~S~c :( 4.hInk t.hu.tt vIo have f:ot to reoopTdzo t•k> .1t<br />
i P1MVE'Y OffeGt thin f1nG :Yaf: ff: WSt:h thC f<strong>0.</strong>l] 47c$({ht of the<br />
r'E'Ei('r`eJ . GoVC^ :Cblpctt bU1rInG `l.t f4 not4 a 1'2'i{. EiAGoW[AS flrd( 4:0 f,At6t .<br />
. . I~~iKlrt~ fronl i.kmre, hceolqi5zinlr• t :h :is:, ) fr•anK)y be) .ievo vcr'y f.'?ru<strong>0.</strong>y<br />
Ith[st CcnE'cec }r,-IC; go1: to 2lc:t id tdlls c..ec, but A L(m oone¢pncn<br />
d=ktltJS_y fas,t :i.l, acting :Sn thin o a (.e cr•UetJy u:h.1• tac EcrC g oi.nF to do~<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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bcceaaEC ce nac toeru -i-1y wth oh ) uu ec]r . . i iy eoncc-rnec . -bcut<br />
uffitt appcrra to laa a.n att,_ .ovd.o In Covcrunontt aE;enc: .aew .aUOat :<br />
st>eatutary anci cte?e@nLeci a!tathorit.y .<br />
it. e.ecros to io .e that 5_n tke5s tpvernmcib oi the pcop]e, :;e<br />
I~las govet~nors, vc-EE: aTPt :cmtat3vrr. oi thw rcok} .c,al°c O<strong>Nr</strong>tiot9<br />
c~~j :tn 0o>9oa crt ~hhe Ju-m9 .t+a9, .tonc ]i,ia_c :c :@ on LTils E;ovcrrtiinent. 8~i= ib ;;<br />
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G e a m concerncd, es p 2+ ln, that the a1,oAC5.c ; of 'shi-e Lovernraont.<br />
p; IIEInG ]or'Y.iOUIfAOy t:hOGG: re(;tilClt.OX'y a(;'enei .e8, do n0t concern ta'.eTl .-<br />
,a lwCO .vos° .o muoh catt:h the :ti .hiit.e.89on oP aistutory de :legatca Etnthor7 .t,y,<br />
Yo .~bvt rethax• t•lnc,y scma to conccnisO.Ce t.hcir SnQu:ireg an@ tho)r<br />
s .~1n4,e:nt Ion upon Wkvoee zhey la:+,y m,] e t;ic :sc st:at.v.t-ory or Aelo- .<br />
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l'11t11 81c,'u .8 S/l mand, T 97ouJd 7- :]IC0 to pursua a J.[inp of guCst: :i_om<br />
7 notdee 9n your report., Dr . Terory, at psgc 9 you nwnt. :i .onccl.<br />
;bir; maening t•het• -- and 'A eron'C argue thin poAnt - "t .ha.U<br />
7t. i.nvoJ .ve[+ hun a rt rcc.et7.on to a ha b i t fe,•Ir,cr7y i.cocptcd a[, h a mniloa:e.,,<br />
nCl flOY1 SOAAt1$!fSOFt),]y CiCt-Czt'9il :inW. aS he.PU'f'uJ ."<br />
:On00Tn hle .<br />
J eYOn'1: arg,tic tPit;t po.5nt, buC your• next E;tatemcnt Ooca<br />
"JI}tib OPfltife fl•olll 11xFinle39 to Or6dUJ- 7YtG OPC,tbOCi,
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Pr S.v37cge as an iniivdo a 7- just e,e St ts trdnc to ac :EC+pP. S<strong>nf</strong>orup i. :orr<br />
or hot ac.cept . :it,.<br />
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8ATa T [ro1d . };nok on Ii± g o?, DS' your roport , enci t:h :/r:<br />
y; ISecmrs to be rp;rrSe:i th :coughoutt the eni• :ire tJxane oY your ;=e&i°t.,<br />
~you went5on, "Whc n .turc ot thc Prchicm .r ru[h th-tt c i.es<br />
y Ihave continue[;d tc nere : pc " nDtas,tbrtu.kitlixq ticm : rcpcre a.n8.<br />
furthw down rnt th Pagc you posc ttko c,uest ic .t .. . 1'L: [ can bn<br />
L dono7 }VhhC ia51] ahoou+•age smoKero to stop and non•Dmo[cors r.oC<br />
vv to Start?"<br />
,yy 31 movldscem to me t.hst~ you arc conoern5nb yoursc,'1£' here<br />
y+z noit mere].y w3Lh anTornring the Peop] .e of your• conD7usions, but<br />
f.7 Eht[t I t tc the p :rov?s,c,c o f your agency an6 6reyrh4p4 oi.hex• agermSos<br />
ta, ~ oT the 7['ectera7 GDVarnmantt to go further nnd do : omet•hing about :tt<br />
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4w In t•OY'tnb 6f FlE'SECt.i11(; i•hFh?bA$8 or the IIiUrC6 Of our 5DCS.C'i•y,<br />
YG :fb W .B ,yoVr :intGtetY<br />
1i In Icr°ry . 1 cSrtnlc It [ gu5ic c u-ar7y my ro[.pnns Ib:ia.ity whon<br />
f ; I :c Sc=c ro[Abh :Irq- ..s a hcait.h }.re-xro to Provaii upon peoh7e erot to<br />
ts 'Pc,x'[atht An Dau•ry :l,n(!; ouL tdat Ya~-ard .<br />
[( , SaUtafS .o?.ei . Do gou he-&n by prcva5J Upou ([o(r1c to go<br />
Y-[ to the cxt:ent: of, rs you h Vo sbD.W S.u yc,ur otuAy o3 . bc3k;vior<br />
p• ~[rht.tau, you failc ;hout poDy :7Yr7e ccf[r .cn of caucat)on or<br />
s ~~nPwrmtSon i , rr tbc Pub7 . :ic•c scho ol sy teii, ths t it S u th Pro'uiuce<br />
.' y~rf thu WcrrJ ({overnraen t to naKe sv1'e t•hcYi; they unrACrrstt,.nd and<br />
~'- ~IObOy AnO, hCCd bhe@O @oetBJOnS'f<br />
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http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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4 .6C ( f'itFj .E lq :[.1.iUj)l IYO 1 ;a, M Lq 006 7 N .Oa :.CT.b : ' .) W .'1' SP
9 April 1965<br />
I am Willard Dalrymple, M .D., Director of the University Health<br />
Services, Princeton University in the Honorebl .e Frank Thmnpson's<br />
district . I am aAso ChuPrman of the Section on Clinical<br />
Medl.oi.ne of the American College Health Association, and<br />
appear to pepresent: the Association . The American College Health<br />
of • nurses and others<br />
: "Whereas a<br />
Association is theprofossional organization<br />
the nation's coSlep;e youth,<br />
responsible for the health physicians, of<br />
now four million strong .<br />
On April 28, 1 .962, the American College Health Association -<br />
adopted the following resolution<br />
preponderance of the scientific evidence (with scan t<br />
counter evidence) indioates an association relationship and<br />
suggests a causal re L ationship between cigarette smoking and<br />
some diseases, and<br />
Whereas, the cigarette smoking habit often is acquired now by young people either not long before they commence, ow while<br />
they are attending college, and Whereas, colleges and universities are in a particularly<br />
advantageous position to undertake an effective educational<br />
effort to stop and to prevent cigarette smoking by college<br />
students, therefore be it<br />
Resolved that the AmerieanCollego Health Association, recognizing<br />
the above mebtioned relationships between cigaret,te smoking and<br />
some diseases, urges its entire membership -- both Snstltutional<br />
and individual -- to attempt , i .n whatever ways consideredd most<br />
suitable, to discourage cigarette smoking by college students and future alumnie<br />
."<br />
• The Association hae : not had the opportunity to take an<br />
offi
The ability of labelling of oigarette packages and of<br />
cautionary statemOr [a with advertising to disgourage smoking<br />
cannot be demonstrated with such facility, of course .<br />
We can call upon what the lawyero call "res ipsa loquitur", of<br />
course . If advortising and paokage design do not attract smokers<br />
• why do oigarette companies indklge in them? More important than<br />
that argument, however, is the fact that the percentage of non-amokers<br />
entering Princeton has gradually risen over the years .<br />
Of the class entering in 1948, 58% wore non-smokors, but by<br />
1963 80% of the entering class were non-emokers . This gradual -<br />
rise has been due to the oonstant exposure to the facts oil<br />
the effect of im8mxmatimmx cigarette smoking on health .<br />
The constant reminder of prospective or actual smokers of these<br />
facts by appropriate labelling and by statements included with<br />
advertising will similkAly help to reduce smoking among our<br />
young people .<br />
These are our reasons for mxgmgx urging legislative action .<br />
IThank you for hearing me .<br />
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have tht- iY :Y]M t rp,(6t't-tbE: FIAOJCOrS, i<br />
9'ISC: W(= Geno,-] ."- Adv :i :try Ctwrui .fceo Rcpc,rt of JF,nuta :y i<br />
196, pwo Bc,ceCr a doop Anrprc.W on on the pulUio and it. we;n ~<br />
k( ~jrecc"M efi a rs the vo9 .ce oF btu thoilty . 4 i .S- time note fbW the^ ~<br />
- ~jOo np:YCta to 4.t:kr, spprop r .'i o t.o ren :e.09a1 . rlc t io s ° e.,o recommanCod<br />
t il ~<br />
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- hIt ol v e- t Y, i en pr ol O .crn . !ct :cv e r, a
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~I ~ a.nU boam, thc rpcvtrum, 'J'hote shouad be za nr ;r-ni.ng on ciyar( .t%co ~<br />
~ }, ;:c) txJ(. nnot, We hrn we E pu e,p-ci vccc .: : Sn aot oiJortv.<br />
to hv iC sntni( iehav7_n ert orF :r:.r(2tc<br />
.aMn'r1n6 ,rwnt EN yovn€,<br />
, i~vc~le-.f+ S,Y;e Ccrlyc-ns 2,t1 .c.s i.h5 :, stop - enB e .hovre the goverr,mnnb' ;<br />
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re,cogr,ii,5on oi' the Gan@pr of cGr ;r,.rotte s :mohirq;, '<br />
L'o y Y :ive yesp V the W r5nari Canaer W.i.oty has ur6 .eci that ~<br />
the ,cp an(; nicotino c:orri.ent 7n the tnadn .tre ns, nr' :obroon smokcl<br />
he 7.erb(acx& Oay thSrJciup ; is, r;e PotJ.orv : WurtunateLy, there aSc<br />
i<br />
me,ny peloplc nova c+o sfa•ong ;2.y a(;UacteCY to cire ;rette numkin@% that '<br />
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they f' :h n :it. :ri q oss :ible- to [,3ve vp the 1',ab58 r-vcn fhou[ ;h they ~<br />
ea.rnc+:f.7.y Ocr :Sro to (Jo r;e . Tkre ::e pcoplo xSf :h to remoLe the ]eae& :<br />
harrnSUi a5gtn•ctto rvt:?7aL)e on the mr,rl :e-t . At the presentt time ~<br />
there i: na f,e ;'tisl'actoay e :aN We the oon ::vAw r to jv.Oto the ;<br />
i<br />
rE+)a$5ve utnr5t.5 of diSfi('POUt hrzn(7fl oa CSg,FMtie4 STOtR the pointl<br />
e£' vlie(i Oi' t.bi` fr,(i ni(:ot.JYe. ~ I<br />
liollever, there 5s_ evf .(Senes f'roni the Cancor t`revE:ntiOn StuOyf<br />
I<br />
of tho A(ne ;r5uan Ca.neer Ser,:iety, 3n (ah9 .ch reo aro Sollo(v5ng .<br />
!1),700,,000 pcrr:on:> for Wx yearf ;,t.hat people (eho smoke eSEau°otteu :<br />
~~7-oia irf n?cotlne and Mr content coug'h ) .esF t.han pooplo (vo emoke ;<br />
, Ili l ciGEirottc:s bi.eh in nieotino an0 ta r . A continuedi cough, re huve i<br />
., 'I~£'MUU;, it3 a Wn(eer signa] t.hnt. ur,y po5 .nt to Wg oanoer, A<br />
- ~np}.(101 ei' NM ,]-b9 :'Ce-l t.ha,5 I t JS 1.i .ke7J' LhHt ).OVi tK,T, IOW ~<br />
i<br />
?< lW ao t i .nc eSg pr ct'ce : : n ay t,e 7e ..e eet;toual .,y harNul t.}yan oLher ~<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
iC'.••)ML'LC.S> ] Pan ftCe llo VoW P0'C.nen i'or hot : neCjU_Iilnji cSgat's`GheG<br />
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a .r, zul t"![o -)-") 4'n k)u In,Jp1 „ l ro rl i (~ •<br />
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•<br />
•<br />
0<br />
SUGGLSB'IONS 8012 DR . WILLIAMS TESTIMONYt<br />
SJ5/65<br />
In conclusion, Adr. Chairman, I would like to add tfm following<br />
pointa to my written tostimony :<br />
1 . That the American Cancer Society strongly endorses and ::upporte<br />
thc rocornrnondattons of the U . S . Yahllo Health Servic :e, the Federal Trade<br />
Cornrnission and the National Intoragency Council on Srnokinp, and F:eatth<br />
that ci garette packages and clgarotto aovortisin g carry warnings of the<br />
health hazards of cigarctt .o srnokinS . .<br />
2. That we agree with the Surgeon General that the type of warning<br />
choutd be teft to the regulatory at;enciec of our Eovcrnment charged with<br />
these responsibilities ; namely, tho Z'ood and Drug Administratlon for<br />
wzrningc on packat;es and the Fedcrs .l Trade Cornrnis ::ior. for wanilngs on<br />
acivertlslng .<br />
3 . That the American Cancer Society urges Congress not to enact<br />
~<br />
? : Ce ..US! ~<br />
loy~lstatlon that will prevent tha'so a2wneies from carrying out their<br />
reeponstbilities con .cerning health warrdnEs on cigarctte advertising .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
•<br />
•<br />
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7 mi( ;ht, tahi .r:v :I . ktenr . 3 hfl4G thEAU Wi'Lh<br />
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7T . 4•'illSIoYRa TI ;uk YOn, air . po vc,u rr.iEsh mce to rcarl<br />
~~them7 ~Pto Chett,r * a.,rt . )do, ju.st to SNen2SSy nho they arc , ;<br />
, Ur . NSI.]ie9nusa 1Jdl-, there is the Poncl^ican Anevo :7.at<br />
.rL*, .ery, Aniprioan Carmcr Sool,et .y, NatSona] . :ion 56 Ifot YTOramAc Sv<br />
.<br />
ff IQbf.reU7 .0::)f• f,C•NOC1'Nt:$pllr L'U.h7,A0 }1BE].S :L . C[ ;III`. :.n AF•GOC :id$i.pYl,<br />
k :< At1i0Y'9 .CEIn L1)bl.ie kiea7th CB50Ci-F.tiOns The AUlC1%68t19 }len?`n AFifiOCIEStiVll,<br />
i; I~AlnarSoart 17eGioa.l Associ .a'c5on Acfnx'eno0 Oowm :.t'coe• on L'U,Y1i.c: 7SoWSh<br />
ft uo Ocoupeltlone~] )toa) .Lh, 'Cbe Aaar~ican L•e7] .oLSO oY Chos:U Tlryr. :i .cp:ian5,<br />
I[<br />
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io IHoa~Oh Af:r.noiaLi<strong>nf</strong>,, 'i5re Soo3 .oLy oS '-I~hortseao Nur•, ;emia?, lLlnerioe;n j<br />
S! A&ocSExti03t f0r '}'1't01`abi0 SurgPr,l', L]OUietY OP Bt&t6 7Si .TBetO)'f<br />
4S I17b^ul8h, ktyYfaca.l }•~C%11C8t$ .0)1 QAnEi }$:ca`(?at:JP11, Ciul`p.0011 General OS' I<br />
,[Llt.ho UoS . A:ip Moe, Pro0ucntta Commiss7on on LLOE1rL llAscarse, ~<br />
zo CaaloM suid SLYdro, Surgec,n soncW oP thc LqY .te(1 .1t:a.to : Pu7rlAa<br />
))aalt.b Scrvi.oc .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
The PhaSO§rr/ID . ]st, i .hat . he}no].udc0 in the reeord .<br />
(Tho lilator .al rof-cr7
•<br />
•<br />
•<br />
CIGAitETTE SMOKING : A SERIOUS HEALTH HA7.ARD7<br />
POkITSON5 OF<br />
MEDICAL AND SCIENTIFIC ORGANIZATIONS<br />
Physicians have testified before Committees of the United<br />
States Senate and }louse of Representatives that they are unconvinced that<br />
cigarette smoking is harmful . These physicians have a right to disagrcc<br />
with majority opinion but they represent a very small segment of medical<br />
and scientific opinion and they speak only as individuals, not as representa-<br />
tives of any medical organization . In fact, every medical and health<br />
organizatimn in this country and abroad that has studied this subject has<br />
agreed with the conelusions of the United States Public Health Service that<br />
ci~arette smoking is a serioue health hazard . And no medical or public<br />
health organization has stated that cigarette r.xnoking is not injurious to<br />
health .<br />
The attached statements are evidence that the view expressed by<br />
these "unconvinced physicians" aro in co<strong>nf</strong>lict with the positions of major<br />
professional organizations in this country - organizations of which some of<br />
these physicians doubtless are members .<br />
The issue is : Are the health policies of our Nation to be determined<br />
by overwhelming scientific evidence or by the contrary view of a few<br />
individuale 7<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
•<br />
•<br />
0<br />
AMF:RTCAN ASSOCIA'170N FOR THORACIC SURGERY<br />
"k9IP:RF.AS there is irrefutable evidence associating cl.garette smoking with<br />
such lethal end dinahling dtsorders as cnrdiovascular di'sease, pulmonary<br />
emphyseme and cancer of the lung ; and,<br />
"WHEREAS thi .s evidence has accumulated largely from the observntions of<br />
physicians and surgeons concerned with pulmonary and cardiovascular diseases ;<br />
and,<br />
"b'FIP:REAS the overwhelming evidence of alarming inormase of cigarette-caused<br />
dcath and dissbility is most apparent to thoracic surgeons ; and,<br />
"M41NRb)AS the other branches of medicine and the public look to thoracic<br />
surgeons for leadership 1.n dealing with this vast public health problem ;<br />
for Thoracic Surgery urge all its members to intensify an<br />
"TF1ER}gORR BE IT RESOLVED that the American Association<br />
campaign educational directed toward the<br />
public in general, and youth in particular, relative td the health hnzarda of<br />
smoking ; and,<br />
"BE 11' FUATTIER RF.SDL@:D that the American Assoei .ation for Thoracic Surgery<br />
recommend to the Congreses of the United States the passage of ]ogd.slation<br />
that will regulate advertising and require a warning label on merchandise<br />
na a necessnry and important step in leading the citiz :ens of the United States<br />
and the world toward an eventual understanding of this dangerous habit ; and<br />
"BE IT F'UATtlER RESOLVED that copies of this resolution be presented to the<br />
Congressional Conmittees which are involved with legislation in this field,"<br />
Resolution passed at the 45th Annual Meeting, in Executive Sessi .on, March 30, 1965,<br />
New Orleans, Louisiana<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
•<br />
IN 971E 1iNITi :D STA11F:.3<br />
ST'ATT1P1iN1'S AN7) RESOLVPIONS ON<br />
CTCARET"1'N. SKOKINC AND LUNG CANCER<br />
IffiALTIi AGFINCIES AND PROFESSTONAL SOCTE'PT6S<br />
YUbLIC IUTALTII CANCEIi ASSU111ATIl1N<br />
March 5, 1965<br />
"RESOLVF.D, that N,erc 3e sufflelent cvldmmc available of n relntionshlp<br />
between smoking and lung cancer to justify advising the public to etop<br />
smoking eigar
AY.ERICAN PU6L1C IIEAl .9'If AiSO ..]Al lO N<br />
"WIIERP.AS . lung exncer Is e rapldly incrvasing fntnl dlueese . .,,an d<br />
"WHEIti:A ecientiffe evtdunce hne nsonbllshrd that ukeaeslve. cigarette amoking I .<br />
e meJor factnr lu lbe dleense, an d<br />
0<br />
"WIIERP:AS, puhllc heatcl, <strong>nf</strong>ficinln In the tlnlted 9 1 ntee and many oO i er oountrioe have<br />
potnted cut ti,c rolatinnehip bctween clgarerte smoking and lung cancer, therefore be it<br />
"RESOLVED, that the American Publle Health Association call upon health authoritlee to<br />
undertnke n bruad edurntionnl effort, enpo
•<br />
•<br />
TNE Al31RICAN HEA1Cf ASSiC1AT1uN<br />
"The. 1963 Ad IlcCn~mdticu In nnd Cnrdiovascular Dfaeasos rrported . . . on Mny 11,<br />
1963 . . . that there 1s mdf(civut rvidenrc of the imrniful effects of cigarette smoking<br />
on health to werrent discouraging tce.nagero from developing the hnhlt of nmoking . The<br />
primary evidence of ihc harmful effect of clgarette omoking remnins the otetiatLCal<br />
rela[fonnhlp betvcon smuking and morrallty tran coronary artery dieense, but a number of enc111ary fenturou nre aian recngnleed, 1ncluJing effects 11, emphyaorna, peripheral<br />
vaseular diseaso, anQ not to be u urlnoked, tlm relatianship to cnre(noma of the lung .<br />
Accordingly, the Conunlctce rcconm,ends thnt the National Office of the Acterieau Hom't<br />
Anmociatlon, aa well n Afflllat .anA Cbopter Ilenrt Ausnclnttonu he pnrnd .ttad to join<br />
with other voluntery end <strong>nf</strong>fictnl health agertcieo In educatlotwl progra m for teencgers<br />
rolotlve to eigerette sn.king . 111, Cnnvuitteo furthee recmnnends that etrong oncouragement<br />
to ntop smoking,under physlclau nupervision, be given people who have a high risk<br />
of death and 111neas from coronary ertery disease and myo
•<br />
•<br />
THE ANJ:R7CAN COIdk:GE OF CHEST I'iIYSICIANS<br />
"MRIEREAS, the weight of ocientlflc evidence distinctly indicntes that cigarette<br />
smoking and t.he Inhclatlon of other atmospheric pollulanta have an association relationshlp<br />
whlch atrnnRly nuggestn A caune and effect connection with chronic bvonehitle,<br />
pultoonnry emphyeema, cor pvlmooale, curdlovaacullm dlsease and cnncer of the lung, and<br />
Wherena, there fo•lncr'eoting scfenttfic evidence that vivuaea and other agents etlll<br />
to be defined may piay a role in the e etiology of cancer, -<br />
"TNI:kEYOkg, hY YT RY.gOLVHU that the goard of Regents of the bnerlcan College of Cheet<br />
Phyeicienn urge all of ito members and the medical profession In general to intenelfy<br />
their educational campalgn directed toward the public in general end the youth ln<br />
particular relative to the health hezarda of smoking . ,,,<br />
From a resolution approve-0 by the Hoard of Regents, June 22 . 1962 .<br />
9'IIF, AMHR]CAN COLLEGE IICAL9'li ASSOCIMPION "WIIEREAS<br />
; a preponderance of scienulfle cvldence (wl .th ecant counter evidence) indL<br />
cntes an association rel.allouship and suggeata a cuusal relntlunahfp between cigarette<br />
sn,oking aad somc dlecasee, and<br />
"WIIEREAS : Thc clgarettc nmoking habi.t often 1s ecqufsed now by young people either not<br />
long before they eamnence coilega, ov' while they are ettendi .ng college, and<br />
"WIIEREASt Coilrgee and Onlvoruitice are In a particularly advmttageous position to<br />
und er take an cffectiv e educational effort to stop and to prevent cigarette amoking by<br />
college students, therefore be It<br />
"RHSOLVIiO : That the Mmr(cnn Co11eY.e Ilealth Ansocintion, recognir,ing the above mentioned<br />
ralatlonhips botween cLgarette smokln mtd aome dlseesea, urgea itu entire membership • .<br />
both fn ::tltut.lonaland I.nlividunl - to attempt, in whatever ways considered most .<br />
suftable, to dlscourage cigarette mmoking by collegee students and future alumnl,"<br />
Adopted by tbc Cuuncll of tlm Ausoclation . April 37, 1962<br />
APERICAN g6H00i . ItF:Alll'll ASSOCIATION<br />
The praetlce of thee endorsemont of tobacco and smoktng by outstanding athletes in<br />
public media advertising, with its obvious connotations regarding health and<br />
physical fitness, undoubtedly effcets the attit .udes and behavior of fmpressfonable<br />
school-agc youth .<br />
• The American School Health Asauciation, recogniaing thc evfde.nce Ilnking tobacco<br />
with Impatrcd pcrformance, health and longevlty, considers the use of tobacco<br />
advertising in the athletic setting and/or by athletes of renown as grossly<br />
misleadlrng and a hindrance to the proper health education of our youth . The<br />
Assuctaefon condemns tlm practice end urges nthletes to refra/n feom the ethically<br />
indefensible use of lheix names .<br />
Approved by the Governing Council, at. Annual Meeting, Kansas City, Missouri on<br />
Nnvemher 10, 1963<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
SOCIETY OF STA1'E 11IRECTON .S' .POR IIEN :f1i, .1'IIYSICAL EDUCATION AND N6CkF.ATION<br />
"RES01 .1ha1, That the Society af State Vlre(tore of Ilenlth, Physlcal Cducaclsn end<br />
Recveatfon go nn r .ard al uncournging the voluntnry health agencies and the yubllc<br />
heallh service to cont/nue and lntennlfy thel.r effurts to educate young people about<br />
umokinR, utllizing nll npproprtnte manhoda, lneluding the wlde dlntribution of nmterieln,<br />
~ end be It<br />
:I), further "RRSOLVF That lbe Society <strong>nf</strong> State Directors of llcalth, Pbystcnl P.ducnllnn and<br />
Recreation go on record as favoring an intensive program of education to acquaint young<br />
people with such ocieotlfic l<strong>nf</strong>ormnllon en will help them understand the harmful effecte<br />
of cigarette an,oking sa)d wlll IceA Lbem away from the use of tobacco ."<br />
Adopted at tbe 35th Annual C1ceting of the Society, Marcb 17, 1961,<br />
AMgRICAN ASSOCIATION FOR 1'IIORACIC SURCERY "RgSOLYGD that the American Association for Thoracic Surgery take offictal cognizance<br />
of the increasing hazards of bronchogenic carcinoma, pulmonary emphysema and their<br />
relationship to cigarette smoking, and<br />
"RESOLVED that noticce of this action be sent to the Surgeon Ceneral of the U .S . Publfc<br />
Health Service and tlre American Medical Assoclation ; that the medical profession be<br />
i<strong>nf</strong>ormed through appropriate publications and that the lay public be i<strong>nf</strong>ormed through<br />
the lay preea ." .<br />
• Paneed by the Americrn Aesociation for Thoracic Surgery, April 10, 196) .<br />
•<br />
SOCIETY OF<br />
TtIORACIC_SURGEONS "HHEREAS, scientific evidence strongly indicates a relationship between cigarette<br />
smoking and such disorders as chronic bronchitis, pulmonary emphysema, cardiovascular<br />
-'sease nnd cancer of the lung ; and<br />
"WfIP.REAS, the bulk of this evidence has accumulated from the observation of physiciane<br />
apecializing in pulmonary nnd cardiovascular disease ; and<br />
"WIIF.RP.AS, the overwhelming evidence of the alarming increase of cigerette-caused diseases<br />
and disability is most apparent to thoracic surgeons ; and<br />
"WIISRF.AS, the other branches of inedicine and the public look to thoracic surgeons for<br />
leadership in dealing with this vast publi.c health problem; '<br />
"THEREFORE, BE IT RIiSOLVEI), that the Society of Thoracic Smgeons urge all of its<br />
members, eapeciolly the elected officers, to support an edue.ational campaign directed<br />
toward the public in general, and youth In particular, relative to the health hazards<br />
of smoking ; and<br />
"BE IT }Mi7RIHR RP.SOLVFP, thnt a copy of this resolution be preeented to the house of<br />
delegates of the Americnn Medical Assodation and to the Surgeon General of the<br />
United States Public: lleall :h Service ."<br />
Passed by Society of Thoracic Surgeons, January 25-27, 1965 .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
SURGEON GENERAl . OF 91NF. IINITED S9'ATCS pUBLIC 117.A1 .5'll RNRVICR<br />
.,the welght of evidence is Increasingly poluting in one direction ; that excessive<br />
smoking in one of the causative factore In lung cencer ."<br />
From Pub11 .e Heelth k.eporte . Volume 72, No . 9, page 786 . September 1957<br />
• "The weight of evldtncu at preeunt Implfcntee amoking as the principal etiological<br />
factor ir, the inereasod Incidence of lung enncer." '<br />
0<br />
•<br />
From the lournal of the Amerlcan Modlcal Association - e weekly publication .<br />
Volume 171 , pngeo 1879 1837, 1'159 . . '<br />
. . . . . . . On the basis of prolonged study and evaluation of many lines of converging<br />
evidence, the Comnittee mnkea the following Judgment :<br />
"Cigarette smoking is e health hazard of sufficient importance in the United Statee<br />
to warrant appropriate remedial action ."<br />
Prom Smoking and Health : Report of the Advisory Committee to the Surgeon General<br />
of the Public Health Service - Accepted as the Official Position of the Public<br />
Health Service, 1964 .<br />
SURGEON CENBRAI. - U .S, Alll FORCE<br />
"1 . The ever-incrcaeing evidence linking c/garette emoking with lung cancer, pulmonary<br />
dleeasee, eardinvneculer diseases, etc ., can no longer be Ignored . The eurgeon<br />
General, IISAP, has tnke.n a firm stnnd on thls isnue and bea i<strong>nf</strong>ormed the tobacco<br />
companies that gift e.igarettee are no longer acceptable .<br />
2 . To ellow the free dintributlon of cigarettes In our hospitals and in flight lunchee<br />
suggests to our personnel that the Air Force Medical Service, I.n effect, condones<br />
cigarette smoking . To do ao In to repudiate the overwhelming evidence of many<br />
medical research teenm working independently on a world-wide basis .<br />
3, Henceforth, gift eignrettee will not be accepted for free dietrihution to patients<br />
in USAP Hospitals, nor will they he placed in flight lunch boxes ."<br />
From an order of R .L . Bohennen, t7a,ior General, USAF, NC, Chief of Staff, September 17 . 1962<br />
PRESIDENT'S CO1R41SSTON ON HEART DISEASEiCANCHR AND STROKE_<br />
. .The Commission strongly endorses the conclusions and recmmnendatione of the<br />
Surgeon General's Advisory Committee on Smoking and Health which, in addition to<br />
co<strong>nf</strong>inning previous reports, stated that smoking is a serious hazard to health and<br />
indicated the need for more aggressive programs in this area .<br />
"It seems apparent that the reduction of cigarette r.moking offers great possibilities<br />
for the prevention of illness, disability, and premature death fn this country, with<br />
regard to both cancer and cardiovascular disease, .,,,,"<br />
From Report, volume 1, page 46,<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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'inc 9CfhtrSrmen . '111a:nk you very mur.h. Fir . Fio(yora ?<br />
19p , IIog;orc of Texss, ) % ct.or, YOU hc:vc he.ard r)j OF theae<br />
c75ecue.e.3on:: tcdny. ]. nnt'.'re(', y ou riit:6? e in the auCSi.anee, You<br />
werc quit.o att.cnt7 ve . A z :N sorov you ha[, to v&fit t o 7nng. )'ut.<br />
you Pcn? that n?.? o:' thot:c em6Gv;Lioe oubiSne-8 by the Su-gco<br />
., that thc,y rao . e pcrtSc:ip0t6ng In LhS o nr.an, thr & the n yQenorr,l<br />
are ppopnr z.otlvitie; 4`or the hNeGoraS Govornmm :L?<br />
lllo . NIlIJS,rins, 7 certt+7.n3y Oo, air .<br />
h7 14 ho[;w v OF 4'cxv, . Jcvon the e8uc 0501 nl proE+,rarn that<br />
Up, 1bF`X,N t .eCt`A.f'= they t9G'IK) fCeti ..i<strong>nf</strong> ; :intU, In t lYerO E.nrO.ytfCB. J<br />
❑tt:rTe,t:,i<strong>nf</strong>c roportFa and t.h?np:r-. OF that Y.JnU ?<br />
Ur, lf:i])irxm.e.. J ON a i+nn't he75ove ne, can carry out an<br />
v!- oPS'c :a7.vu Jmo ga^cn rlithou the o 6uentSon03 zapr,ots, oo pecSa]1y in<br />
4e the toc:muf;ers. , , .;<br />
!r 19r, HoF;cru of 'texaf: . You bh9nk at i r : a propor area for the<br />
Fe0oral Crnrc:rrnnc)rt to be opera t5ng ir1 7<br />
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Dr . I 1_1 71Sams . 3 ihinJc the J!'etiera7. Covcrnsent oe,n po5nt th<br />
ON he :ap oe Sr, Innei b ct 3 v5t5cf; . They r,.re not goSnp, to Go I t<br />
alonc They arc tirg to do It In coclcr .tuve Veliturez with<br />
iIIFtFttCE Dn(i Sn ICP1 C1'f Ll .v-tlonr ? L]OU7( FFEIY'(. ,<br />
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http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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p1'Oh,I tiroCt V Vln Work. ~<br />
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6~ UY ClS :IJ)t .t't . l . K C'LjJy, yGu, hVt. Y1C hN!ve to €eCOpi, l .'hNt<br />
%~ ! we think ea cn }ot: hcJ anc ! ch tk uc ( nooom{ .~ th .( :.s•o u i,<br />
t~deai o!' good c v ( .r a i.ott . pct J o6 ( tiwa i. ! Jknp n M : .np : trt<br />
F% IibPds thilgt enci z~c=comp7 . :iellinp ; it 9n a iray t.Jrrri: v :1a . :1 event`.ural :l,y<br />
tcr I111l ::vocccd . ] dontt tPdnk prohShi t 4on wotil(r ho accepted, anQ 1<br />
sv BOn ' t thSnk It v1ou70 u.mrk .<br />
vp ~~ A7ro 1,'o}lort : oS' `l`cxps, l'hct :( tau t a J.J .).n}t about, lloctor,<br />
, II :Io efiether It W orAi d bc tto cuptoCf or not, vou f'eol . 9r, your own<br />
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~~ Ilt.o to whnro the inoAdenco of ctuicer m9ghtU bo nofe prova] .ont or<br />
rrore: rnse;rour:, .a,v like In an i .ndue2r5t;. :t arca tzhore they hnvo u<br />
A II]ot, of sntol :o 3'tnnos or In an tu~ca athe,rc bhCrr i : heavy ts~¢d~`io<br />
E~ ~~oo<strong>nf</strong>:cs'tJon'? .<br />
Dr . AVii7]i nmo . 41e)J, the stttdJr,r: thrC. hieve b oon done ntranicel,v .<br />
I' ~~enouFh hnvn not• Sndic&.tod .,ny gro2it pateponde w ncc of carroc7> :in<br />
0 Ithrtt ttrflfi . 9hpr'0 i s a Fil :i .[yht .1nca'e'rAGF. '<br />
yo ~ )n 7Qcrr Urlca.rr :;, for :i.n,stancc,, thero ie a IrJgher MoKonoc<br />
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tb ~ or J.ttng: amu•.car the,n there In 5n c,ther 1JttcLUrgh or Iroe Angc :).os ;<br />
Innd You ce.n't blflme thect on the atmorphc :re< .<br />
et' <strong>Nr</strong> . Rot,cm ., of 'UOx&r'; . 97rat SB Sntcrce.tirip; . 1 di_c7n't know ;<br />
tF tHat . IRrt yon 6*ay therc :!_s . Dooe: thtdt mean there er•c mope peop l .e<br />
s-' ~~sctokinP in New Ort .cr.ns? !<br />
E' II Ur . W :iM . U tiis . Dr . wnard n s .V s iit is the pioetyuue ei .garrtt.c`<br />
c' 3 am not c+ ur e<br />
. kogo r. Dgr c: or Tezae . Sut, do you foe7, llocd.or, t.hct: the ~<br />
ta i ;nhaJr!t~icm of 6P~.eso fumEx fr~os~ yoirr str,ndpn ;nt and yov.r expe,rb .<br />
.x i L•not~iledtro t+s 0 cioetor, i ;hAi. 4hc JnhaaatSon of k.hnsc sxhaust ,<br />
01 Ilfumne Ones acmtriLUtC b .:narz, :Uy to the f.norcaso Sn eanecr^4 i<br />
llr . N:Lllir:niU, J . [gn rure it Ir;a eomu Of'foot., E::ir, but 9.t<br />
.r~jt,cna nel: troen rn„U.curo-ebOr. 3n &riy of tho nt .o.d5oo t.hrwt have beon '.<br />
` ~Ilcfonc,, 31, hstr. becn rc7aVJvoSy m9-rrut .e, the d5<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
:tk CG,ty cr Oh ;7 .ce,E:o, .>ferencm that you jouJd encrnznter in iVenv yo a5 coltisW viith a~i
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Doct'-or, that yo•o. h[ ;vc corlcJcadeG In yow= own mincK that o itych( ;ttee.~<br />
11i:, W917 A ir :e•, About C'i to 90 po P oerlt . :C think thflt i . n<br />
the colnstanl f':ig,uro 50 the export.oncc of thoso o'i ua• i .n th :is<br />
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ft ~Ic01101b1":]On 0n the tiklq(;(%YB ]t fiPe9Rn'Lfi, th0tth0i"C Mi[~Jt: Ilot to<br />
be F( p.Gh:~bit UraY i<br />
y .; I Aro .iJ:ll) ms . I th?nk it r+a7-] Lr• iGecil . S.f thew coe](i bo, ~<br />
u. ~,ut 1 te}cc,t: i oc .n°t, t.h nk at :.e ott .ne:Ljc nota .<br />
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Si''1hA£:ine`vR £Ui BV(.)'1 ShOl27.(7 be QOY•Ci'Oy(,(5? ~<br />
pt, ~ llp, iV:CUifln :: . No, s :i.P, l Gon'tL th9nk t.hat . 7 don't think ~<br />
sP i;nyono An 1;hi; i.'ieYd t•hinks the.t. ~<br />
Mr . Rogcrs of Toxas . Aon'tt rni.aoanAeratand mo . 3 am hot. ~<br />
~t 7.ookfni3 at this froin t•ho stel+6po9nt o9' you ;iust go3.ng ont and<br />
try4ng to ciea.trc•y Ponlathint:, but 3 m(;an from the atsnef,oSnL oS<br />
?V ~jV:ha.t ycw he.vc xe: ;B, yoa Pcc1 ]iS Sn the Pfusl3 anr,)yrfe toDacoo<br />
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." .I 11r, lJ :il n•'r.o ;R . 3 r+ovl.u )ike Co , cu ovcr a t>ohioe7 0 :; ycarfi: i<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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j Mi~ . Itqposs of TexE;.s . Poc :tor, Y(+v. m•r6o e, s9nternnnb horc :<br />
.~itn sih ;.ch you [-io thr :.t r-ou ttmuoht you t1csC eg+tnst. M rmt . :urc(, i<br />
(: IMe;t wou)O put nY rst :tr ec ;one an the D'ccerr7 1'r .,c7( CemA,^s5o1 5<br />
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( teY.CVYC6 LH :.t b0U)0 dirGCtl .y oY lnC,tG'ctJ .y fXOvent the L'eOCYU) 1I<br />
lc ~JTace Cormd'.:s,ou from eettng to prot(ct 1d,c pat+]Sc by suporvSa :iorf<br />
i5 ~D5 E?GVOr`tJe,$n( :.~ ~<br />
fi 1VDW, Uoetor' ;, (;id You ever 9t'.t?dy Ifi19! ~<br />
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1'c0o7°a) . Tre,Gn Co:mu9ccsi .on Oocc; nott hrve r .ny prnvct .: un)ec;c: wc<br />
[+5.vo thoo 'do thom . S1ow they way ond up tvi'th thcm,<br />
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to hoa)th<br />
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. )svcryhody t:hat o.emo :. :u, advnoet5nit 'rha .t, ~I<br />
dcfG^I1dS 8u.$olnotr5_lOs aid tSi]iSkCY, flnd t11C ;C roa)(e ei .(;GPet.$G8, .<br />
automo'bSJmo tmd trhi :key z.2.) Yn h ;v ciisi.s1c :t., ao )- (R+n't k.nor,<br />
p}s ~~w.LA?t viet: to t.aU :c<br />
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t ; j Icar,corned aLout: a7ooho .l aid automotn .les . However, S.n tha .e d(ly<br />
v} l~or^ spoa5al# .zfL9.on v/o oun't a)l. Dc spor-ds,l5sts in evcryS~inp, r,nU<br />
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, ;~n)ralto]j aid t,vtoriloA")ee It great doa) ;,o ho :ns dono Sn thot+e ~<br />
f7 .e).dr,M an ) undcrstand Sf., to roguls,te the uee aid nhusC. ~<br />
'~ Idr . Rogere of a'er:ar . H5.11 the gont)etiau y5s16 tor ono I<br />
, , i!qucctian. i<br />
. .~ ~i Mr . P,,pls)oy . Yus, I,m.L ] tai ;nt to coniq'a1vJ"te the n9oo ~<br />
, . . .j2;oe6or . Ite cte on3 of a Pcel mc,n :f hrve ovor t:oer who tva ..n't .<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf
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ineven c0ex8 or. •sh .;.t bcSore . )f : .t i.r.; not :, Y on have s•.ns:nerc6 ,.<br />
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~~ 510 C:hatman . Wo t.hc (:eht l ezr mm l s Ois t ,->icF proi/uoe .<br />
li7iromo Sol .tzcY too7 .<br />
I~+I ffir . Ue,rns7cy . 74' S .t 1s trad r1e cto . O/e have iSot• ovoryt.h9_np;.<br />
li 9be C,hairman . Iroo4or, i.hat you ve:ry r:rach . Wo arc i raWful . .<br />
II~ to You {'or ,Your 1)at•S .m-,eo 7n weSta.nEi m,t1 1`or Che opNo r tuhAt :Y Yvu ~,<br />
I Wo 61ivr-n w; to hcv r gou, anti nc ch-c.ul: you for your prosPnter-<br />
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ilvc,v bavo Drr.t! et St vcr l harG 03)] Gay too . J' E57 .<br />
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http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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aF vl0 Oan, bUt appaPGDi]~U' ?t• i8 (' ( itt[g t@ Le 9obo t :iJac= beY'o]Y~ 190<br />
http://legacy.library.ucsf.edu/tid/lly24f00/pdf<br />
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