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So one of the things that really
3:29
struck me when I moved back to the
3:32
United States from China after 20 years living
3:34
in Beijing was how few people
3:36
in the United States smoke cigarettes anymore.
3:39
It is a huge change. And
3:42
going back to China, as I did often before
3:44
the pandemic anyway, it was just as
3:46
astonishing just how incredibly prevalent
3:49
smoking remains in China. So
3:52
according to the World Bank, between 2000 and 2020, the rate of tobacco
3:57
use among adults globally actually
3:59
fell. based
6:00
Inicium Media or Duan Quan Mei.
6:03
Jason and another co-author did
6:05
a lot of the China based reporting
6:07
for this story and I'm looking forward very
6:09
much to hearing about the reporting that you did, Jude. So
6:12
Jude, welcome to Cineca and thank you for staying
6:14
up late to chat with us about tobacco.
6:17
Hi everyone, hi guys there. It's
6:19
really honored to be here. Honored
6:21
to have you. Jason, before we go
6:23
on, I'm hoping that you or Jude could give us
6:25
an intro to the other two people
6:28
who worked on this piece and talk a little
6:30
bit about their contribution to it. Yeah,
6:33
thanks so much. We were
6:35
really lucky to work with a great team of
6:38
reporters on this project. This is a project
6:40
that took a number of months. I
6:42
started working on this back in
6:44
January. So this is really an
6:46
article that we've been working on and off on
6:49
for eight or nine months. So I really want to
6:51
thank the examination and the Pulitzer
6:53
Center on crisis reporting for
6:55
helping to fund that. There are many
6:57
news organizations that can support
7:00
reporters to do this kind of deep
7:03
reporting. And I was lucky to have some great
7:05
collaborators. Jude is obviously
7:07
one of them from Initiium Media. Also
7:09
Christophe Giesen of Der Spiegel,
7:11
he's Der Spiegel's China correspondent. He's
7:14
lived in China for seven
7:16
years. He's worked with other German
7:18
news agencies there as well. Really
7:20
a decorated reporter who knows his way around
7:22
China well and he's got a great staff of news
7:25
assistants that work with him as well. And
7:27
then the other person I would credit is my colleague,
7:29
Menyun Zhou, who is a Chinese
7:32
journalist living here in the US
7:34
now who also is just a remarkable
7:37
researcher, remarkable reporter
7:39
and certainly would never have been able to tackle
7:42
a project like this without the input of
7:44
these really well-sourced and knowledgeable
7:46
collaborators. Yeah, fantastic. Well, we all know
7:48
about Der Spiegel. Jude, maybe you could tell us a
7:50
little bit more about Initiium Media. I
7:53
don't know much about it except that it's Singapore-based.
7:56
So are you yourself Singaporean? No,
7:58
I used to work for a company called Initiium Media. I work for Chinese
8:00
language media in mainland China, and
8:04
I have been covering public health issues
8:06
since 2016. And
8:09
oh, and for Ignition, I'm working
8:11
as a freelancer. I got
8:14
an opportunity to work with
8:16
Bosnian journalists on
8:19
Chinese ventilators during the pandemic.
8:22
So this was the first time I cooperated
8:24
with Ignition. And this
8:26
project with Jason is the second
8:29
time for a collaboration journalism. Oh,
8:32
okay. Oh, fantastic. Great. And
8:34
Jason, naturally, I'm very curious to learn more about
8:36
the examination and your beat, which
8:38
really is also about health
8:40
and specifically, as I think you told me, the
8:42
sort of the commercial determinants of health.
8:45
Yeah, so the examination just
8:48
launched in September. Several
8:50
of the founding editors came from the International
8:54
Consortium for Investigative Journalism, really
8:56
well-known investigative nonprofit
8:58
that helped organize and do
9:01
the reporting of the Panama Papers
9:03
investigation and some other related
9:05
global investigations of
9:07
sort of where the global elite
9:09
rich people hide their money offshore and
9:12
evade taxes. And that was a sort of a mammoth
9:14
undertaking that involved collaborations
9:17
with dozens of different news organizations.
9:20
So that's sort of where several of our founders
9:22
came from. My background is a little different, but the idea
9:24
behind the examination is
9:26
to bring some accountability
9:29
and investigative reporting to the
9:31
industries that profit by
9:34
making products that really
9:36
affect the health of millions
9:38
and millions of people. And so, of course, a key beat
9:40
for that is tobacco, because tobacco is
9:42
perhaps the most sort of glaring
9:44
example of a highly profitable industry
9:48
that damages the health of millions
9:50
of people a year. The WHO
9:53
puts the figure of tobacco-related deaths to
9:56
eight million people a
9:58
year, more than eight million. about
10:00
that and you compare it with the number
10:02
of people who die in war or
10:05
from a host of other diseases
10:07
or illegal drugs, tobacco really
10:10
is a much larger
10:12
societal problem by a long
10:14
stretch in many respects. We don't just focus
10:16
on tobacco but also there are a number of other
10:19
industries including big food and the food
10:21
industry and of course we know that obesity
10:23
particularly in the West and the United States is a huge problem
10:26
really nearly rivaling tobacco with
10:28
respect to how many people's health it
10:30
affects and the deaths that it
10:32
causes as well as sort of standard
10:35
polluting industries that contaminate
10:37
our water our air and so on and lead
10:40
to thousands of deaths but this specific
10:42
area these industries they tend not to
10:44
be reported heavily because the way
10:47
that they affect people's health isn't
10:49
terribly dramatic right if you are
10:52
a smoker you can smoke for decades
10:54
and decades before you develop sort
10:56
of the chronic diseases that
10:58
may end your life ultimately and so
11:01
because of the nature of how these
11:03
commercial determinative health industries how
11:05
they affect our health they tend not to have
11:07
the dramatic impact of lots of other news
11:10
events like terrorism or pandemics
11:13
so on and so forth. So just now Jason
11:15
you said that that the WHO puts the
11:17
number of people who die annually globally
11:19
from tobacco at eight million. Let's
11:21
try and get our heads around some of the important numbers
11:23
in China. So how many
11:26
smokers for example or how
11:29
big is the the overall size
11:31
of the industry in China and how much
11:33
of the revenues actually
11:35
flow to the state monopoly China
11:37
Tobacco? Yeah
11:40
this is a that's a good question let's start with just
11:42
the public health aspect of
11:44
this first and so China
11:46
is by far by far by far
11:48
by far the world's largest producer
11:51
and consumer of tobacco.
11:54
Each year around the globe there's almost
11:56
six trillion it's more like five
11:59
point eight trillion. cigarettes are
12:01
produced globally. It may be a
12:03
little bit lower than that. China basically
12:05
consumes about half the world's
12:08
output now of cigarettes, right?
12:10
So it has about 20% of the world's population
12:12
smokes half the world's cigarettes.
12:15
So really when
12:17
you talk about tobacco as a global health
12:19
problem, you can't talk about it without talking about
12:21
China because if you
12:24
just look at, there's
12:26
more than 2.4 trillion
12:28
cigarettes consumed each year in
12:30
China, right? So that is more than
12:33
the next 67 countries
12:37
combined. So if you took
12:39
India, Indonesia, the United
12:41
States, Germany, Japan,
12:44
Brazil, etc. All the way until you got to the 67th
12:47
largest cigarette consuming or
12:49
68th
12:49
actually. So the next 67 countries
12:53
combined is equivalent to how many are
12:55
consumed in China each year. That's nuts.
12:59
That's just bananas. It
13:01
is. It is. It's a really dramatic
13:04
statistic. And then when you look at the health problems
13:06
this causes, we don't have quite as
13:08
precise data on that in China.
13:11
We just, we don't have the data on that.
13:13
Very conservative estimates are that more
13:16
than a million people in China
13:18
die each year from tobacco related diseases.
13:22
At the upper end, there are some other estimates that put
13:24
the figure as high as 2.7 million. It's
13:28
likely the figure from the researchers
13:30
we've talked to is between 1 and 2
13:32
million, right? So and
13:34
if you do the math, right, so China smokes almost half the
13:37
world's cigarettes, but you're like, well wait a minute, there's more
13:39
than 8 million people that die from tobacco related
13:41
diseases. If it's 1 to 2 million
13:43
deaths, that's probably 25% or
13:46
less of the diseases. Part of the reason
13:48
for that is that China until
13:50
fairly recently had a relatively
13:53
young population compared
13:55
with other countries. So
13:57
really it's just now that the effects of
14:00
all the cigarettes that are being consumed there are starting
14:02
to play out uh... across their health care
14:04
system across the across mortality
14:07
statistics so you guys your piece really focuses
14:09
on the power of the state monopoly
14:12
off of china tobacco of the s t
14:14
m a or you know back of not believe your
14:17
just how big is it
14:19
uh... it is it size something that one
14:22
can simply ascertain public
14:24
records publicly available you know revenue
14:27
reports stuff like that or
14:30
or is it something that requires the kind
14:32
of forensic investigative work that
14:34
you guys specialize in uh... give
14:36
me a sense for how how
14:39
how hard it is to report on an organization
14:42
like this and then maybe a sense of how
14:44
it's structured and and how it's run
14:47
i think in like
14:49
in china it's a monopoly system so
14:52
basically we have only one company and
14:55
it does everything like from tobacco
14:57
farming to distribution
15:00
to selling to retailing and
15:02
also has many other
15:04
business like controlling
15:07
the biggest uh... advertising company
15:09
in yinnan province yeah
15:12
so i think the monopoly has also
15:14
a lot of branches in nineteen
15:17
provinces and now i think
15:19
it's going to be bigger because of the
15:21
taxation policy can you explain
15:23
what's the taxation policy how is that changing
15:26
it's a little bit complicated because it
15:29
used to be the excise tax
15:31
in china is going to be turned
15:34
again
15:35
because
15:36
we used to put a lot of emphasis on
15:38
the manufacturing process so
15:41
the government get a lot of money
15:43
from like producing
15:46
cigarettes
15:46
but now
15:48
the government is turning the like
15:50
taxation process to the retailing
15:53
so it's kind of becoming every
15:56
province to sell more cigarettes so
15:59
that they can get more money. So
16:01
and this is also good for the monopoly
16:04
because in this way they can like
16:07
to reduce the inner
16:10
competition between provinces and
16:12
like put more emphasis on producing
16:16
cigarettes in Yunnan province and selling
16:18
in Shanghai for them it's
16:21
a benefit like this taxation
16:23
policy. Right so this tax
16:25
policy that perhaps somebody
16:27
thought would be shifting the tax
16:29
burden on to consumers and therefore maybe in
16:32
the disincentivizing them from consuming
16:35
more cigarettes is actually going to have the perverse
16:37
effect of increasing
16:39
cigarette consumption because it incentivizes
16:42
producers to be more
16:44
aggressive in marketing and distributing.
16:49
So Jason maybe you
16:51
can go back to what I was asking earlier about
16:54
the difficulty in reporting I mean you
16:56
just described a very large organization
16:59
with subsidiaries in most of
17:01
China's 30-odd provinces. What
17:03
are we looking at here in terms of the opacity
17:06
of that organization? That's
17:08
a great question actually because for
17:10
me as an outsider as a foreigner
17:12
who hadn't done a lot of reporting related to China
17:15
previously I was surprised in
17:17
some respects at how much of our reporting
17:20
was really based on records that are
17:22
public within China. You know as we mentioned
17:25
China, tobacco, the state-run
17:27
monopoly it's a government agency so
17:30
in many ways a lot of what
17:33
they do is public
17:35
or at least is quasi public
17:37
and we can talk a lot more about
17:39
that. In other respects there
17:43
are some challenges because it's very difficult
17:45
to just even talk to officials
17:48
who work for the company as
17:50
a foreigner as an independent reporter. They
17:53
don't publish detailed
17:56
financial reports as large
17:58
public companies would elsewhere.
18:02
But I can, if I can just back up a little bit, I
18:04
can give you a really brief history
18:06
of the company which I think illustrates
18:10
some of the the problems that China
18:12
faces today. So in
18:15
the early 20th century it was
18:18
really British American tobacco that
18:20
moved into China and and started
18:23
producing cigarettes there, really developed China's
18:25
cigarette markets. And then
18:27
at the time of the Chinese Civil
18:29
War the Communists ultimately
18:32
took control of these cigarette factories
18:34
and they were sort of slowly nationalized
18:37
in the 1950s. And I know those of your
18:39
listeners that listened to your podcast with Matthew Corman,
18:42
who's an outstanding scholar and has done really
18:44
detailed work along with some collaborators,
18:47
wrote a great book on the history of this company called Poisonous
18:49
Pandas.
18:52
So in the 1950s basically
18:54
all these cigarette factories in different parts of
18:56
China were nationalized by the
18:58
Communist Party. But largely
19:01
they were remained
19:03
under provincial control. So
19:06
each provincial government and
19:08
provincial Communist Party sort of had influence
19:10
over the operations of each cigarette
19:13
factory. And in many ways there was
19:15
there was sort of a competitive market within
19:18
China between these different government-owned
19:21
cigarette factories. And so you'd have cigarette
19:24
factories in Shanghai that would compete with
19:26
cigarette factories elsewhere and provincial
19:28
governments would do things like block
19:30
cigarettes from coming into Beijing,
19:33
from Yunnan because they didn't want competition
19:36
with their local factory. So in many ways there
19:38
was sort of this chaotic provincial
19:41
government-run cigarette market
19:43
in China through the 60s 70s.
19:46
And then into the early 80s under Deng Xiaoping.
19:48
You know Deng of course was very
19:50
outward-looking and he saw that
19:55
this wasn't a smart way to run
19:57
the tobacco industry, particularly
19:59
a I think he saw that perhaps
20:02
down the road, China would be competing much more
20:04
with international companies and they're having
20:06
little factories and all these dozens of different
20:09
provinces and cities run by local officials.
20:11
It wasn't gonna, the result wasn't
20:13
gonna be a very modern, well-run
20:16
industry. So that's when China
20:18
Tobacco was created in the early 1980s to
20:21
sort of centralize control over all
20:23
these dozens of little cigarette factories
20:26
that existed across China. And that's
20:28
what really, when the industry began to be modernized
20:31
and rationalized in many respects. Now, kind
20:33
of what's interesting is that at the same time,
20:36
this cigarette monopoly was set up. Shortly
20:39
thereafter,
20:41
Deng created something that you referenced
20:43
earlier, the State Tobacco Monopoly Agency,
20:46
the State Tobacco Monopoly Administration, which was
20:49
meant to be like the regulator and
20:51
oversee all aspects of
20:54
the tobacco industry in China. Jude was
20:56
mentioning earlier that the
20:58
China Tobacco, for example, determines the
21:00
price that farmers get paid
21:03
for their tobacco crop. And
21:06
it's tentacles across this
21:08
industry are really much
21:11
deeper and wider than that. They control
21:13
all aspects of the supply chain. If
21:16
you wanna truck tobacco in China, you need
21:18
a license from
21:20
the State Tobacco Monopoly. If you wanna
21:22
retail tobacco in China,
21:24
you need a license from the State Tobacco Monopoly.
21:27
Now, what's interesting is that sort of the commercial
21:29
arm of the company, the
21:32
guys who are basically overseeing the cigarette
21:34
factories, running the cigarette factories, they're
21:37
the same guys who are also the regulators
21:40
of this industry. And so this
21:42
is where the dynamic in China gets
21:44
really interesting. This is really the central thrust
21:47
of our story is that it's the
21:50
cigarette company itself that regulates
21:53
itself. And this has caused a whole
21:56
bunch of problems when
21:59
it comes to public. health because clearly if you're
22:01
making money selling cigarettes
22:04
you don't have any interest to take steps
22:07
to reduce your sale of cigarettes
22:09
if that makes sense and the fact that this is all nested
22:12
within the same company is just
22:15
an enormous conflict of interest that
22:18
really hasn't been resolved to this day. So
22:20
it does make sense and it also makes absolutely
22:22
no sense. So it's
22:25
like there was this great quote from
22:27
Ray Yip who used to be
22:29
a senior person in China with the Bill and Melinda
22:32
Gates Foundation. He said
22:34
it's like a soccer match where
22:36
China Tobacco is both a player and the referee
22:38
and that really drives
22:41
home. So yeah like you said you know your
22:43
work this this piece focuses very much
22:45
on the fact that China Tobacco this
22:48
mega tobacco merchant is also
22:50
the regulator. I'm sure that there
22:52
will be a lot of people who will hear this and just be you
22:54
know what did I hear that right is
22:56
I mean total disbelief. How can moral
22:58
hazard on that scale be allowed
23:01
to persist with something especially that's as lethal
23:04
as as as tobacco? Would
23:07
I be correct to say that at least in
23:10
its own understanding China Tobacco
23:12
doesn't think of itself as
23:15
the regulator. I mean it would say no the
23:17
regulator is is the health administrator.
23:20
The regulator is you know the
23:22
state council. We are we police
23:25
the industry but we don't set
23:27
I mean for example it wasn't
23:30
the China Tobacco Monopoly Bureau that
23:32
decided we're going to put warnings
23:34
on labels right. So
23:37
in what sense do you really mean just
23:39
really specifically is China
23:41
Tobacco the biggest producer also
23:44
actually also the regulator? I
23:47
can say one thing during
23:50
the negotiation of FCTC
23:52
the WHO Framework Convention
23:54
on Tobacco Control and
23:57
it used to in the draft
23:59
it used to say that it's
24:02
the state health administration
24:04
who controls the label warning, but
24:07
the China tobacco who participated
24:09
in the negotiation suggested
24:11
them to change this term to state
24:15
administration. And this way they
24:17
can control the warning
24:19
label in China. In
24:22
the end, it succeeded in
24:24
controlling this policy because the health
24:27
administration, they don't have
24:30
the right to change the
24:32
label on the cigarette packets.
24:35
It's the STMA who decided everything.
24:39
This is the part of the FCC,
24:42
the health administration could do nothing.
24:45
They might understand correct, just so I get
24:47
this right. The state tobacco monopoly
24:49
administration was participating
24:52
in the negotiations with this UN
24:54
body of office treaty. Yes.
24:57
Like having arms merchants at an arms
25:00
negotiation, it seems like. Yes,
25:02
especially at the beginning, it was trying
25:05
to control the Chinese delegation.
25:08
So
25:08
they are very active. They
25:11
set up research group
25:13
and also participate in the
25:15
negotiation.
25:18
So when you talk about how they were able
25:20
to enforce their
25:23
will to wield really significant
25:25
influence over other
25:28
participants in the negotiations or other
25:30
governmental agencies, I want to
25:33
understand how it actually wields
25:35
that influence because China
25:37
doesn't have anything that we would understand
25:39
as like a parliament or a legislative
25:43
body. There
25:46
aren't
25:47
lobbyists organizations as we understand
25:50
them. So how does it co-opt high
25:52
ranking officials and does
25:55
this flat out corruption,
25:58
how does it step clear of... the anti-corruption
26:00
efforts that have been underway for over
26:03
a decade now since Xi Jinping came
26:05
into office. I want to say
26:08
the mechanism of influence here. Well,
26:13
I can jump in on that. Sure. I'll
26:15
just touch on briefly what you were asking earlier
26:18
about this distinction between the state
26:20
tobacco monopoly administration
26:22
and China Tobacco. Within China,
26:24
there's essentially no distinction.
26:27
The different terms are used
26:29
in the context of whether people are
26:31
talking about regulation or the
26:33
commercial activities of the company, but it's understood
26:35
to be one and the same thing. The
26:38
general manager, the equivalent of the CEO, Zhang
26:40
Zhanmen, of China Tobacco, he's the
26:42
director of the state tobacco monopoly
26:44
administration. Now this
26:46
is a little bit different in the sense that he's a government
26:49
official. My understanding is that he holds
26:51
the same rank as a deputy
26:54
governor on the provincial level.
26:56
In fact, one of our sources when we did
26:59
a lot of reporting about how China Tobacco shapes
27:01
health policies within China, he said that when
27:03
the head of China Tobacco comes and
27:06
meets with the mayor of a city, say a city
27:08
is trying to pass a ban on
27:10
indoor smoking, it's like a boss
27:13
talking to his employee in many respects
27:15
because he literally outranks
27:18
a city mayor within the formal
27:20
hierarchy. But in a lot of ways, this really understates
27:24
the power of this company because as
27:26
we discussed in our piece, in 2022, the company earned 1.44
27:28
trillion RMB. That's $213
27:32
billion for the Chinese state. That's 7%
27:38
of all of China's government revenues,
27:41
and it's a figure that's equivalent to China's
27:43
official defense budget. So
27:48
this gives them a huge amount
27:50
of power within the government, even
27:52
relative to other ministers, and the minister
27:55
of health, for example, is much weaker
27:57
within the government compared with... say,
28:00
the general manager of China Tobacco.
28:02
And I think one of the things that magnifies
28:05
their influence is that within China's
28:07
government, China Tobacco is
28:10
part of the Ministry of Industry
28:13
and Information Technology, one of the so-called
28:15
super ministries within the Chinese government
28:17
that is one of sort of the handful of
28:20
the most powerful industries and is
28:22
able to exert great influence over
28:25
the government through the Ministry of
28:27
Industry and Information Technology
28:30
as well. But its influence, it's not a
28:32
new thing. And in fact, dating
28:34
back 20, 30 years ago, China
28:38
is a lower middle income country in many
28:40
respects. Now, of course, 30, 40 years
28:42
ago, China was much poorer. It was much
28:45
more dependent than on tobacco
28:47
revenues to support the state,
28:50
even than it is today. It was probably more like 10%,
28:54
15% or more in terms of how much money
28:56
the central government got from selling tobacco.
28:59
So in many ways, a lot of its influence comes
29:01
from its historical significance
29:04
that it's something of a sacred cow
29:06
within the government. And we can really
29:08
see that influence. And
29:10
from our reporting in the 1990s under
29:14
Jiang Zemin, who, as you know,
29:16
was trying to open China to the outside
29:18
world in many respects. He
29:21
decided to host a major international
29:24
conference on tobacco control
29:26
in China. And this is in 1997. And
29:29
as part of our reporting, we were able to obtain
29:31
a letter from China Tobacco
29:34
to the state council to Jiang
29:36
Zemin, to other important
29:38
players in the government, basically warning them
29:40
to keep in mind that China
29:43
Tobacco is the government's single largest
29:46
earner in the
29:48
context of this tobacco control conference.
29:50
And they go on to warn people
29:53
and how they talk about tobacco control. And
29:55
mind you, this is back in 1997 that
29:58
while academics and people and civil
30:00
society can freely share their
30:02
opinions on the harms of tobacco. They
30:05
say government officials should be very
30:07
careful in what they say. And
30:11
as we spoke with a noted tobacco
30:13
control advocate, Judith Mackay, who is
30:15
a Hong Kong based tobacco control advocate
30:17
based, who's worked in China
30:20
for a number of years, she said when Jiang Zemin opened
30:22
that conference, his opening
30:25
speech was so sort of lukewarm
30:27
and tepid on this issue of smoking,
30:30
she said you wouldn't have known it was a tobacco control
30:32
conference. Wow.
30:34
Wow. So, I want
30:37
to follow up on this. You've talked a little bit
30:39
about the people on the other side, the
30:42
people who work in advocacy. You've
30:45
talked about how Jiang Zemin said that
30:47
civil society groups should be able to say what
30:49
they want, but ultimately they're going to run up against this hard
30:51
reality. So let's talk about the landscape
30:54
in terms of anti-smoking advocacy.
30:56
I mean, in my years in China, especially
30:58
I'm going to say after 2010 or so, I
31:01
saw quite a bit of effort publicly
31:03
at least to try to curb smoking,
31:05
or at least I thought I saw that.
31:08
The advocates used to be quite outspoken, I thought,
31:10
about China's tobacco role in government
31:13
too. Before we get into
31:15
what's gone wrong and why anti-smoking
31:17
advocates are now losing ground, let's
31:20
talk about what they had managed to do
31:22
in the first place. So Jude,
31:24
maybe give me a sense of what
31:27
sorts of organizations are working against
31:31
tobacco's widespread use. What
31:34
are the existing rules about
31:37
smoking? Are there, for
31:39
example, bans on certain types of advertising?
31:42
Is there mandatory language on packaging? Are
31:45
there rules about selling to minors?
31:47
Are there bans on public transportation? Things
31:50
like that. Where are we right now, Jude,
31:52
in terms of advocacy
31:55
and its successes to date?
31:57
I think the...
31:59
The tobacco country community in China have
32:02
succeeded a lot
32:04
in legislation, especially
32:07
in big cities.
32:09
And also they have done a lot
32:11
of campaigns on promoting
32:14
the public awareness
32:16
in tobacco. But compared
32:19
to the tobacco country movement in the US,
32:22
I think the community here,
32:24
they constricted their
32:26
movement in public health.
32:28
As I know, in the US, the
32:31
tobacco control was part of the
32:33
civil rights movement. So
32:35
I think basically it's a human
32:37
rights issue.
32:39
In China, the community mainly
32:42
consists of the public health
32:45
experts and also NGOs.
32:48
And the number of those communities,
32:51
those organizations are very
32:53
limited. You can count in one
32:55
hand.
32:57
And also now
32:59
they lack funding.
33:01
So
33:02
they mainly get money from other
33:05
countries' organizations. And
33:09
also I think they face a lot
33:11
of pressure from the tobacco industry
33:14
because they are scared
33:17
by the tobacco company. Because
33:20
the company said that they represent
33:22
other countries' benefits. They
33:25
are trying to
33:28
sell more cigarettes from the
33:30
US and also they are
33:32
representing the Western
33:34
ideology, such things. That's
33:36
interesting. And that's one
33:39
of many approaches that
33:41
are taken. Part of the landscape
33:43
that we're talking about is cultural.
33:47
I think that anyone who's been, for example,
33:49
to a wedding in China will remember how
33:53
there will be at the reception boxes
33:55
of cigarettes, even packs of cigarettes
33:57
in front of every place. It's pretty crazy.
34:00
crazy. People gift cigarettes
34:02
all the time. There are all sorts of status
34:05
markers associated with the brand
34:07
that you smoke, the cigarettes that
34:09
you give, the cigarettes that you receive.
34:12
So Jude, can you talk a little bit
34:14
about the role that cigarettes
34:17
have in Chinese culture and Chinese business
34:20
culture in particular? And we'll get to an example
34:22
of how that is sometimes
34:24
used as a defense by China tobacco
34:26
as well. And also I'm wondering
34:30
why it's so gendered, why it is
34:32
that male smoking is
34:34
so prevalent compared to female
34:36
in China and whether that is similar
34:39
to other countries or is this particular to
34:41
China. So let's start with the general
34:43
smoking culture in China. I think
34:46
smoking is still very popular in China.
34:49
If you attend a wedding ceremony,
34:51
you can see smoking like
34:54
cigarettes from maybe double happiness.
34:57
This brand will be put on the
34:59
table and guests could
35:01
have a cigarette during this
35:04
feast.
35:06
Maybe you won't find this thing in Shanghai
35:08
because of the legislation it's prohibited,
35:11
but you probably find like
35:13
in Yunnan or like in
35:16
Sichuan in the southwest part of China.
35:18
And when I visited
35:20
Yunnan to do the research
35:22
in tobacco farming,
35:24
I see the local farmers, they
35:27
exchange
35:28
cigarettes every time when
35:30
they meet in the villages. So
35:33
it's I think it's a way for
35:35
them to make friends or
35:38
showing their politeness, showing their friendliness.
35:42
So
35:43
regarding the gender discrepancy,
35:46
I think it has something to
35:48
do with the gender equality in
35:51
China. So if a man
35:53
smoked, you wouldn't think it's
35:56
a bad behavior. Sometimes you would
35:58
think it's really cool.
36:28
to
38:01
male smoking rates and so it's
38:04
in some senses in other cultural
38:06
contexts I think women's smoking is associated
38:08
with independence or sophistication
38:11
and a lot of these positive attributions
38:14
that people may have with smoking
38:16
like oh I'm cosmopolitan, I'm smoking these
38:18
are things the tobacco industry has very
38:21
much fomented and tried to capitalize
38:23
on but sort of one
38:25
of the interesting aspects of this story is that within
38:28
China that's not really
38:30
the case as much. China Tobacco does have some
38:32
brands that are focused and marketed
38:35
at women but they certainly haven't
38:37
been as aggressive in marketing to
38:39
women as the transnational
38:42
tobacco companies have. In fact an interesting
38:44
case study is that of Hong Kong
38:46
which has very different smoking rates
38:49
than mainland China and
38:51
my understanding from reporting
38:53
this piece a lot of this has to do with
38:56
sort of Hong Kong's different government
38:58
and historical institutions but in
39:00
Hong Kong most of the cigarettes
39:02
that you see sold do come from the Western
39:05
tobacco companies you see Marlborough's
39:08
or other Western brands
39:10
are much more common but one of the things
39:12
that happened in Hong Kong is that
39:14
when the Western tobacco companies
39:17
moved in several decades ago they
39:19
began very aggressively marketing
39:21
cigarettes to women there
39:24
you know if you think of Virginia Slims and
39:27
some of the brands that Philip Morris and others
39:29
had that were clearly targeted and clearly
39:32
marketed to women and one
39:34
of the sources that I was talking
39:36
to about this mentioned that
39:38
this marketing this really aggressive marketing
39:41
of cigarettes to women actually engineered a
39:43
backlash in Hong Kong that was
39:45
beneficial to the tobacco
39:47
control movement to public health officials
39:50
because they were able to cast
39:52
the tobacco companies that were doing
39:55
this as foreigners who were disrupting
39:57
culture and causing causing problems. And
40:00
so the tobacco control movement was actually
40:02
able to capitalize on this.
40:06
And the story, it isn't
40:08
quite this simple, but Hong Kong has a tremendous
40:10
success in limiting smoking
40:13
rates and reducing smoking,
40:15
in part because of this one fact. It's interesting
40:17
how in Hong Kong you have
40:21
anti-smoking advocates co-opting
40:23
nationalism. And in China,
40:25
in mainland China, it's quite the opposite.
40:27
In China, two years ago, the house
40:32
ministry, they tried to do
40:34
something for the female smoking. So
40:37
in their year plan, they're trying
40:39
to curb the
40:41
female smoking prevalence. But
40:45
then the Chinese feminists, they
40:48
deny such behavior because they
40:50
know that in China, the female prevalence
40:53
is only 2%. So they think
40:55
this is a strategy from the tobacco
40:58
company. Interesting.
41:00
Yeah. Much of your work
41:02
focuses on really, really
41:04
fascinating examples of the ways
41:07
in which China's tobacco has
41:10
sort of prevailed over these
41:13
efforts by municipalities, by cities to
41:16
ban smoking indoors, for example.
41:20
Let's start with, I mean, I think a
41:22
lot of this seems to flow from the
41:24
city of Chongqing. And
41:26
you open with that and you
41:29
make the argument that basically after
41:32
they defeated the indoor smoking
41:34
ban in Chongqing, we
41:37
saw basically no other Chinese
41:39
cities able to pass bans on indoor
41:41
smoking. So let's start with Chongqing.
41:45
Can you talk
41:47
about how China tobacco
41:49
was able to stop that law
41:51
from passing in Chongqing? Jude,
41:54
I know you worked on this, so it'd be interesting
41:56
to hear. Yeah. was
42:00
back in 2019.
42:03
I was told by the activist
42:06
that
42:07
focused on Chongqing's legislation
42:09
that Chongqing was
42:11
going to change their plan for smoke-free
42:14
legislation and then we
42:16
have done
42:17
some investigation in Chongqing
42:20
and we can see that even
42:22
in hospitals there are cigarettes,
42:25
people are smoking. So
42:27
and we used a PM2.5
42:31
machine to test whether the
42:34
air quality is good or bad and
42:37
in the toilet of a hospital
42:40
the
42:42
figure is really high in
42:45
the toilet. And
42:47
also in the railway station
42:50
people are just smoking indoors
42:53
and in the pub in the crowds.
42:57
So I think the situation of second
43:00
hand smoke is really bad in Chongqing
43:02
and the 32
43:05
million people in Chongqing they really
43:07
deserve a law to
43:09
protect them. And
43:12
then maybe a year later
43:15
before the law come out
43:19
we know that the
43:21
president of SDMA
43:24
they visited
43:26
Chongqing and they talked to the
43:28
party chief and also the mayor
43:31
in Chongqing. We didn't know.
43:33
Actually they there
43:37
are two levels. Chongqing are with the
43:39
FUBUJI. It's pretty really
43:42
high in the party and
43:45
Jiang Zemin is only FUBUJI.
43:47
They have two standards.
43:50
Yes. So
43:52
that shows the
43:53
Jiang Zemin, the
43:56
the SDMA they have really
43:58
strong power in place.
43:59
political
44:01
and We didn't know what they talked
44:03
about but
44:04
I think everyone guess
44:07
the one of the topic is about
44:09
the legislation in Chongqing and after
44:12
that
44:14
Chongqing failed to get a smoke-free
44:17
legislation
44:18
and after that like
44:20
the other city will apply Chongqing's
44:22
experience they would like this
44:25
case only increased the power
44:27
of the
44:28
tobacco industry and
44:30
It really influenced
44:33
the tobacco country movement in China
44:36
in a profound way
44:38
Yeah, if I could just add to that I think I
44:40
think this is a good question the key
44:42
moment in our story that we're talking about
44:45
so passing indoor smoking
44:47
bans was a fundamental
44:50
part of the WHO
44:52
anti-tobacco treaty that China signed
44:54
in 2003 and under that treaty
44:57
China is supposed to pass a national ban and
44:59
banned smoking in all indoor public
45:02
places restaurants and hotels
45:04
and karaoke clubs in bowling
45:07
alleys in schools and hospitals
45:10
What we saw is that? China
45:13
failed to pass this indoor smoking
45:15
ban and we can come back to how that failed
45:18
at the national level but By 2016
45:21
2017 right 12 13 years later after the treaty took effect
45:26
China hasn't passed this national smoking law, but we
45:28
have seen some major cities
45:31
pass smoking bans of their
45:33
own That outlaw smoking
45:36
in restaurants in hotels Beijing
45:39
Shanghai Shenzhen
45:41
so on and so forth and there's the
45:44
the tobacco control community the public health community
45:46
has really got some momentum In
45:50
doing this they say okay, we're not going to get this law
45:52
at the national level, but we can do this piece
45:54
by piece Right what's really important about Chongqing
45:57
of course is that it's a huge city And
46:00
it's one of just four cities where, you
46:03
know, the city government reports directly to Beijing.
46:06
Right. And there's about 32 million people
46:09
in Chongqing. And so there's this big
46:12
fight about Chongqing
46:14
that all happens behind closed doors. Chongqing
46:16
city government wants to pass this law.
46:18
They have a draft law that does exactly this.
46:21
Lo and behold, just as Jude was saying, the
46:23
general manager of China Tobacco shows up. He
46:26
meets with the head of Chongqing's
46:28
Communist Party and the mayor almost
46:30
immediately afterwards. The law
46:33
is changed to allow indoor
46:35
smoking. And because
46:37
Chongqing is such an important city, this city
46:40
is used as a precedent again and
46:42
again and again in the years that follow
46:45
to essentially block these laws. And
46:48
other city governments use it as their own excuse
46:50
not to pass indoor smoking
46:52
ban. In fact, China
46:54
Tobacco seems to punish
46:58
people who fail to put
47:00
enough pressure on local government to
47:04
squash these indoor smoking bans. For example,
47:06
you guys talk about how in Xining,
47:09
a city, the capital of Qinghai
47:11
province, the local
47:15
boss of the Xining China
47:17
Tobacco office was sacked
47:21
after he didn't successfully oppose
47:24
the indoor smoking ban. Is that correct? Yes,
47:27
we got this anecdote
47:30
from quite a lot of
47:32
members of the community in China. They
47:36
all know this thing. I think
47:39
it's not just Xining and after
47:41
Chongqing, like every city, when
47:43
they try to do a legislation in smoke
47:45
free,
47:46
indoor
47:50
ban, they have to talk with the
47:53
SDMA. SDMA will send their
47:55
staff to talk to influence
47:58
the other departments directly.
47:59
Because
48:02
the staff of STMA, they feel
48:04
pressure as well because
48:07
if they do nothing, they will get sucked.
48:11
One other city that you looked at,
48:13
and I think it was really
48:16
kind of illuminating about what China
48:18
Tobacco's playbook has been like. In
48:21
your piece, Jude, you talk about this letter that
48:23
was written to officials in June of this
48:26
year in a town called Tieshou, which I think
48:29
is in Anhui. They
48:31
were considering an indoor ban. And
48:33
the line of argument in this letter that you laid
48:35
out went something like, this ban would
48:38
hurt China's business culture. So basically
48:40
it was an argument from this kind of economic
48:43
development perspective. What
48:45
else was in that letter, Jude? And how did
48:47
you get a hold of something like that? Yes,
48:50
I think this letter was really precious because
48:52
usually we couldn't find such documents
48:55
very easily. And this
48:57
is really a good showcase
49:00
of how tobacco industry is trying
49:02
to influence the tobacco control movement.
49:06
And I think for me, the most
49:08
interesting in the letter was the
49:11
Chinese tobacco is trying
49:13
to apply the Chinese constitution.
49:16
Because in
49:18
the legislation in Tieshou, they're
49:21
trying to put forward
49:23
an idea of smoking
49:26
in your family, smoking
49:28
control in your family. And the tobacco
49:31
industry, they apply the constitution
49:34
as family
49:35
is free from the public
49:38
power.
49:40
So we shouldn't
49:43
put forward a smoke-free family.
49:48
In China, the constitution is
49:50
never applied in a court, but they
49:53
apply the
49:54
constitution to influence.
49:58
So,
50:01
Jason, you just now kind of looked
50:03
at 2016-2017 as kind of the period where the tides
50:09
seemed to return, all these promising
50:11
early initiatives, and they
50:13
seemed to have faltered.
50:16
What is it that you think happened to bring about this
50:18
change? Yeah,
50:21
this is a good question. So
50:24
the span of time that the examination
50:27
and our colleagues we looked at is really
50:29
about the last 25 years within
50:32
China and trying to document China tobacco's
50:34
influence. And
50:36
that included the time period in the early
50:38
2000s when this bigger national treaty was being negotiated.
50:41
And we saw that after China signed that treaty
50:44
promising to do all this stuff to
50:46
control tobacco, almost none of it
50:48
happened for a period of about
50:52
seven, eight, nine years. Tobacco industry grew
50:54
very fast in the years immediately
50:56
after China signed this tobacco control treaty.
50:59
Then there's a change in leadership in
51:01
China. And in 2013 Xi
51:04
Jinping becomes president. And
51:07
tobacco control was an issue that he wanted to
51:09
do work on. And
51:12
so sort of in the period 2013
51:15
to 2016, we did see that China took
51:17
a number of fairly significant steps
51:20
to control tobacco. We
51:23
saw that there were bands in major cities. There
51:26
was an increase in cigarette taxes, which is probably
51:29
the simplest, most straightforward way
51:31
to reduce smoking. I remember
51:35
in the public sort of propaganda effort, we
51:37
had Peng Liyuan. And Xi
51:39
Jinping I think was actually there at some
51:41
of the events. She did stuff with the
51:44
Bill and Melinda Gates Foundation. I
51:46
remember I got in a little bit of trouble
51:49
because by due, the company
51:51
I was working for at the time was actually
51:54
participating in these. Our CEO went
51:56
and attended and he had a, you know, took a
51:58
picture with Bill Gates wearing it. He's
52:01
a militant anti-smoker, but
52:04
our CFO who I worked for was
52:06
actually on the board of Philip Morris
52:09
and a student observer put
52:12
that together. What are you going
52:14
to do? Nothing
52:17
I could really do to weasel out of that. It's
52:21
interesting. I'm sorry,
52:23
go ahead. Yeah, but at that time it seems
52:25
like there was real momentum, right? Yeah,
52:29
so there was a lot of momentum.
52:32
We could talk maybe just a little bit about Xi
52:34
and his interest in this issue before
52:36
we get to the question that you initially asked.
52:39
We do know that Xi Jinping was a smoker
52:42
himself. From the sources
52:44
we've read, we understand he started smoking actually
52:46
during the Cultural
52:49
Revolution when he was sent to a
52:51
rural part of China to do work,
52:54
basically, as a
52:57
form of reeducation. We
53:00
understand that he did quit smoking in
53:02
the early 1990s, around the time that he married
53:04
his second wife, Peng Yun, who
53:07
you mentioned. Xi
53:09
herself becomes an ambassador
53:12
for the Chinese
53:14
Association on Tobacco Control
53:16
and a public spokesperson starting in about 2009.
53:19
At the same time, both Xi
53:21
and Yao Ming, the famous basketball player,
53:24
became anti-smoking spokespeople
53:27
at that time. There's some indication
53:30
that Xi may have done this at Xi's behest
53:32
because he thought that this was an issue
53:34
he wanted to be out front on. Of course, Peng herself
53:37
was already a celebrity in China, was
53:39
very well known. Then we see,
53:42
you mentioned this meeting between Peng and Bill
53:44
Gates in 2012. They're
53:46
photographed together wearing these bright red
53:48
t-shirts with anti-smoking
53:50
messages on them. This is
53:52
during a visit of Bill Gates to Beijing.
53:55
They're both holding out their hands in the stop
53:58
signal. In this photograph, we have a picture of them. Bill
54:00
Gates, who of course is well known within China, is
54:03
ultimately used as part of a tobacco control
54:05
campaign by anti-smoking
54:08
groups on the subway, their
54:10
posters made of it, so
54:12
on and so forth for about a year. Then
54:15
interestingly, according to our reporting,
54:18
the Chinese Association on Tobacco Control gets
54:20
a phone call from the health minister
54:23
who orders that this poster
54:25
be taken down. They're told
54:27
that it's demeaning to the first lady to have her
54:30
in a tobacco control campaign. There were some other
54:33
comedians and actors whose photos
54:35
were also used and suggested this is sort
54:38
of a loss of face for the first lady
54:40
to be featured in this way. But it's
54:43
a strange sounding campaign
54:46
and so we don't know exactly
54:48
what the genesis was or why the first lady
54:50
is pulled from this in 2013,
54:52
but we do know that sort of in spite of this,
54:56
she does push some significant tobacco
54:58
control measures in his first few
55:00
years in office. I talked
55:02
about citywide smoking bans
55:04
and cigarette taxes may be the most significant
55:07
thing and you can speak to this as well,
55:09
was an order that officials, that
55:11
cadres, should no longer smoke
55:13
in public, that they shouldn't appear
55:16
on television, they shouldn't be in public meetings smoking.
55:19
This is really seen as a message
55:22
coming from the top because it's coming both
55:24
from the state council and
55:26
from the party itself that this
55:28
is no longer okay to
55:31
do this.
55:33
And so there's a lot of momentum going into
55:35
this 2016 period, 2017 period,
55:38
and then things start to change. And
55:41
what appears to happen is that China tobacco
55:44
becomes much more aggressive
55:47
in pushing back on other parts
55:49
of the government, on other parts of civil
55:51
society that are advocating for
55:54
tobacco control and they become much
55:56
more effective in their messaging
55:58
and much more directive, say, to local
56:00
officials who are interested in passing
56:02
smoking bans, that they shouldn't be doing
56:05
this. And so, you know, a lot of our peace
56:08
focuses on the issue of smoking
56:10
bans in China and this big fight within
56:12
the Chinese government as to whether or not those
56:14
should be passed. But actually, there's many
56:16
other methods of tobacco control,
56:19
but essentially, by this period, China tobacco
56:22
had basically sealed off most
56:24
of these. You know, there was one
56:27
cigarette tax in Greece. That's the only
56:29
one, essentially, that's happened in over 20 years
56:32
in China. There's cigarette
56:34
warning labels, as Jude mentioned. Those
56:37
are written and designed by China tobacco
56:39
itself. By the same people who are selling you cigarettes are
56:42
designing and writing the cigarette labels. So as
56:44
you can imagine, those cigarette labels are
56:46
not terribly descriptive. They're not graphic.
56:49
In fact, in many cases, they blend right in
56:51
with the beautiful packaging
56:54
of Chinese cigarettes. And so
56:56
there are all these other range of ways
56:58
that smoking can be reduced. But
57:01
really, there's this focus by the public
57:03
health community on smoking bans because they feel
57:05
like that's really the only element
57:08
that they can influence. And
57:10
then starting in 2016, 2017, moving into 2018, momentum on that really
57:12
stops. And
57:16
there really hasn't been much good news
57:19
for the tobacco control community over
57:22
the last five years. Jude,
57:24
has the new generation
57:27
of younger people coming up, have they gotten
57:30
more interested in the fight, less interested
57:32
in the fight? I mean, my sense is
57:34
that they've gotten pretty quiet. I don't
57:36
hear it a lot. Is this just the power
57:39
of China tobacco? Or
57:41
do you think that there has
57:43
been sort of a sense that
57:46
they've already been defeated?
57:48
Yes. In
57:51
big cities like Shanghai, Beijing,
57:53
we could see that the smoking prevalence
57:55
is decreasing and the
57:57
younger generation, they wouldn't like to be defeated.
58:00
be a smoker like their fathers
58:03
but I think in rural areas it's
58:05
a different picture like
58:07
the
58:08
younger generation they think smoking
58:11
is still very cool so
58:13
they're trying to be like
58:15
smokers
58:16
and also I think so
58:19
it's different between rural and the city
58:23
and I think smoking tobacco
58:26
control in China is not like
58:29
a core issue even in the
58:31
public health community
58:33
so it's
58:34
it's kind of it's
58:36
not it in the center of the public
58:38
health issues so I think
58:40
that's why the tobacco
58:43
control community is
58:45
feeling anxious
58:47
because
58:48
they don't have much energy
58:50
I understand yeah there's
58:53
also been a lot of sort of negative examples
58:55
Jude in your in your piece
58:58
you talk about a researcher named Xi Jinping
59:00
who became a member
59:02
of the very prestigious Chinese Academy of Engineering
59:05
in 2011 largely because
59:07
he had done work looking
59:09
at the claims of so-called light
59:11
or low tar cigarettes that were being sold
59:14
I think before 2013 so there is
59:17
an event there
59:21
was an event in China like Xi
59:23
Jinping was going to be elected
59:26
as a highly
59:29
high-level activation
59:32
in
59:33
Zhongguo, Guangchengyuan and
59:36
and it's not the community
59:39
which founded this news but
59:41
like somebody in the volunteer
59:44
and he said why
59:46
is a member
59:49
from the tobacco industry is going
59:51
to be a high-level activation
59:53
in China so that's really questionable
59:56
and then the community the
59:58
tobacco control community they tried everything
1:00:01
they could to change
1:00:03
that, to prevent that from
1:00:05
happening. And also the
1:00:08
former
1:00:11
Vice Minister of Health Department,
1:00:14
they also talked in public, tried
1:00:17
to prevent that from happening.
1:00:19
But in the end, the
1:00:22
community failed and Xi Jinping
1:00:24
is still very
1:00:27
active
1:00:28
in tobacco control. And
1:00:32
also one thing Xi Jinping has done is, years ago,
1:00:34
maybe 10 years ago, he
1:00:38
wrote a paper suggesting
1:00:41
that the tobacco, the CMA,
1:00:44
should control the e-cigarettes industry
1:00:47
in China. Because, yes,
1:00:50
and that really happened in 2021. The
1:00:53
SDMA, they controlled the
1:00:56
e-cigarettes in China. So
1:00:58
now the e-cigarettes producer,
1:01:01
they have to sell their e-cigarettes
1:01:04
to the Chinese tobacco. And
1:01:06
then the Chinese tobacco will sell those
1:01:09
e-cigarettes
1:01:11
to the public. So
1:01:13
let me get this right. My understanding
1:01:17
was that China tobacco did not have
1:01:19
a big market share in e-cigarettes
1:01:22
prior to 2021. And so it
1:01:25
was on the suggestion of this guy, Xi Jinping,
1:01:29
who has now basically helped
1:01:31
to hand control of
1:01:34
the vaping market entirely
1:01:36
to
1:01:37
China tobacco. Is that right? It's
1:01:40
like the course
1:01:42
before 2021,
1:01:45
in China, it's not clear which
1:01:47
department should like control, supervise
1:01:50
the e-cigarettes industry. And
1:01:53
Xi Jinping, he is
1:01:55
a representative of the tobacco industry.
1:01:58
So he suggested for long time, time
1:02:00
that the Chinese tobacco company
1:02:03
the STMA the state
1:02:05
monopoly
1:02:07
should be the supervisor of
1:02:09
e-cigarettes industry
1:02:11
and after about 10 years this suggestion
1:02:14
came true
1:02:15
that
1:02:16
STMA is controlling e-cigarettes
1:02:19
company and Chinese tobacco they
1:02:21
didn't they don't produce e-cigarettes
1:02:24
like
1:02:25
domestically so
1:02:29
so they just step
1:02:31
inside the e-cigarettes industry and get
1:02:33
money and actually does
1:02:36
do nothing although they have
1:02:38
like prohibited flavored
1:02:40
e-cigarettes totally
1:02:43
in China
1:02:44
because they think that will introduce
1:02:47
more younger smokers to
1:02:49
become e-cigarettes users right
1:02:52
same thinking is in America right
1:02:54
yeah but actually they don't
1:02:56
change their policy of flavored
1:02:58
conventional cigarettes so there
1:03:01
are still a lot of conventional cigarettes
1:03:04
with flavor being sold in China
1:03:06
Chinese markets
1:03:07
Wow
1:03:08
fascinating yeah this is a really
1:03:10
interesting issue that Jude that
1:03:12
Jude raises because
1:03:15
China tobacco has made the sale of
1:03:18
these low tar reduced-harm cigarettes
1:03:20
really its core business strategy
1:03:22
and it's important to be clear about
1:03:25
this this is something that the
1:03:28
Western tobacco companies did
1:03:30
starting in the 1960s when the first science
1:03:32
emerged that smoking causes lung cancer
1:03:35
obviously there's a lot of public concern about this in the
1:03:37
way the tobacco companies responded was
1:03:39
saying we're going to make the cigarettes less
1:03:42
harmful for you we're going to start making low tar
1:03:45
cigarettes we're going to start making light cigarettes
1:03:47
right and those of us of a certain age of course
1:03:49
can all easily remember a time when
1:03:51
you could buy Marlboro lights or camel
1:03:53
lights in the US you can't do that anymore
1:03:56
and the reason why is that after
1:03:58
this went on for decades and decades decades, essentially
1:04:01
public health researchers realized that
1:04:03
these camel lights or Marlboro
1:04:05
lights, those cigarettes, in fact,
1:04:09
these low tar cigarettes, the harms that
1:04:11
they cause are just as great
1:04:13
as regular filtered cigarettes.
1:04:15
And the reasons for this, they're
1:04:17
a little complicated, but basically the way they measure the
1:04:20
tar content in a cigarette, the
1:04:22
way that the cigarette industry did it was they had robots
1:04:24
essentially smoking the cigarettes in the
1:04:27
same way and then they would sort of measure the
1:04:29
amount of carcinogens and harmful
1:04:31
chemicals in the smoke. But
1:04:33
what happens is that people don't smoke cigarettes
1:04:36
in the same way that robots
1:04:38
do and people are after nicotine.
1:04:40
So they would suck harder on the light
1:04:42
cigarettes, they would inhale the smoke deeper into
1:04:44
their lungs and often cases this right
1:04:47
could cause more deadly forms of lung
1:04:49
cancer. So this whole
1:04:51
project of low tar cigarettes was really
1:04:53
shown to be essentially
1:04:56
a lie in the cigarette companies,
1:04:58
you know, as later emerged
1:05:01
as a result of lawsuits in the US, they knew this,
1:05:03
they knew this and eventually they were forced to change.
1:05:07
In China that is not the case. And
1:05:11
to this day, the sale
1:05:14
of low tar cigarettes, the sale of cigarettes
1:05:16
that China Tobacco Markets is being
1:05:18
less harmful to the public, that's
1:05:20
their core business strategy in
1:05:23
a lot of ways. Since Jude talked about
1:05:25
flavorings, it's common to
1:05:27
see China Tobacco cigarettes flavored
1:05:30
with Chinese medicinal herbs like ginseng
1:05:33
or caterpillar fungus. Yeah, Chiang Mai
1:05:35
Hai, a very popular brand. Right,
1:05:37
or the way they market, you mentioned Song Nan Hai,
1:05:40
one of the ways they market the cigarettes is they have
1:05:43
like the number five displayed
1:05:45
very prominently on them
1:05:47
and that's a reference to the tar
1:05:49
content and accuse the smoker, oh, there's
1:05:52
only five milligrams of tar, the cigarette, it's
1:05:54
not as harmful to me as another one, right?
1:05:57
So they're not making
1:05:58
very overt.
1:05:59
claims, but the messaging is
1:06:02
still there for the cigarette consumer.
1:06:05
And so what was so controversial about
1:06:07
this episode involving the tobacco
1:06:09
academician is that one of China
1:06:12
tobacco's own scientists, one of the guys
1:06:14
who's trying to research ways to make these so-called
1:06:17
low tar cigarettes is elected
1:06:19
to one of the most prestigious scientific
1:06:21
academies in China. And of course, other
1:06:24
scientists in the academy are
1:06:26
just horrified by this. And there's this huge
1:06:28
public outcry around his
1:06:30
election to this. He's criticized widely
1:06:33
in state media. There's even an editorial
1:06:35
by state media saying, this guy doesn't
1:06:38
belong. The science he does is not
1:06:40
helpful science. He's trying to sell
1:06:43
people cigarettes that give them cancer. So
1:06:45
there's this huge public outcry. He's
1:06:47
allowed to remain in the academy.
1:06:50
As Jude mentions, he writes this paper about
1:06:53
e-cigarettes that turns out to be very prescient
1:06:55
in how China tobacco needs to regulate them.
1:06:58
But one of the things to take away
1:07:00
from that episode, I think
1:07:02
that's important is that at that time, 2011, 2012, 2013, there
1:07:05
could be a really public discussion about this issue. And
1:07:10
this guy, he's still in the academy, but he
1:07:12
was publicly shamed, essentially, by
1:07:14
others in the media, by other
1:07:17
people in civil society criticizing him
1:07:19
in a way that I don't think
1:07:21
would be possible today in China.
1:07:24
Because the media is not able
1:07:27
to criticize somebody
1:07:30
who's part of the government in that way
1:07:33
as they are in civil society. Tobacco control
1:07:35
groups clearly don't feel
1:07:38
as free to criticize.
1:07:41
And even on an issue, most
1:07:43
of us wouldn't think of this as being a political issue.
1:07:46
But of course, of course it is
1:07:49
in some senses. But the restrictions on
1:07:51
civil society have really reached to the
1:07:53
tobacco control groups. And I think particularly
1:07:55
over the last five years, this is kind
1:07:58
of the core reason why China tobacco. has
1:08:00
been so ascended. Not only are they part
1:08:02
of the government, not only are they in the room
1:08:05
when the decisions about tobacco control
1:08:07
are being made, other people
1:08:10
who are arguing the other side have seen
1:08:12
their voices greatly diminish
1:08:15
both in the public sphere and behind
1:08:17
closed doors. Yes.
1:08:20
Wow. And I think similar things is
1:08:22
happening just like Jason said.
1:08:24
We could do nothing. For example,
1:08:27
these days when I was reading some
1:08:30
academic journals from the industry,
1:08:32
they they told
1:08:35
that they are going to incorporate
1:08:37
some
1:08:38
research about tobacco industry into
1:08:41
the national scientific funding.
1:08:45
So does
1:08:47
that make sense? So they are going to plan
1:08:49
some research about tobacco
1:08:51
in the national level in the national
1:08:54
funding. So I
1:08:56
think that's something the community should
1:08:58
be doing something, but actually
1:09:00
the community is doing nothing because
1:09:03
yeah. Depressing.
1:09:08
Well, you know, Jude, Jason, thank you so much for
1:09:10
taking the time. There is so much more
1:09:12
in the amazing
1:09:15
piece that you've worked on. It's at the Pulitzer
1:09:17
Center and there's actually
1:09:19
a couple of pieces in this series. I want
1:09:22
to encourage everyone to read them both. It's
1:09:24
called Smoking for the State. They probably
1:09:26
considered puffing for the party, but what's
1:09:29
smoking for the state? It's on the
1:09:31
Pulitzer Center website again. There's also a shorter
1:09:33
version that ran in the USA Today and you can find
1:09:35
it all on the examinations website
1:09:37
as well. We will be sure to put up links
1:09:40
for that. Meanwhile, let us move
1:09:42
on to recommendations. Just a very
1:09:44
quick reminder first that our next China
1:09:46
conference is just about six
1:09:48
weeks away. Have you gotten your ticket
1:09:50
yet? If not, then the full day conference
1:09:52
takes place on November 2nd. It includes quite
1:09:55
a few guests who frequent cynical listeners may
1:09:57
remember. Not only our keynote speaker,
1:10:00
Yasheng Huang, who I interviewed here about
1:10:02
three weeks ago, but also people like Dimitri
1:10:04
Savastopoulos from the
1:10:07
FT Ling Ling Wei from the
1:10:09
Wall Street Journal, Evan Feigenbaum,
1:10:12
who everyone knows here, he's been on the show many times,
1:10:15
and a panel that I am particularly excited
1:10:17
about, which will look at the mind of modern
1:10:19
China with two of the deepest
1:10:21
thinkers I know. We're going to get really philosophical,
1:10:24
Yizhe Ding from Northwestern University
1:10:26
and Tai Tzu Zhang from Yale. Night
1:10:29
one, the evening of November 1st, will
1:10:31
feature a live Seneca taping and a
1:10:33
dinner. It's a VIP event, but please
1:10:36
sign up for that as well. Seneca
1:10:38
is going to focus on China and the global south,
1:10:40
and who better than Eric Olander,
1:10:42
who runs the China Global South
1:10:45
Project and its podcast, which is part
1:10:47
of the Seneca Network, and Maria Repnikova
1:10:49
of Georgia Tech, who's been doing all sorts of really fascinating
1:10:52
work on Chinese soft power, focusing
1:10:54
on East Africa and especially on Ethiopia.
1:10:57
So check that out. You're not going to want to miss that. Get
1:11:00
a VIP ticket, not only to get priority
1:11:03
seating at any of our speaker sessions and workshops,
1:11:05
but also so you can join us on the
1:11:08
1st. Go to www.nextchinaconference.com
1:11:13
for more information. All right,
1:11:15
folks, I hope to see you there, but let's move on
1:11:17
to recommendations. Jude, what
1:11:19
do you have for us? Why don't you start?
1:11:21
Yes, I would recommend
1:11:23
a book named Zhang Chengqiao, 1949
1:11:26
and Beyond. You know, Zhang Chengqiao
1:11:30
was the leader of
1:11:32
the Chinese Community Party during the Cultural Revolution,
1:11:34
and this book tells
1:11:37
the story of
1:11:39
the Cultural Revolution, this 10-year period,
1:11:42
and from the perspective of
1:11:44
Zhang Chengqiao.
1:11:46
It was written by Zheng Zhong,
1:11:49
who worked for a Wenhui newspaper in Shanghai.
1:11:54
At that time, Zheng Zhong was a house
1:11:56
correspondent, just
1:11:59
like me. and he
1:12:01
told a very fascinating
1:12:04
story about John Chintel and this
1:12:06
Tien Year. And I
1:12:08
picked this book because it's
1:12:10
also a reminder for me that although
1:12:14
as
1:12:15
journalists being in a difficult environment
1:12:18
may be our misfortune
1:12:21
but it makes our responsibility to
1:12:24
document even more important. Sometimes
1:12:27
we should just go beyond our
1:12:29
personal reporting feel too regrettable
1:12:31
of what we experience. That
1:12:34
is happening. We should be able to view issues
1:12:36
from a broader standpoint I
1:12:38
think.
1:12:39
John Chintel for those of you who don't know
1:12:42
who he is, I mean he's most famous as one
1:12:44
of the gang of four along with Yao
1:12:46
Yun-en and Wang Wun and of course
1:12:48
Zhang Qing. So
1:12:51
I've never read that book. Is it in
1:12:53
English or is
1:12:54
it in... I searched a lot on
1:12:57
the internet but I didn't find an English
1:13:00
version so I guess it's not translated.
1:13:03
So Zhang Qing Chiao by Jun Zhong
1:13:06
formerly of the Hui Ba. Very very good recommendation.
1:13:09
Thanks thanks excellent excellent. And
1:13:11
Jason what do you have for us? Yeah
1:13:14
my recommendation is going to be a little
1:13:17
less intellectual than Jute so I
1:13:19
am a big fan of this series
1:13:22
called Top Boy which
1:13:24
is a British crime drama originally
1:13:27
aired on Channel 4 I think in the UK. Now
1:13:30
it's part of Netflix but it's a
1:13:32
great great great crime series
1:13:34
great drama if you like The Wire, if you
1:13:36
like Narcos. It gives
1:13:38
you a lot of insight into you know sort
1:13:41
of a different walk of life that people have
1:13:43
in London and
1:13:46
it's a really gripping personal story
1:13:48
I feel like so my recommendation is Top
1:13:51
Boy. Yeah I started
1:13:53
it I got one episode in and I got distracted
1:13:55
by something else but that's a great reminder to go
1:13:57
back to it because I really liked it it was very good.
1:14:01
Definitely watch it with the subtitles on. That's
1:14:03
right. There are a lot of Jamaican West Indian accents
1:14:06
that can be challenging for people who
1:14:08
aren't used to them. Exactly. Yeah.
1:14:12
But excellent, excellent recommendation. Thanks. Alright,
1:14:15
mine is the music of Florence
1:14:18
Price, who was an American composer
1:14:20
who died in 1953. And
1:14:23
I was not really familiar with much of her stuff
1:14:25
at all until the Philadelphia Orchestra
1:14:28
came to town and played a couple of her pieces,
1:14:31
including her symphony number three. I was
1:14:33
just floored at how
1:14:35
beautiful, how moving that third
1:14:38
symphony is. I've since now gotten her
1:14:40
first and her fourth. Her second is missing. And
1:14:44
all the other available music that is there.
1:14:48
I would highly recommend the Philadelphia Orchestra's 2021
1:14:52
recording of her symphony, number
1:14:54
one, number three. They won a Grammy for
1:14:56
that. It's just an exquisite recording
1:14:59
and just beautiful composition. Her
1:15:02
story is crazy. I mean, she's
1:15:05
an African-American composer doing
1:15:08
modern classical music and
1:15:11
really weaving in African-American
1:15:13
music in kind of the same
1:15:15
way that Slavic
1:15:18
music was weaved in some
1:15:20
of my favorite composers in
1:15:23
Central Eastern Europe beginning mid-century
1:15:26
in the 19th century. But the
1:15:29
story of the rediscovery of so
1:15:31
much of her music after 2009. So
1:15:34
in 2009, there was this dilapidated
1:15:36
house in some rural town, it
1:15:39
was called St. Anne or something like that, in
1:15:41
Illinois, where she was
1:15:44
using this as a summer house. And
1:15:46
they discovered this gigantic cache
1:15:49
of her hitherto unknown
1:15:51
works, including one
1:15:55
of her symphonies. And there
1:15:59
was the fourth symphony. and two
1:16:01
violin concertos and dozens
1:16:04
of other really great pieces. So
1:16:06
again, I would recommend that you start with
1:16:09
the Philadelphia Orchestra's 2021 recording of
1:16:12
Symphony I and Symphony III. And
1:16:16
boy, is it good. Just
1:16:19
reminds me that I don't listen to enough
1:16:21
contemporary classical music. Anyway,
1:16:25
Jason, Jude, thank you once again. What a fantastic
1:16:28
conversation and congratulations on
1:16:30
this excellent piece. Thanks so much for having
1:16:32
us. Yeah, thanks. A real pleasure
1:16:35
making both your acquaintance. Jude, Jason,
1:16:37
I hope you come back and please keep me
1:16:39
apprised of future collaborations and
1:16:42
more work that you do on health-related
1:16:45
issues in China. Will do. Thanks
1:16:48
again. The Seneca Podcast is powered by The China Project
1:16:50
and is a proud part of the Seneca Network. Our
1:16:53
show is produced and edited by me, Kaiser Glohe.
1:16:55
We would be delighted if you would drop us an email at
1:16:57
seneca at thechinaproject.com or
1:17:00
just give us a rating and a review on Apple Podcasts
1:17:03
as this really does help people discover the show. Meanwhile,
1:17:06
follow us on the social media platforms
1:17:08
like Twitter and Facebook at Happy
1:17:11
Literature and the Project and be sure to check
1:17:13
out all of our shows.
1:17:16
Thanks for listening. See you next time. Bye.
1:17:26
Bye.
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