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The Power Of Paperwork: How Philip Morris Neutralized The Medical Code For Secondhand Smoke
Daniel M. Cook,
Elisa K. Tong,
Stanton A. Glantz and
Lisa A. Bero
A new medical diagnostic code for secondhand smoke exposure became available in 1994, but as of 2004 it remained an invalid entry on a common medical form. Soon after the code appeared, Philip Morris hired a Washington consultant to influence the governmental process for creating and using medical codes. Tobacco industry documents reveal that Philip Morris budgeted more than $2 million for this "ICD-9 Project." Tactics to prevent adoption of the new code included third-party lobbying, Paperwork Reduction Act challenges, and backing an alternative coding arrangement. Philip Morris’s reaction reveals the importance of policy decisions related to data collection and paperwork.
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D. Best, Committee on Environmental Health, Committee on Native American Child Health, and Committee on Adolescence
Secondhand and Prenatal Tobacco Smoke Exposure
Pediatrics,
November 1, 2009;
124(5):
e1017 - e1044.
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