Send vape fears up in smoke

A new paper from the neoliberal think tank the Adam Smith Institute says if the UK Government wants to achieve its aim of a smoke-free generation by 2030 it will need a liberal approach to safer alternatives.

• Britain should not succumb to the same moral panic on vaping as has been seen in America.

• There is widespread misinformation about the relative risk of e-cigarettes. Over two-fifths (43%) of UK smokers do not believe that e-cigarettes are less harmful than tobacco cigarettes.

• There is a very strong correlation between the reduction in cigarette usage and the increase in e-cigarette usage in recent years. According to PHE estimates, up to 57,000 more people have quit a year due to e-cigarettes.

• There are 8.56 million smokers in Great Britain, 4.37 million smokers have tried e-cigarettes but gone back to smoking, while 2.88 million smokers have yet to try a reduced-risk product. This means there is a need to expand information about and access to reduced-risk products like heated tobacco and oral nicotine pouches.

• Among young people (16-24 year olds) the smoking rate has substantially increased in the last few years. In 2016, just 16.6% of young people smoked cigarettes, but this had increased to 23.6% by 2018. Since 2016, vaping in this age group has declined from 5.8% to 4.8%. 

Recent concerns about the safety of vaping from the USA are nothing to worry about for UK users. However, a new report by the Adam Smith Institute argues that Britain is at risk of a similar moral panic on vaping as seen over the pond this summer.

Earlier this year, a cluster of people developed severe and sudden lung injuries after e-cigarette use and several deaths have been linked to this. Following these reports, the U.S Centre for Disease Control’s response discouraging the sale and use of e-cigarettes spread a moral panic without scientific basis. The cause, the paper argues currently is likely to have been the use of unregulated black market e-liquids containing THC (the psychoactive ingredient in cannabis) and other chemicals. 

As e-cigarette use has increased in the UK, the numbers smoking traditional cigarettes has declined markedly. Since 2012 the number of smokers has decreased by 2 million, while e-cigarette use has increased from 800,000 to 3.2 million people in 2018. Over half of vapers are ex-smokers, with nearly four in ten being dual users and less than one in ten coming from a non-smoking background. 

This switching has had marked benefits to those who used to smoke. According to PHE estimates, up to 57,000 more people have quit a year due to e-cigarettes. 

But the Adam Smith Institute says Britain risks going backwards if we don’t keep up and promote switching to safer products, including encouraging further understanding of and a friendly approach to heated tobacco and oral nicotine pouches. Over four in ten smokers do not know that e-cigarettes are less harmful to health than traditional burned tobacco cigarettes. 

Far from the fears about e-cigarettes being a causal gateway into smoking, the report points to evidence that young people are taking up traditional cigarettes at alarming rates again while relatively few opt for e-cigarettes. 

The free market think tank suggests seven ideas that the government may want to implement if they want to achieve their stated goal of a smoke-free society by 2030: 

1. Develop an evidence-based set of generic health claims that can be used by regulated e-cigarette marketers to advertise products; 

2. Commission independent research to develop the evidence base in relation to heated tobacco products, with a view to allowing accurate communication of this information by marketers;

3. Reform counterproductive elements of the EU Tobacco Products Directive post-Brexit; 

4. Implement risk-based taxation to incentivise switching to reduced-risk products, building on the creation of a separate taxation category for heated tobacco; 

5. Legalise snus post-Brexit with a sensible regulatory framework; 

6. Encourage the NHS to take a leadership role in promoting tobacco harm reduction across trusts; 

7. Allow cigarette pack inserts that exclusively advertise reduced-risk products.

Daniel Pryor, author of the report and Head of Programmes at the Adam Smith Institute, said:

“Vaping is a British success story. It gives many smokers an effective and less harmful alternative to cigarettes. Free market innovation and sensible regulation are reducing the demand for cigarettes and saving lives — all the while retaining consumer choice. But there is substantial room for improvement as millions of smokers have yet to try vaping and millions more have tried it but returned to cigarettes. If the Government wants any chance of achieving a 'smoke-free' society by 2030, we urgently need to implement policies that encourage switching from smoking to vaping, and give smokers who don't like vaping more options to switch to other safer products.”

Matthew Lesh, Head of Research at the Adam Smith Institute, says: 

“E-cigarettes are a life-saving innovation that helps people quit cigarettes, but there's so much further to go. If the Government is serious about public health they must take a liberal approach to harm reduction. This means combating misinformation about the harm of e-cigarettes and harnessing the potential of reduced-risk products such as heated tobacco and oral nicotine pouches.”

Notes to editors:  

For further comments or to arrange an interview, contact Matt Kilcoyne, matt@adamsmith.org | 07904 099599.

The Adam Smith Institute is a free market, neoliberal think tank based in London. It advocates classically liberal public policies to create a richer, freer world.

Don’t railroad it through — rethink HS2

A new paper from the free market, neoliberal think tank the Adam Smith Institute says the UK Government should rethink the controversial HS2 project - and sets out a number of alternatives to save time, save money, and deliver an improved service for rail passengers. The report argues that:

• HS2 risks being a massive black hole for taxpayer money with virtually nothing to show for it returning just 78 pence of value for every £1 of taxpayers' money spent. 

• Under HS2, a number of key northern cities destinations will lose direct trains to London: including Lancaster, Carlisle and Durham.

• The West Coast, East Coast and Midland Main Lines should all be upgraded at current bottlenecks to four tracks to improve capacity.

• The Great Central Railway should be reopened between London and Rugby. 

• Spur lines between the Main Lines and major cities like Birmingham and Manchester have speeds around half of that on the WCML/ECML. Key routes should all be upgraded to high speed electrified lines at 125mph. 

• Open a new London station at Old Oak Common to increase future northern train capacity.

As HS2 continues to run substantially over budget and fail to meet deadlines, rail expert Adrian Quine argues for a rethink on the UK’s rail policy. Ahead of the planned review to HS2, he writes for the Adam Smith Institute and sets out a number of less costly alternatives to the failed project — including upgrading existing routes with new signalling, doubling the number of tracks, reopening mothballed lines, and timetable redesigns.

HS2 is a product of political thinking, poor management and overly complex design. The project has been mismanaged from the outset, with too much emphasis on a misguided belief that it was the only solution to Britain’s ailing rail network, the free market think tank argues. 

The paper argues that the failure to deliver HS2 on-time and on-budget is just another example of a long string of failed rail projects. Including Crossrail, which was allocated a budget of £15.4 billion and was supposed to have opened in December 2018. It has currently spent £17.6 billion and is still under construction with opening delayed until early 2021.

Instead of focussing on a single project with rapidly escalating costs — government should instead admit that the project is no longer fit for purpose. 

HS2 was designed to increase capacity and reduce time spent on trains. The new report details smarter ways of achieving the same outcome for less money and in less time. 

UK rail passenger numbers have doubled in the past 15 years and are predicted to grow substantially going forward. 

There are a number of ways to improve Britain’s railways, without breaking the bank or causing undue disruption to towns and cities. The Adam Smith Institute report sets out a five point plan to replace HS2:

1. Upgrading existing routes with new signalling, doubling the number of tracks, reopening mothballed lines, and timetable redesigns;

2. Building new sections of conventional high speed, including between the mainlines and Manchester, Leeds and Birmingham, and upgrading northern sections of the mainlines;

3. Maximising current infrastructure by targeting bottlenecks on conventional lines,  including building flyovers at key junctions, upgrading the Chiltern route to Birmingham or reopening the southern section of the Great Central railway, raising line speeds to at least 125mph;

4. Upgrading stations in London, Birmingham and Manchester; and

5. Updating train facilities like wifi, seat quality, and charging points to improve passenger experience.

New conventional high speed between major cities like Manchester, Leeds and Birmingham, upgraded northern sections of the mainlines and reduced bottlenecks would, the think tank argues, altogether cost less than the projected £106bn pricetag for HS2.

In addition to existing lines there is potential too to look again at reopening the Great Central route between London and Rugby, with a new London terminus opened at Old Oak Common to increase capacity on northern trains coming into the capital. 

In order to deliver the rail infrastructure of the future, the Government should also look to private sector to fund projects. The Adam Smith Institute says that if private sector players are trying to get involved with a specific project it is an indication it would receive enough patronage to be profitable in its own right.

The paper comes out as the government is reviewing the viability of HS2 as currently envisaged. New options on high speed rail securing the same objectives at a lower cost, at just the right time.

Adrian Quine, rail expert and report author, said:

“HS2 has become the most out of control project of our generation. There is no disputing that the UK needs new rail infrastructure but HS2 does not deliver what it claims. It is ideologically driven, over engineered and will not solve the problems facing rail travellers today.

“Britain does need new lines in places and does need investment in rail to support the economy and social mobility. So much can be achieved with our existing network rather than applying an HS2 sledgehammer to crack a nut.”

Matthew Lesh, Head of Research at the Adam Smith Institute, said:

“HS2 is a massive white elephant - but it’s not too late to abandon this project that’s over budget and missing deadlines before it causes any more national embarrassment. It is broadly accepted that we need to increase capacity on the intercity rail lines, but this can be done without a £106 billion price tag for the taxpayer. 

“We can upgrade bottlenecks in existing lines, build new lines into major cities like Manchester, Birmingham, and Leeds, and reopen unused lines. It’s time to say goodbye to the failed HS2 model and think of innovative, cost-effective solutions to deliver the railway network of the future.” 

Notes to editors:  

For further comments or to arrange an interview, contact Matt Kilcoyne, matt@adamsmith.org | 07904 099599.

The Adam Smith Institute is a free market, neoliberal think tank based in London. It advocates classically liberal public policies to create a richer, freer world.

Boris can talk the talk, but can he walk the walk?

Boris set out a strong defence of free market economics as the UK leaves the EU. It's a positive vision but one that can't just be words, but needs deeds too. The Adam Smith Institute looks at what the Prime Minister’s speech to Conference said and what it should mean.

Deputy Director of the Adam Smith Institute, Matt Kilcoyne, said:

“It’s refreshing to hear a Conservative Prime Minister backing dynamic free market capitalism and damning failed socialism. If the Prime Minister wants to send Corbyn into orbit, he needs to match his words with deeds. A high skill and low tax economy is possible post Brexit. But it will mean bringing down the fifty year high tax burden on businesses and individuals. It will have to mean reducing trade barriers with the USA, Commonwealth and Asian markets.  

“It will also mean making sure we’re paying our way. It may not fit the zeitgeist, but Britain is still running a deficit, and government debt stands at over £1.8tn. We must not pass the buck to the next generation. The best way to do this is through growth, so it’s good to hear the Prime Minister reiterate his commitment to decreasing red tape, increasing in capital allowances, founding new freeports, and championing free trade.”

Daniel Pryor, Head of Programmes at the Adam Smith Institute, questioned the love-in for the NHS:

“Boris set out a bombastic Conservative case for the NHS, but he left out some crucial stats. Cancer survival rates in the NHS are behind the likes of Australia, Denmark, Ireland, New Zealand and Norway. Healthcare free at the point of use, but using private providers, is an elegant solution to a simple problem. It’s tried and tested right across Europe and it means longer healthier lives. Boris’ love for free market capitalism and the dynamism of service and innovation it provides should extend to our national health rationing service.” 

For further comment, or to arrange an interview, please contact Matt Kilcoyne on 07904099599 or email matt@adamsmith.org