I had expected an austere, sanatorium-like atmosphere, with staff in crisp lab coats, the walls plastered with rules and bumper sticker–type slogans: Rehab is for quitters, maybe. Instead, the place skews toward homey, or at least as homey as a medical facility can be, with nary a motivational poster to be seen. My room features a Murphy bed, a small desk, a wall-mounted TV, and an inoffensive print; brown and beige are the dominant colours. The space is reminiscent of an upscale dorm or a highway motel, except for the syringe disposal receptacle in the bathroom.
But matters of decor are not top of mind on this Friday in January, as I stand outside the entrance of the building. Instead, I’m focused on cigarettes—or, more precisely, smoking as many of them as possible in the time left before 4:30 p.m., when nine other people and I will hand over our packs and lighters, and put our faith in the Mayo Clinic’s Nicotine Dependence Center. (...)
I could claim that an extremely belated road-to-Damascus experience led me to rehab, but the fact is, for years now, you have had to be either terminally dense or a Big Tobacco executive (not mutually exclusive categories) to deny the health risks. It wasn’t even the pariah status, the death-ray glares of disapproval that lighting up automatically incurs. True, that contempt—and its flip side, a self-image hovering below zero—was one of the reasons I’d quit numerous times over the past five decades. I had stopped for as little as a week and as long as seven years, the latter an interregnum that went up in flames during an evening that featured a lot of fun and too much wine; suddenly, cadging a cig seemed like a good idea. Within a week, I was back to a pack and a half a day.
This time, there were two things that influenced me to kick the habit. One was my kid, twenty-three years old and a smoker since he was fifteen. I know he’s not immortal, even if he doesn’t, and my guilt about being a noxious role model is intense. The second, at the risk of seeming to have skewed priorities, was the money. I was smoking two large packs a day—fifty cigarettes, about thirty more than what’s currently defined as heavy smoking—which translated to a ludicrous $8,750 a year. On the cusp of retirement, with its decreased income, I realized I couldn’t afford to keep smoking if I still wanted to live indoors. (...)
The truth is that we don’t fund cigarette rehab because we don’t consider smoking a true addiction. Today, people are said to be hooked on everything from Facebook to Oreos, but being an Internet fanatic or cookie monster is not the same as experiencing the panicky tightening in the gut, the I’d-do-anything-for-a-hit feeling, that strikes when you’re running short of fill-in-the-blank—smack, booze, Oxys, cocaine, cigs. Unlike those other substances, though, cigarettes are both legal and, when used as intended, apt to kill their consumers. It’s impossible to contemplate these dissonant facts without engaging in some conspiracy theorizing. Might there be a connection between cigarettes’ still-lawful status, despite their indisputably lethal nature, and the $7.3 billion in tobacco-related tax revenue the federal and provincial governments reaped last year? After all, if everyone actually quit, that’s a lot of dough forgone.
Behind these counterintuitive policies is the big lie that smoking is merely a bad habit. As the industry’s disingenuous slogan of the 1980s and 1990s had it, “My pleasure, my choice.” But it’s not just Big Tobacco that advances this perspective. Last February, Globe and Mail columnist Margaret Wente articulated a common outlook: “If addiction is a disease, it’s a peculiar one.” Her point was that, unlike those with so-called real diseases, addicts get themselves into trouble and can jolly well get themselves out. “The disease model of addiction implies that the victim is helpless,” she wrote. “It denies the role of personal agency, which is probably the most important force of all when facing down your demons.”
This is reminiscent of how wartime post-traumatic stress disorder was once chalked up to LMF—lack of moral fibre. It’s the attitude of those who unhelpfully recount how they just got up one day and pitched their cigs, the implication being that you could do the same if you weren’t such a gormless loser.
But matters of decor are not top of mind on this Friday in January, as I stand outside the entrance of the building. Instead, I’m focused on cigarettes—or, more precisely, smoking as many of them as possible in the time left before 4:30 p.m., when nine other people and I will hand over our packs and lighters, and put our faith in the Mayo Clinic’s Nicotine Dependence Center. (...)
I could claim that an extremely belated road-to-Damascus experience led me to rehab, but the fact is, for years now, you have had to be either terminally dense or a Big Tobacco executive (not mutually exclusive categories) to deny the health risks. It wasn’t even the pariah status, the death-ray glares of disapproval that lighting up automatically incurs. True, that contempt—and its flip side, a self-image hovering below zero—was one of the reasons I’d quit numerous times over the past five decades. I had stopped for as little as a week and as long as seven years, the latter an interregnum that went up in flames during an evening that featured a lot of fun and too much wine; suddenly, cadging a cig seemed like a good idea. Within a week, I was back to a pack and a half a day.This time, there were two things that influenced me to kick the habit. One was my kid, twenty-three years old and a smoker since he was fifteen. I know he’s not immortal, even if he doesn’t, and my guilt about being a noxious role model is intense. The second, at the risk of seeming to have skewed priorities, was the money. I was smoking two large packs a day—fifty cigarettes, about thirty more than what’s currently defined as heavy smoking—which translated to a ludicrous $8,750 a year. On the cusp of retirement, with its decreased income, I realized I couldn’t afford to keep smoking if I still wanted to live indoors. (...)
The truth is that we don’t fund cigarette rehab because we don’t consider smoking a true addiction. Today, people are said to be hooked on everything from Facebook to Oreos, but being an Internet fanatic or cookie monster is not the same as experiencing the panicky tightening in the gut, the I’d-do-anything-for-a-hit feeling, that strikes when you’re running short of fill-in-the-blank—smack, booze, Oxys, cocaine, cigs. Unlike those other substances, though, cigarettes are both legal and, when used as intended, apt to kill their consumers. It’s impossible to contemplate these dissonant facts without engaging in some conspiracy theorizing. Might there be a connection between cigarettes’ still-lawful status, despite their indisputably lethal nature, and the $7.3 billion in tobacco-related tax revenue the federal and provincial governments reaped last year? After all, if everyone actually quit, that’s a lot of dough forgone.
Behind these counterintuitive policies is the big lie that smoking is merely a bad habit. As the industry’s disingenuous slogan of the 1980s and 1990s had it, “My pleasure, my choice.” But it’s not just Big Tobacco that advances this perspective. Last February, Globe and Mail columnist Margaret Wente articulated a common outlook: “If addiction is a disease, it’s a peculiar one.” Her point was that, unlike those with so-called real diseases, addicts get themselves into trouble and can jolly well get themselves out. “The disease model of addiction implies that the victim is helpless,” she wrote. “It denies the role of personal agency, which is probably the most important force of all when facing down your demons.”
This is reminiscent of how wartime post-traumatic stress disorder was once chalked up to LMF—lack of moral fibre. It’s the attitude of those who unhelpfully recount how they just got up one day and pitched their cigs, the implication being that you could do the same if you weren’t such a gormless loser.
