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July 19th, 2015:

Cigarettes should cost £15 a packet to prevent thousands of deaths, say leading medics

Cost of a packet of fags could rocket as high as £15 by 2020 if proposals to crack down on smoking are given the go ahead


Medics want the Government to consider big hikes in cigarette prices and a new “fat tax” to prevent 30,000 cancer deaths a year.

Experts on the Independent Cancer Taskforce also said all patients should get their cancer test results within four weeks in a drive to save more lives through early diagnosis.

In their new report, the taskforce set out a six-point plan to help an extra 30,000 patients every year survive cancer for ten years or more by 2020.

Last year, 280,000 people in England were diagnosed with cancer, but the figure is expected to soar to 300,000 by 2020 and to more than 360,000 by 2030.

Doctors predict one in two people will develop cancer at some point in their lives at a time when Britain’s ageing population are putting “unprecedented pressure” on the NHS, according to the taskforce.


Its six-point plan includes a call for the Government to bring in a new “tobacco strategy” within the next year.

The crackdown could see a pack of 20 cigarettes soar to up to £15 by 2020 due to a huge tax hike aimed at seeing smoking levels slashed from 18.4% now to just 13% by 2020.

The medics also want to see a national action plan on obesity which could pave the way for new taxes on fatty foods, fizzy drinks and sugary products.

In an effort to diagnose cancer victims more quickly, the taskforce wants patients – who should be seen by a specialist within 14 days of being referred by their doctor – to get their results within four weeks.

Other key recommendations include the replacement of old radiotherapy machines and plugging gaps among the ranks of NHS cancer specialists.

The taskforce has recommended that a National Cancer Team should oversee the delivery of its plan.

Harpal Kumar, chair of the Independent Cancer Taskforce, said: “We have an opportunity to save many thousands of lives from cancer every year.

“We’re better informed than ever about how best to prevent, diagnose and treat the disease, and how to deliver better patient experience and quality of life. What’s needed now is action.”

Labour’s Shadow Health Minister Andrew Gwynne welcomed the report, but warned patients were waiting too long to get cancer tests.

Mr Gwynne said: “When it comes to cancer, speed is everything and patients are being badly let down by the Tories.”

NHS England chief executive Simon Stevens said: “One in two of us will get cancer at some point in our lives, and the good news is that survival rates are their highest ever.

“But two fifths of cancers are preventable, and half of patients are currently diagnosed when their cancers are advanced.

“That’s why the NHS will be backing this groundbreaking route map for prevention, earlier diagnosis, modern treatments and compassionate care, which the Taskforce estimates could save 30,000 lives a year.”

Duncan Selbie, chief executive of Public Health England, said: “Four in ten cancers are preventable and without concerted action on risk factors like smoking, alcohol and diet, cancer will spread even greater misery to those affected.

“The Cancer Taskforce rightly state that we need a radical upgrade in prevention and public health.”

Big Tobacco Heads to Court Over Cigarette Plain Packaging Laws

By Brian Focarino

In late May, global tobacco giants Philip Morris International (PMI), British American Tobacco (BAT), and Japan Tobacco International (JTI) sued the British government over new legislation that will introduce plain tobacco packaging to the UK in May 2016. The British legislation, aimed at curbing demand for cigarettes, requires that all cigarettes be sold in uniform packs with all branding, including colors, logos and other trademarks, removed. Companies are only permitted to print the brand’s name, in a uniform font, size, and location, on the pack, alongside health warnings and deterrent images. Other tobacco companies, such as Imperial Tobacco, have indicated that they will “be left with no choice” but to challenge the regulations as well.

The tobacco companies allege that the government’s plain packaging rules deprive them of property in the form of trademarks, and seek compensation that could extend into the billions of pounds. Specifically, the tobacco companies’ assert: (1) the regulations unlawfully deprive tobacco companies of their trademarks, in contravention of English and EU law prohibiting depriving private entities of property without fair compensation; (2) the regulations violate the EU law that says community trademarks can be used by identical means throughout the EU, which would be impossible if the UK government bans their use in the UK; and (3) the regulations obstruct the free movement of goods through means that are neither necessary nor proportionate to achieving the UK government’s public health objectives.

In 2011, Australia became the first country to pass plain packaging legislation, which took effect in December 2012. At the time, BAT, which had 46% of the tobacco market share in Australia, challenged the decision, noting that “[t]he government can’t take away valuable property from a legal company without compensation.” BAT claimed that the company’s brands were worth billions of dollars, and that the legislation was unconstitutional on the grounds that BAT and other tobacco manufacturers were legal companies selling legal products to adults who assumed the risk of using the products.

Tobacco companies filed suit, but in October 2012 the High Court of Australia ruled against the plaintiffs and in favor of the Australian government, upholding the law even though the High Court recognized the impositions of plain packaging “may be said to constitute a taking in the sense that the plaintiffs’ enjoyment of their intellectual property rights and related rights are restricted.”
Since that time, the governments of Ukraine, Indonesia, and the Dominican Republic, joined by dozens of other countries, have challenged the measure before international tribunals, alleging that Australia’s Tobacco Plain Packaging Act of 2011 violates international property treaties and amounts to a technical barrier to trade in contravention of countries’ rights under World Trade Organization (WTO) agreements.

In March of this year, Ireland became the first European country to pass plain packaging legislation. At the time, Ireland’s Minister for Children and Youth Affairs hailed the legislation, noting that it would “strip away the illusions created by shiny, colourful cigarette packets and replace them with shocking images showing the real consequences of smoking.” JTI, on the other hand, called the plain packaging legislation “disproportionate, unjustified, and unlawful.”

The International Trademark Organization (INTA) passed a resolution in May calling for the repeal and rejection of plain packaging measures, saying such measures violate various international treaties and national laws, including the provisions of the Paris Convention, the Technical Barriers to Trade Agreement, and the Agreement on Trade-related Aspects of Intellectual Property Rights (TRIPS). Specifically, Article 20 of TRIPS requires that “[t]he use of a trademark in the course of trade shall not be unjustifiably encumbered by special requirements, such as use with another trademark, use in a special form or use in a manner detrimental to its capability to distinguish the goods or services of one undertaking from those of other undertakings.” Prohibiting companies from using trademarks to distinguish products vis-à-vis the end consumer for “products which are lawful to be placed on the market,” INTA argues, amounts to an unlawful confiscation of the private property rights of companies. Others, however, including Professors Andrew Mitchell and Tania Voon of the University of Melbourne Law School, are not so sure. The Australian measure is likely to pass muster under TRIPS Article 20 and other provisions, they claim, because “even if the scheme encumbers trademarks with special requirements, that encumbrance is justifiable and indeed justified by relevant evidence including the public health objectives of the Australian government.”

INTA’s resolution warned that tobacco plain packaging could result in a domino effect, encouraging countries to impose similar restrictions “on an expanding list of categories of products.” These might include alcohol or pharmaceuticals.

Notwithstanding these concerns, other European countries, such as France and Norway, are moving ahead with consultations aimed at potentially adopting plain packaging in their respective countries. In March of this year, the Swedish Minister of Public Health also chimed in, saying that Sweden has “an urgent need to investigate the possibility of requiring plain tobacco products packaging.”

Compounding the issue are recent studies, announced this spring, that purport to show that Australia’s plain packaging laws have been successful, resulting in a statistically significant increase in the number of Australians thinking about and making attempts to quit smoking. Study authors have indicated that in light of these findings, they expect more countries to follow Australia’s lead.

Tobacco companies, by contrast, have warned that a complete ban on trademark use would “distort the market,” resulting in competition only on the basis of collapsing prices. Australian study authors rejected this, however, finding “no evidence of either of [those] effects.” Although some of the studies focused more on the presence of more prominent health warnings and images, others found that “removing brand imagery from packs increased the focus on health warnings.”

Tobacco packaging litigation in the United States in recent years has concerned graphic warning labels and the First Amendment, with American courts siding with tobacco companies. Any attempts at plain packaging proposals like the recent UK legislation would almost certainly be constitutionally indefensible in the United States.

While government initiatives aimed at limiting the appeal and prevalence of smoking are laudable, recent proceedings initiated before the WTO and private lawsuits between big tobacco and government raise questions about the legality of plain packaging and trademarks’ place as a species of private property.

Proceedings in the coming months will instruct as to whether international governments may want to begin investigating other ways to achieve policy goals in ways that don’t burden, and potentially violate, international treaties and national laws concerning trademarks. As Marc Firestone, PMI’s senior vice president and general counsel put it, “[c]ountries around the world have shown that effective tobacco control can co-exist with respect for consumer freedoms and private property.”