[QUOTE=amrussell]
I don’t want an outright ban on smoking because the level of policing/government control required for that - basically, CCTV cameras in the home - strikes me as brutally excessive, even for the higher benefit in lives saved.
[/QUOTE]
I don’t believe that such a ban could be enforced completely, but I suspect a ban without the totalitarian measures you’re assuming would still probably save more lives (from medical consequences of smoking, that is - I’m ignoring the increased costs in lives that would be associated with the smuggling and underground economies that would follow such a ban.) than the 1000 this measure claims to expect to save.
I don’t know enough about the UK’s tax structure to say anything about how possible a complete tobacco ban might be. In the US, I believe that it is impossible, because so-called sin taxes, and the tobacco settlement monies, are a huge part of state and local governmental revenues. I do not believe that it is possible, at this point, to get away from tobacco - because it would cost too much to give up those revenues.
Which is part of why an opt-out plan, transplanted to the US, would annoy me so much. The gov’t would be willing to unilaterally claim the bodies* of its citizens in the name of public health, while accepting blood monies from an industry that causes far more deaths than such a policy could possibly save. There’s also the problem I have with the fact that everyone else involved in organ and tissue donation is going to be well compensated for their time and expertise. Except the donor or the donor’s family.
IMNSHO the only reason that the organs of the deceased have no monetary value, as others have said in this thread, is because the governments involved have, by fiat, acted to prevent the sale of such things. Now, I’m not saying that’s the wrong decision. I understand many of the arguments against allowing the sale of organ or tissue. The most radical change I’m willing to advocate is to try to open up a discussion of whether the wrongs inflicted by allowing the open sale of organs would be outweighed by the good of increasing the supply that may follow from such a change. I don’t know the answer to that, but in the current political climate, I don’t think the question has been even asked.
But to have the lack of monetary value used as a rationale to justify confiscating organs from the deceased seems like something of a conflict of interests. Since it is a different arm of the confiscatory organization that has decreed that those same organs it wants have no economic value.
*Sure, you can contest that claim, but the gov’t is in effect saying that it will own your physical remains, unless you fill out form MINE-1253.67(a). That seems pretty unilateral to me.