philip morris’s project sunrise: weakening tobacco control by working with it ruth e. malone, rn,...

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Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University of California, San Francisco Department of Social & Behavioral Sciences Funding: NCI CA095989, American Legacy Foundation Fellowship, CA Tobacco-Related Disease Research Program 13KT- 0081

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Page 1: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Philip Morris’s Project Sunrise:Weakening tobacco control by

working with it

Ruth E. Malone, RN, PhDPatricia McDaniel, PhDElizabeth A. Smith, PhD

University of California, San FranciscoDepartment of Social & Behavioral Sciences

Funding: NCI CA095989, American Legacy Foundation Fellowship,

CA Tobacco-Related Disease Research Program 13KT-0081

Page 2: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

1990s: U.S. tobacco industry faced challenges

• FDA attempts to regulate cigarettes/nicotine

• Multiple state lawsuits• Smokefree laws • Tobacco control activism• Critical media coverage

Page 3: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

If status quo were maintained…

Source: PM 2044341638/1676

Page 4: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Source: PM 2044341638/1676

Page 5: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Source: PM 2044341638/1676

Page 6: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

But…with a “proactive agenda”…

Source: PM 2044341638/1676

Page 7: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Source: PM 2078018689/8800

Page 8: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Source: PM 2070437692/7704

Page 9: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

“Fair Play” included:

Source: PM 2063393720/3726

Page 10: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Research—important because…

“Antis activities are… a principal reason for…negative sentiment against the tobacco industry.

Anything we can do to research and counteract their activities is at the same level as our research on ETS or nicotine (albeit not as high profile…”

Source: PM 2046901461

Page 11: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Relationships—important because…

Page 12: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Exacerbating conflicts

Page 13: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Source: PM 2063393720/3726

Page 14: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Source: PM 2062367623/7628

Page 15: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Weaken credibility

• “Publicize financial motives of Voluntary Health Organizations: How do these organizations raise funds and what do they do with them?...

• “Work with other social stakeholders to question priorities of foundations involved in tobacco advocacy—e.g. raise questions about why RWJ foundation support is not going to other causes.”

Source: PM 2063393720/3726

Page 16: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Diminish funding

• “Establish a coalition of watchdog groups, conservative media and non-traditional allies to publicize evidence of abuses of federal and state statutes…

• Divert funds to either “benign” tobacco-related programs, or to programs that affect other social policy stakeholders…An example might be to divert ASSIST or IMPACT funding into programs designed to enforce tobacco minimum age laws.”

Source: PM 2063393720/3726

Page 17: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Source: PM 2063393705/3719

Page 18: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Evidence of implementation• Research:

Created “Common Ground” database on tobacco control organizations:

biographical informationfunding sourcespolitical contributionsadvertisingmeetingsbudgetspolicy priorities/planscommunications

Page 19: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University
Page 20: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Evidence of implementation

• Relationships:– Attempted “dialogue” with AHA, ACS, ALA re:

youth smoking, access– Attempted dialogue with RWJ; rebuffed– National 4-H youth smoking initiative (1998)– Overtures to TC leaders re: harm/risk reduction– Corporate philanthropy

Page 21: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Evidence of implementation

• Diminish funding:– May have urged IRS to investigate AHA,

ALA political activity– National Smokers’ Alliance sued Roswell

Park Cancer Institute– PM report on ‘waste, fraud and abuse’ in

California TC expenditures– Attacking ASSIST– Marked ↓ in TC funding

Page 22: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Evidence of implementation

• Weaken credibility:– Message testing– Use of third-party allies, e.g. taxpayer,

smokers’ rights, pro-choice/tolerance groups accuse TC groups of “extremism”

Page 23: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Source: PM 2078018689/8800

Page 24: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Improved attitudes toward PM

• 1993: PM’s opinion research showed:Highly negative view of company

• 2000: 39% view favorably18-34 age group rating grew by 26 percentage points

• December 2000: More young adults view PM favorably (45%) than unfavorably (34%)

Page 25: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

Conclusions

• PM’s makeover is not just PR: It is calculated to undermine the tobacco control movement by creating conflict and thwarting industry delegitimization as a TC strategy

• “Partnerships” with TC may serve PM’s aims of disempowering TC movement and enhancing its own social acceptability

Page 26: Philip Morris’s Project Sunrise: Weakening tobacco control by working with it Ruth E. Malone, RN, PhD Patricia McDaniel, PhD Elizabeth A. Smith, PhD University

“One last point…

• “This is a long-term project….It will take a series of interdependent actions, plans and initiatives. A reweaving of the fabric of social acceptability.”

Source: PM 2078018668/8672