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AJPH First Look, published online ahead of print Jul 16, 2009
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September 2009, Vol 99, No. 9 | American Journal of Public Health 1588-1595
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.151829

GOVERNMENT, POLITICS, AND LAW

The Politics of Smoking in Federal Buildings: An Executive Order Case Study

Daniel M. Cook, PhD and Lisa A. Bero, PhD

At the time of this study, Daniel M. Cook was with the Institute for Health Policy Studies, University of California, San Francisco. Lisa A. Bero is with the Department of Clinical Pharmacy and the Institute for Health Policy Studies, University of California, San Francisco.

Correspondence: Correspondence should be sent to Daniel M. Cook, PhD, School of Community Health Sciences, University of Nevada, Mailstop 274, Reno, NV 89557 (e-mail: dmcook{at}unr.edu). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.

Executive orders are important presidential tools for health policymaking that are subject to less public scrutiny than are legislation and regulatory rulemaking. President Bill Clinton banned smoking in federal government buildings by executive order in 1997, after the administration of George H. W. Bush had twice considered and abandoned a similar policy.

The 1991 and 1993 Bush proposals drew objections from agency heads and labor unions, many coordinated by the tobacco industry. We analyzed internal tobacco industry documents and found that the industry engaged in extensive executive branch lobbying and other political activity surrounding the Clinton smoking ban.

Whereas some level of stakeholder politics might have been expected, this policy also featured jockeying among various agencies and the participation of organized labor.






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