Dangerous busy-bodies! m/rEbola, Smoking, and Mission Creep at the CDC - Reason.com
Jacob Sullum from the January 2015 issue
Controlling contagious diseases is just one of many items on the agency's to-do list.
Tuberculosis, which Frieden helped control in New York City and India as a CDC epidemiologist, is a contagious, potentially lethal disease. Smoking, which Frieden targeted as New York City's health commissioner, is a pattern of behavior that increases the risk of disease.
That distinction matters to people who reject paternalism as a justification for government action. We believe the use of force can be justified to protect the public from TB carriers but not to protect smokers from their own choices.
Frieden rejects that distinction. He sees the goal of public health as minimizing morbidity and mortality, even when they arise from voluntarily assumed risks, and he does not hesitate to rely on state power in pursuing that mission. For him, public health means quarantining and treating disease carriers, but it also means imposing heavy taxes on cigarettes, banning trans fats, and forcing restaurants to post calorie counts.
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