Currently viewing the category: "quality of life"
What costs society more, smokers or non-smokers? Think hard because I’m sure you think you know, but you’ll be surprised when you hear the answer. Very good, you guessed right: Non-smokers ultimately cost society more for one simple reason–they live longer!

New research conducted at Vanderbilt University, on the heels of yet another tax increase on tobacco products, shows unequivocally that every pack of cigarettes smoked saves the country 32 cents. That’s right, smokers actually save this country money. Although smokers cost $96 billion a year in direct health care costs and an additional $97 billion a year in lost productivity, they die sooner than non-smokers by about ten years. That additional ten years of life would cost more in general living expenses and further health care costs (Dutch researchers showed last year that smokers cost $326,000 from age 20 on, compared to about $417,000 for thin and healthy people). So why the witch hunt? Well let’s check it out.

What’s the tenor we live by? Life is good, death is bad; avoid death at all costs, right? Truth is that most people don’t want to think about death at all. But let’s not forget about the benefits: Death allows space and resources for new life forms. It maintains the constancy of energy flow. So why do we strive so earnestly to preserve individual life above all else?

Here’s my point: It seems that the goal of modern health care is to maintain life at all costs. Noble, yes, but not necessarily advantageous to humanity as a whole. It also forces us to vilify certain behaviors, certain indulgences–like smoking or obesity or promiscuous sex–that just don’t fit into the “we must live as long as we can” theme.

But I personally appreciate quality of life greatly. Now in that vein, I think smoking can be a detriment to having a quality life–that is, if you value being active, then you probably don’t want to smoke. I speak from experience on this–I smoked cigarettes for twenty years and my life is tremendously better now as a non-smoker for a multitude of reasons. However, I do admit that there were loads of benefits to smoking: it was something I enjoyed immensely to say the least (I talk at length about this in my book, The Six Keys To Optimal Health). So which is more important? I guess every individual needs to decide for himself; but either way, I’ll go with quality of life over quantity anytime.

That’s why I laugh when I see studies like the one above. It goes to show you that some things just aren’t what they seem; and thank goodness for people who actually take the time to think about them in their entirety. I’ll leave you with this: There are many benefits to not smoking, to being physically fit, and to caring for one’s health, no doubt–it definitely is the life I love to live. Saying that, however, there are also benefits to smoking, eating whatever you want, and focusing on things other than health. It’s your call. But don’t let ’em tell you it costs society more–that’s a political game.

Check this out: If you’re a smoker–and a woman–and you quit, you’ll reduce your risk of dying from a smoking related condition significantly over the next five years. You’ll also cut your chance of developing a smoking related cancer by 20% within that same time period. So says the Nurses’ Health Follow-Up Study that looked at 104,519 female participants covering the period from 1980 to 2004. Nice.

I’m really not that much of a “you better quit smoking” person. Weird, huh? Being a doctor and not feeling adamant about banning smoking. Well, I just don’t. I smoked for 20 years and I know its got it’s draw. I also know that cigarette smoking isn’t the only thing that can kill you–pretty much everything can. I mean, we’re all going to die, aren’t we? Case in point: More women who didn’t smoke died in the study (4,485) than both smokers (3,602) and former smokers (4,396) during 1980 and 2004. Yes, this study is ongoing, and has been since 1976, so many of the non-smokers who died were probably older. But that’s not my point: we all die.

For me, dying isn’t the most important issue, though; it’s quality of life. And I can assure you that the quality of my life has improved dramatically since I quit smoking cigarettes. I have more energy. I’m sick less. I can work out harder. My lungs feel stronger and full of air. The list goes on and on. If you smoke, and you have since your childhood like I had, then you won’t know what I’m talking about until you quit. It’s better, trust me.

But, hey, some people can smoke occasionally (very few). If you only smoke once in a while, then you probably get the best of both worlds (kudos, cigar aficionados). But for most people tobacco is addicting, and they’ll enjoy a better quality of life by kicking the habit. And if you really do give a hoot about quantity of life, then you’ll be happy to know that according to the study: being smoke free for 20 years reverts a person to a physiological state of having never smoked at all. Isn’t the human body amazing?

Breaking News: People who are physically fit live longer than those who are not. Does this seem obvious? Maybe not. How many times have I heard, “Jim Fixx (the Godfather of running for fitness) died of a heart attack, so fitness can’t really matter all that much.” Well, now we have evidence to prove otherwise.

A new study lasting for over 20 years and following 15,000 U.S. military veterans showed that men who exercised regularly and were “highly fit” died at half the rate of men categorized as having “low fitness”. And men who were considered “very highly fit” had a 70% lower risk of death than those who had lower fitness scores. Furthermore, going from low fitness to high fitness is not that hard, either. According to Peter Kokkinos, director of the Exercise Testing and Research Lab at the Veterans Affairs Medical Center in Washington, and lead author of the study, “All you need is between two and three hours of brisk walking a week. You can spread that out between four and six days a week.” He goes on to explain that by simply walking briskly for 30 minutes, 5-6 days a week would be enough to push an older or middle-aged man from the “low fit” to the “very highly fit” category in a matter of months.

One of the more interesting finding of the study was that this health benefit was independent of race or income, an idea that I push heavily on this post as well as in my upcoming book, The Six Keys To Optimal Health. In fact, this is the first major study that looked at both black and white men equally. Participants in the study were between 50-70 years old and were encouraged to exercise until they were tired. They were monitored for an average of 7.5 years. The study was controlled for factors of income and access to health care.

OK, I know this doesn’t seem surprising to some of you. Exercise is good for your health–we all know that. But now we know for sure that it not only improves the quality of life–through less pain, increased energy, heightened stamina, better sleep patterns, more stable moods, better sex drive and increased endurance–but also prolongs the amount of time one gets to enjoy that improved life. In other words, by simply exercising, you can not only feel great more often, but you can play harder and longer. Now isn’t that what life should be about?

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