Customer Rating: Summary: Politically smart and pure ... Comment: ABOUT THE AUTHOR
I am very impressed with a person like David A. Kessler, MD, JD, who is very knowledgeable and compassionate to our community. During his time of directing FDA, he directed a number of new programs, including: the regulation of the marketing and sale of tobacco products to children; nutrition labeling for food; user fees for drugs and biologics; preventive controls to improve food safety; measures to strengthen the nation's blood supply; and the MEDWatch program for reporting adverse events and product problems. He emphasized strong law enforcement and created an Office of Criminal Investigation within the agency.
THE CONTENT OF THE BOOK
There are two keywords in this book as can be seen from the title. First key word is "intent" which is talking about the intention of the tobacco companies to secretly increase the level of nicotine in cigarettes that functions as a main selling point through the effect of addiction to the smokers. The second one is "battle with a deadly industry" which is talking about the great battle between FDA and the untouched and deadly tobacco industries for decades due to their collusions and strong lobby with congressional parties.
With his broad spectrum experiences and background in medical, scientific, legal, and political skills plus his sincere dedication to humanity, especially children and youth, Dr. Kessler was able to reveal and breakthrough the tobacco scandal's fortress. His bold initiative to investigate this scandal significantly proved that tobacco industries intended addiction to their customers. With this battle, he had to face that the majority of Congress, the industrial people and any others at that time did not give any support to his good will. He even had to go through a dark painful experiences of being strongly disagreed, ignored, and mocked by others. Here is one sample of them, taken from his statement in page 168. "Their initial confidence that the FDA's efforts would go nowhere had been bolstered by the early predictions of stock analysts: `Kessler Testimony Is Mostly Noise, Threat of Regulation by FDA Is Limited,' declared one respected Wall Street expert"
When I checked out the information about the author, I did not see any reason to think he was either an attention seeker or having non professional problem with personnel that has been colluding with the powerful tobacco industries. The accuracy of his writing can be verified by objective observation and divergent views from many logic and scientific based resources.
Thought the battle is not finish yet (since the tobacco industries turns their attention to the developing world), I am glad to know that in the middle of the inhumane practices of tobacco industries, there is still a remnant person who really cares, sacrifices, and fight for the glory of the real truth. This book is really a great inspiration and motivation for he/she who cares about the health and the safety of our people in the level of public health advocacy, policy making and law enforcement.
Customer Rating: Summary: An Educating and Entertaining Read Comment: David Kessler in A Question of Intent: A Great American Battle with a Deadly Industry provides readers with an entertaining and educating read that serves as a guide for organizations while showing an detailed view of bureaucracy, the media, and government organizations. He effectively displays the numerous benefits of affiliation between organizations and their leaders when trying to change the regulation over tobacco. Kessler also does a great job showing the role of a President and the effect he or she can have on organizations when they get to choose the leading personnel. Where Kessler falls short though is in providing a well organized story, free of excess personal narratives, and repetition. Do these errors tend to negate the quality of the book as a whole? No, but it makes me question his editor and the intentions he or she had in the scattered layout and whether included memoir aspects were entirely necessary.
By bringing the reader directly into the Food and Drug Administration's everyday happenings, Kessler is able to display the decision process of a government organization, while adding an element of suspense. His emphasizes the importance of connections and affiliation and teaches readers the scope and impact that lobbyists can have on the outcome of policies. He often describes that "too late" he realized that he had been "sandbagged by...lobbyists" and "overlooked [the] key tactical step" of lining up more support and connections (Kessler, 48). He shows that it was only through the support of his older staff and political connections that he was able to move forward in his fight for tobacco regulation.
The involvement of the reader in the processes Kessler and his team had to go through to get government attention on the regulation of tobacco could easily serve as a guide for other struggling organizations. He shows in detail how they used the media and were careful about their timing when making decisions. For instance, Kessler asked credible journalists to downplay stories to the New York Times to the extent that newspapers wouldn't even write about events such as the American Red Cross' bad blood supply. This manipulation of the media was useful to the organization by downplaying bad press and avoiding un-needed fear and panic. For other organizations who find themselves in the heat of the media, they might want to take notes from Kessler and his experiences
Another positive aspect of Kessler's book was his ability to show the vital role of the President. Most readers, like myself, would be surprised to learn that the President can have such a vital effect on issues such as food labeling. Kessler describes the difficulty and "maneuvering" it took to get amendments on the underage purchases of cigarettes on the Presidents desk (Kessler, 98). Once they got there, he describes how a Congressional hearing was crucial in how the media framed the issue - eventually leading to the impression the American public got on the topic. Overall, his book gives a great overview of what it takes to get an issue to the desk of the President, and how the steps taken after that can shape public opinion and determine the fate or success of a proposed amendment.
In the end, Kessler and his editor could have improved on the organization of the book. The subject of each 3-7 page chapter skips from topic to topic. It gets tedious when the reader has to continually shift his or her focus from tobacco to fresh food labels to the AIDS drug progression then back to tobacco - all with a little autobiographical information thrown into the mix. At the same time, Kessler consistently switches between using character's first and last names. One minute he's calling a successful reporter "Jim," like they're best friends, the next referring to him as "O'Hara" who had a "reputation among reporters for credibility" (Kessler, 92). The inconsistency is unnecessary and confusing.
Another detail that distracted from a smooth read from a trustworthy author, is his insistence on showing he "did not know" what he was doing, or that he "should have realized" that many of his decisions would have negative effects. Readers already understand no person is perfect, there is no reason to keep reminding them up to two or three times a page.
For readers who want an entertaining, yet educational read, Kessler's book provides both. While it does have its minor errors and editorial mishaps, his ability to produce a book that readers like a thriller yet explains the inner-workings of bureaucracy in a simple-to-understand way is uncanny. Lessons can be learned by regular readers seeking more information on a much debated topic - the regulation of tobacco - or big organizations looking to revitalize their strategies to achieve greater success in their goals.
Customer Rating: Summary: great expose of an evil industry Comment: America, for all its faults, is the battlefield on which many of the world's most important health questions are being fought. None of those is more important than the questions this excellent book addresses. Is nicotine a narcotic? Are America's major cigarette companies, collectively known as Big Tobacco, deliberately turning their customers into nicotine addicts?
They were the key questions David Kessler tackled when he was Commissioner of America's Food and Drug Administration (FDA) from 1990 to 1997. Kessler, who is now Dean of the Yale University Law School, fought a tenacious battle with Big Tobacco and its powerful allies on Capitol Hill during those years. The battle was so tough and Big Tobacco so ruthless that Kessler and his small team were often compared to Elliot Ness and his small band of Untouchables who slugged it out with Al Capone's army of gangsters and corrupt politicians during the Prohibition years.
Certainly, the tenacity of Big Tobacco in the face of overwhelming evidence that damns its product can only remind the reader of Al Capone and America's Organized Crime, whose sole god is ill gotten money. Big Tobacco practiced, for example, the code of Omerta and, if Kessler is to be believed, former employees who gave evidence against them lived in fear of their lives. Big Tobacco had armies of lawyers and US Congressmen in their corporate pockets. All they seemed short of was organizing the gangland-style hits that were Capone's specialty.
Indeed, the specters of Ness and Capone are never too far away. Kessler hired special investigators trained by America's elite combat forces to interrogate witnesses. One member of Kessler's squad trawled all of America's seaports to uncover key evidence that Big Tobacco had illegally imported genetically modified tobacco into the United States. The book is, in many ways, a classic detective story needing only Humphrey Bogart, Jimmy Cagney, Tom Hanks or some other celluloid figure to bring it to life. It races along from the very first page to the final denouement.
Big Tobacco's four-pronged counter-strategy against the FDA is also equally fast-paced. Working with military precision, it used, as page 169 tells us, frontal assaults, surgical strikes, allied attacks and air cover to overwhelm the offices and efforts of Kessler and his team. Like Organized Crime, Big Tobacco knew what side its bread was buttered on. Like Organized Crime, Big Tobacco's bosses proved themselves to be ruthless and cynical competitors with pitiless cash registers for hearts. Their proud boast was that they had more money than God.
Their vast war chests poisoned public debate in America for many years just as their product continues to poison the bodies of their fellow Americans. As well as the armies of hired lawyers who were central to their strategy, they employed mercenary academics to rubber-stamp their products with a scientific sheen of respectability. The aura of scientific impartiality these academics bartered away helped Big Tobacco's bosses accumulate their almost limitless wealth, buy their way into Capitol Hill and jam the world's hospital cancer wards full with cigarette smokers. Although Kessler names some of these contemptible researchers, he goes much further. By exposing their mercenary motives, he discredits them and Big Tobacco, which paid them their ultimately puny pieces of silver.
The book, despite its topicality, starts off with a quote from the Odes of Horace, which tells us that "The guilty have a head start, and retribution is always slow of start, but it catches up." Fortunately, the net is finally beginning to close in on Big Tobacco and its tainted allies. Thanks to people like Kessler and his team of Untouchables, the nicotine debate is starting to be aired out into the open.
Sometimes, of course, the cure is worse than the disease. Kessler's comments about nicotine nasal sprays should be enough to make anyone feel pity for the nicotine abuser and disgust at the companies which can conceive, let alone peddle such an obnoxious product.
No sympathy whatsoever can be spared for Kessler's villains. Though bloodied, Big Tobacco is far from bowed. It continues to ensnare American schoolchildren with its product and to export its deadly product to the four ends of the earth. Despite Big Tobacco's enviable revenues, its feet of clay and the tissues of lies it surrounds itself with have both been well exposed by this great book, which President Jimmy Carter and a host of other luminaries endorse. The hope must now be, as Kessler puts it, that Big Tobacco will eventually be drummed out of business altogether. Their demise would not only make the air we breathe cleaner. It would also help clean up the corridors of power, which Big Tobacco so thoroughly infected with its own insatiable addiction to the profit motive. Customer Rating: Summary: A Breath of Fresh Air Comment: Thank you, Dr. Kessler, for pursuing the tobacco dragon and for writing this book. It should be required reading for every medical and divinity school student. Customer Rating: Summary: Civics lesson that reads like a thriller Comment: Wow. Who would have thought a book on the history of the FDA's handling of tobacco regulation would read like a spy novel? I grabbed this book off the new books shelf at the library, and picked it up expecting to skim through it. Kessler begins with how he was chosen to head the FDA, and introduces several of his staff including the one who started him toward taking on the tobacco industry. Then we get plenty of background including the history, marketing, and laws concerning tobacco.
With all the press on Big Tobacco, I expected them to be shown as fiendish. I've been a member of Americans for Non-Smokers Rights for 20 years, and I've read all about the Industry's dirty tricks, and I fully expected to read about them again here. What I didn't expect to find was the thoroughness in Big Tobacco attempted to discredit the FDA, and Kessler takes us through the political campaigns and counter-campaigns. He shows how Big Tobacco created fake advocacy groups on several issues, leading to their attempt to muzzle the FDA and cut off all their government funding. If you remember the '94 Contract with America and the movement against Big Government, you'll be surprised to find how Big Tobacco co-opted it to fight the FDA, one of the more admired agencies.
If you weren't already cynical about how the US government operates, this book will get you there, even with its descriptions of some of the good guys continually outmaneuvered by the bad ones. Several congress members are shown to be captives of Big Tobacco, doing their dirty work with scripts written by their lobbyists and lawyers.
And speaking of lawyers, one of the most amazing revelations to me ok is how the tobacco industry became captives of their law firms! Yes, instead of working for their clients, the law firms ended up calling all the shots, and the CEOs would read statements prepared by them. The book covers how this came to be.
If you love looking of source material, you'll be busy. Kessler leaves plenty of footnotes in this meaty book for your review. My only complaint is that the book jumps around in places, as the story moves forward or back depending on the topic being covered. But this is a small beef, as the material is so compelling. Find out not only how cigarette's nicotine content was manipulated but how the industry tried to hide this obvious fact from FDA visitors to their manufacturing facilities. Enjoy the victories and despair over the setbacks; this is a policy-wonk's book as written by a Tom Clancy wanna-be.
Now in paperback: former FDA commissioner David Kessler's non-fiction legal thriller about his agency's fight with Big Tobacco. Dubbed "Eliot Knessler" by The Washington Post, due to the way he resurrected a moribund government agency, FDA Commissioner David Kessler launched a carefully considered, thorough, and aggressive assault against the previously unassailable tobacco industry. His attempt to regulate tobacco as a drug was met with all of the industry's now notorious practices: legal stonewalling, manipulation of "bought" elected officials, intimidation, and outright lies. Kessler tackled all of these challenges with the vigor of a man perhaps outgunned but not outmaneuvered. At the height the FDA's legal battle, U.S. News and World Report called Kessler "somebody you can tell your children about" and compared him to the protagonists of Mr. Smith Goes to Washington and To Kill a Mockingbird. Like those classic American stories, A Question of Intent is about the search for truth, the choices people make, and right and wrong. It is about moral courage.
