377 



Dr. Bevilacqua has provided us with a letter dated August 20, 1994, describing 

 Ms. Cohen's medical condition as of that date and as of February 11, 1993, when 

 the Wall Street Journal article appeared. Dr. Bevilacqua has asked that his letter 

 be treated as confidential, in deference to Ms. Cohen's privacy interests. We expect 

 to provide Dr. Bevilacqua's letter to the subcommittee promptly after we have 

 reached an understanding with the subcommittee staff with respect to procedures 

 for the subcommittee's handling of materials provided by the Council. In the in- 

 terim, I respectfully request that my letter be included at page 78 of the May 26 

 transcript. 



I have learned that I was mistaken when I testified on May 26 that, following 

 the publication of the Wall Street Journal article, Ms. Cohen called the Council and 

 apologized to one of our employees for the statements attributed to her in the arti- 

 cle. What happened was that shortly afler the Wall Street Journal article was pub- 

 lished, Ms. Cohen was contacted on our behalf and said that she had been mis- 

 quoted in the article. The fact that Ms. Cohen had stated that she had been mis- 

 quoted in the article was reported to an officer of the Council, who in turn reported 

 that to me. As a result, I formed the mistaken impression that Ms. Cohen had called 

 the Council, but my basic understanding about what she did say was correct. 



Mr. Wyden. Let me ask you about one other area, Mr. Glenn. 

 Have lawyers from any of the tobacco companies that fund your re- 

 search ever attempted to exert influence on research in progress? 



Mr. Glenn. No, sir. 



Mr. Wyden. Mr. Chairman, I yield back. 



Mr. Waxman. Thank you, Mr. Wyden. 



Dr. Glenn, you gave a very precise scientific answer to Mr. Wy- 

 den's question about the link between cigarette smoking and all 

 these diseases like cancer, emphysema, and heart problems. 



But if I asked you as a scientist in an independent organization 

 for your recommendation to me as an adult whether I ought to 

 smoke or not, if I am concerned about those diseases, do you advise 

 me to smoke or not? 



Mr. Glenn. Mr. Waxman, you know, I have been asked that 

 question by many patients who suffer from diseases that are 

 known to have smoking as a risk factor and I would tell you what 

 I have told all of them. For example, a patient with a bladder can- 

 cer. There is the implication that by-products of smoking may ag- 

 gravate bladder cancer. I tell those patients spontaneously without 

 them asking that I think they ought to stop smoking since it is a 

 risk factor. 



Mr. Waxman. If I was asking for general health advice, do you 

 think that people ought to smoke or not? 



Mr. Glenn. I think people ought to have free choice. It is a legal 

 product as is alcohol and other substances. I think they should 

 have the information and I think that the information is readily 

 available both in the scientific community and the lay community. 



Mr. Waxman. I am not asking you for what public policy ought 

 to be and whether people ought to be permitted to smoke. 



I am asking you from you as a scientist and health expert what 

 your recommendations are. Do you think people ought to smoke? 



Mr. Glenn. I think that is a very simplistic, Mr. Waxman. Do 

 I think people ought to drive automobiles at 140 miles an hour on 

 the interstate? Clearly there are risk factors involved in everything 

 we do every day. I think every patient should 



Mr. Waxman. I assume, then, you would tell people that they 

 shouldn't smoke at 140 miles an hour? 



If you are willing to tell them that about speeding, would you 

 also be willing to tell them that you think that they ought not to 



