Structural elements in achieving legislative tobacco control in NSW, 1955-95: political reflections and implications.

OBJECTIVE

To analyse structural factors revealed by politicians that shaped legislation on tobacco control in New South Wales, 1955-95.

METHODS

Parliamentary debates and other records were collected. Open-ended interviews were conducted with 17 Members of Parliament (MPs) who were significantly involved, and then analysed for structural elements.

RESULTS

Tobacco industry lobbying had a significant but limited influence on policy making, being exerted largely through social interactions with executives and based on concerns about the economic impact on third parties. MPs saw health advocates' chief functions as (1) generating community concern about the issue and support for control measures, and (2) bringing any new information to political attention, providing pro-control arguments and data through the media. Factors that delayed tobacco control policies included: the conservative stance of Premiers and major parties, commitments to unanimous federal action, and rivalry between parties. Factors that facilitated control policies included: reforms that gave the Legislative Council increased power, the use of parliamentary committees, and backbencher and grass roots support.

CONCLUSIONS

Tobacco control policy and legislation has been the product of political structures that gave power to those MPs in the least powerful positions--minor parties, Members of the Legislative Council (MLCs), backbenchers, women and party rank and file--rather than to major parties and their executives.

IMPLICATIONS

Advocates should make the most of their access points to the political process, providing information, arguments and support and demonstrating public opinion in favour of further control.