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HEALTH

Is smoking on French café terraces becoming an endangered habit?

One of the upsides of living in France is enjoying a drink or something to eat on one of the many café terraces, and be it sunny or rainy, smokers are always part of the picture.

Is smoking on French café terraces becoming an endangered habit?
Photo: AFP

But smoking while sitting at said terraces has become quite polarising – what stands as an irreplaceable ritual and a vital slice of France for some is a hugely anti-social habit for others. 

The possibility of a smoking ban on café terraces is up again for debate, after the research institute Opinion Way published a poll that said 73 percent of the French population was in favour of such a ban.

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Some businesses fear a ban will harm their custom. Photo: AFP

We asked some French people for their opinion, and let's say that there is often more to it than a simple 'yes' or 'no' answer.

Julia, a young Parisian, is indeed quite obliging when it comes to smokers on terraces: “As long as I am not smoked out to the point where I need to change seats or anything, I don't really mind.

“Though I keep in mind that passive smoking is a thing, so I try to avoid sitting close to smokers when I can.”

Jean-Pierre, a 54-year-old policeman from Brittany, while often bothered by smokers tries to put things into perspective.

He said: “When it is windy or when I am surrounded by smokers, it does become inconvenient and the smell of smoke is annoying me. But after all these years spent on patrol and regulating traffic during car accidents on the highway, I believe cigarettes smoke cannot be much worse than what comes out of exhaust pipes.”

Marcel, 77, is much less understanding but has his reasons: “I stopped smoking 20 years ago, but it is still tempting to have a ciggy with your morning coffee when you are surrounded by smokers.” 

But most of all, Marcel worries for his grandchildren's health: “I have two grandchildren and the oldest has asthma – I want him to enjoy café terraces as much as anyone can, but his condition makes it harder for him, if not impossible, to be around smokers.”

But for Marc, a Paris bar owner, a smoking ban is simply out of question.

When asked what he thinks of a potential ban, he immediately frowns and mumbles: “Talk about pushing it! You already can't smoke inside, now they want to apply the ban on terraces as well? That is really nonsense, they would kill hundreds of businesses.”

Elisabeth, a 33 year-old saleswoman could not agree more with him.

She said: “I get that it can be unpleasant for non-smokers, but an actual ban seems like a bit of stretch. First café terraces, then it is going be the streets altogether – sounds like dictatorship to me!”

The research, carried out by professional pollsters Opinion Way for French anti-smoking group Droits de Non Fumeurs, also showed that 75 percent of the 18-34 year-olds and 77 percent of respondents aged 65 and over were in favour of bans or restrictions, creating a rather surprising consensus.

But regardless of the polls, some people will hold on to their cigarettes for as long as possible.

Pascal, a 50 year-old dry cleaner from Bordeaux said: “People really are a pain in the ass! If they do not want to be bothered by smoke, then stay inside the café and leave smokers be!”

Despite smokers' discontent, several French cities have already started taking actions on beaches such as Marseille, where smoking is banned on several major beaches or in parks, as in Paris or Nancy.

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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