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Traditions like smoking are not worth defending

The opponents of Bavaria’s strict smoking ban have lost, just like most people whose arguments are based on tradition rather than reason, argues Malte Lehming from Der Tagesspiegel.

Traditions like smoking are not worth defending
Photo: DPA

The tough new smoking ban in Bavaria gives reason to hope German cities will soon be free of graffiti, dog poop will eventually disappear from our sidewalks, and video replays will finally be used in professional football. Of course, such high hopes need to be explained.

It helps if we remember how the discussion began. The debate used to be about banning smoking in the metro, in planes and on train platforms. The United States took the lead while Europe dragged its heels. ”Never!” an aggrieved Old World cried, ”We’re different, more individualistic, more anarchic, not as health-obsessed. Europe and smoking bans – it’ll never work!”

As if guided by a secret signals, European traditionalists stood up and protested. ”What would films, pop music, talk shows be without a cigarette? They’re a part of our culture and our identity. Banning them from restaurants, bars and public life – imagine Parisian cafés without a pack of Gitanes! – would be a symptom of the decline of our culture, and a betrayal of the nature of Europe.” Everyone knows what happened next.

But it’s interesting that other debates seem to follow the same pattern. The rule is clear: if one side has strong interests (for instance, its own health) and justifiable arguments, it always has a mid- to long-term advantage over the side that resorts to nebulous terms such as tradition, culture, identity or human nature.

The statement ”We’ve never done it that way” is a feeling, not a reason. It can whip up a short-term mood, but it will never make a particularly convincing argument.

So many debates in which something new has slowly and tortuously won out after a long struggle have the same structure. The loosening of retail shopping hours in Germany were fiercely opposed by both trade unions and churches. Germans letting go of impractical pacifism involved getting over our post-war identity. Likewise, gay marriage and reproductive medicine still come up against resistance based on an inflexible image of human nature.

Similarly, a lot of people still can’t accept that Germany is a country of immigration. And those people opposing the Bavarian smoking ban dig up the same tired terms – tradition, culture, identity and nature. But they are fighting a losing battle against something clearly in the right.

That’s why it might be somewhat optimistic to predict that other outdated taboos will soon be broken, but it’s not wholly unrealistic. Like in Berlin now, there used to a massive graffiti and dog poop problem in New York City, but draconian enforcement measures soon got both under control. It’s all a question of will-power.

And it’s the same with video replays for questionable calls in professional football: to dismiss it on the grounds of tradition (suggesting refereeing errors are part of the game) is taking refuge in dogma. It’s just a shame that so many people like to remain so set in their ways.

The new is not always good, of course. It has to be backed up by reason. But when it is, then no tradition can help win the argument.

This commentary was published with the kind permission of Berlin newspaper Der Tagesspiegel, where it originally appeared in German. Translation by The Local.

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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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