Elective Surgery Ban for Smokers and Obese Patients

Are they making patients who need a curative cancer operation wait 8 weeks during which time the tumor might upstage and become incurable or require morbid adjuvant therapy? This would be unconscionable. It is a dirty little secret in the U.S. that many thoracic surgeons deny smokers potentially curative pulmonary resection and that thoracic surgical leaders duck discussion or confrontation on this issue. Most smokers begin using this lethal product before they reach the "age of reason" and succumb to a powerful addiction. A large majority of quit attempts using best practices fail. It is wrong to deny surgery for such people. There might be more of a case to insist that smokers quit before elective surgery e.g. face lifts where healing problems secondary to smoking may compromise excellent results.

The article doesn't discuss or define "elective" surgery. I think most lay people would hold the opinion that cancer surgery is not elective, even though it doesn't meet that definition from a strictly medical perspective. Interestingly, the article states that variations of that county's policy have been in effect in many areas of England for a while. This particular policy is notable in that it doesn't offer patients a way out if they fail to achieve compliance with weight loss/smoking cessation.