Housing, Healthism, and the HUD Smoke-Free Policy

24 Pages Posted: 14 Aug 2018 Last revised: 30 Jul 2020

See all articles by Dave Fagundes

Dave Fagundes

University of Houston Law Center

Jessica L. Roberts

University of Houston Law Center

Date Written: August 15, 2018


On July 30, 2018, the U.S. Department of Housing and Urban Development (HUD)’s rule prohibiting residents of public housing from smoking within 25 feet of any housing project takes effect. These new regulations — HUD’s “smoke-free policy” — received near-universal acclaim as a means to improve public health, in particular by reducing vulnerable populations’ exposure to second-hand smoke. This Essay analyzes the smoke-free policy from the perspective of healthism — discrimination on the basis of health status. We argue that banning public housing residents from smoking is unfairly discriminatory for a variety of reasons. To start, the rule may not achieve its desired effects. Because a violation could lead to eviction, the policy may well push many public housing residents out onto the street, ironically worsening health outcomes. The rule also intrudes into the private lives of smokers in public housing by forbidding them from engaging in lawful conduct in the sanctity of their homes. It singles out smokers for regulation in a way that validates stigma. Finally, HUD’s smoke-free policy poses unappreciated distributional concerns, with the heaviest burdens falling on historically disadvantaged populations like the elderly, people with disabilities, certain racial and ethnic minorities, and the poor. The Essay concludes by attempting to salvage the rule by reflecting on how HUD might modify its policy to improve compliance and avoid discrimination, including smoking shelters, smoking cessation support, and incentive structures.

Keywords: housing, public housing, poverty, smoking, tobacco, public health, justice, equality, liberty, welfare, antidiscrimination

Suggested Citation

Fagundes, Dave and Roberts, Jessica L., Housing, Healthism, and the HUD Smoke-Free Policy (August 15, 2018). Northwestern University Law Review, Forthcoming, Available at SSRN: https://ssrn.com/abstract=3222630 or http://dx.doi.org/10.2139/ssrn.3222630

Dave Fagundes

University of Houston Law Center ( email )

4604 Calhoun Rd.
Houston, TX 77204
United States
713.743.1431 (Phone)
713.743.2238 (Fax)

HOME PAGE: http://www.law.uh.edu/faculty/main.asp?PID=5033

Jessica L. Roberts (Contact Author)

University of Houston Law Center ( email )

4800 Calhoun Road
Houston, TX 77204
United States

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