title: Thinking the "unthinkable": why Philip Morris considered quitting.
abstract: OBJECTIVE
  To investigate the genesis and development of tobacco company Philip Morris's recent image enhancement strategies and analyse their significance.
  
  
  METHODS
  Internal Philip Morris documents, made available by the terms of the Master Settlement Agreement between the tobacco companies and the attorneys general of 46 states, and secondary newspaper sources.
  
  
  METHODS
  Searches of the Philip Morris documents website (www.pmdocs.com) beginning with terms such as "image management" and "identity" and expanding as relevant new terms (consultant names, project names, and dates), were identified, using a "snowball" sampling strategy.
  
  
  CONCLUSIONS
  In the early 1990s, Philip Morris, faced with increasing pressures generated both externally, from the non-smokers' rights and public health communities, and internally, from the conflicts among its varied operating companies, seriously considered leaving the tobacco business. Discussions of this option, which occurred at the highest levels of management, focused on the changing social climate regarding tobacco and smoking that the tobacco control movement had effected. However, this option was rejected in favour of the image enhancement strategy that culminated with the recent "Altria" name change. This analysis suggests that advocacy efforts have the potential to significantly denormalise tobacco as a corporate enterprise.
authors.affiliation: Department of Social & Behavioral Sciences, School of Nursing, University of California, San Francisco 94143, USA. libbys@itsa.ucsf.edu
authors.forename: E A
authors.initials: EA
authors.lastname: Smith
authors.forename: R E
authors.initials: RE
authors.lastname: Malone
mesh_terms: D003659:Decision Making, Organizational; D006801:Humans; D016134:Organizational Policy; D011641:Public Relations; D012907:Smoking; D019460:Tobacco Industry