Tony Gwynn's at age 54 from repeated smokeless tobacco use is the reason why. While it is not common, traditional smokeless tobacco use is clearly associated with oral cancer. In addition, there is little evidence that as marketed and used in the United States, these products are helping a substantial proportion of smokers to stay off cigarettes.

Let's just take three of the Surgeon General's report authors alone (Dr. Neal Benowitz, Dr. Jack Henningfield, and Dr. Jonathan Samet). According to a D.C. District Court filed by R.J. Reynolds and Lorillard:

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