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Some knowledgeable analysts have predicted that if promoted, electronic cigarettes could actually replace nearly half of the combustible tobacco cigarette market. This would be the greatest public health achievement of my lifetime. Sadly, the American College of Chest Physicians and its partners do not want to see this happen. They would rather stick with the status quo, where smokers will continue to die in the millions each year, but at least they will not be taking any "unknown" risks.

Today, I report that the open door has been entered: Citizens Medical Center in Victoria, Texas has adopted a policy by which it will not hire anyone who is obese. Obesity is defined in the policy as a body mass index (BMI) greater than 35.


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