If the policy were based on health principles, then it would certainly include other behaviors, such as those related to obesity, which have large health care costs and which set a "bad example." It would certainly include alcohol use as well.

The results from these two studies demonstrate that in contrast to the claims of many anti-smoking advocates, dual use of electronic cigarettes and conventional cigarettes does not necessarily have adverse public health consequences. Instead, it appears that for many smokers, dual use serves as a gateway to decreased nicotine addiction, and perhaps ultimately to smoking cessation.

Is this really the way we want our federal health agencies to treat cigarettes? As a product that is of such little concern that it may be no more harmful than the combination of nicotine and propylene glycol in an electronic cigarette?

Sadly, although the Surgeon General's report draws conclusions about the health impact of filtered cigarettes, it only cites one of these seven studies (the Luchtenborg study). And in citing that study, the report merely notes its finding that smoking increases colon cancer risk. It hides this study's finding that this increased colon cancer risk was only detected among smokers of non-filtered cigarettes!

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