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However, from a public health perspective, the relevant question is not what results one would obtain if smokers were forced to use a particular strategy, but what results are obtained when smokers make the choice to use a particular strategy. This is why Stan Glantz's approach is inappropriate.

• The truth is that the study only measured ever use of electronic cigarettes, not current use, regular use, or addiction to nicotine. Thus, it could not determine whether the kids who had tried electronic cigarettes ever used them again. So it could not tell if these kids were addicted to nicotine. They may have simply tried an electronic cigarette and not vaped again.

Think of it this way: Individual X has smoked 2 packs per day for 30 years. She has tried, unsuccessfully, to quit smoking using the nicotine patch and nicotine gum. Finally, she has successfully quit smoking using electronic cigarettes.


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