Disclosure: I have not received any funding or compensation from the tobacco, electronic cigarette, or pharmaceutical industries. However, I am seeking funding from several electronic cigarette companies to conduct a behavioral study on the effects of electronic cigarettes on smoking behavior.

The theory of tobacco abstinence is currently being challenged by a new idea called (THR). THR splits tobacco into two parts: the harm caused by smoke and tar, and the harm caused by nicotine. Because nicotine addiction is the main problem when it comes to getting smokers to quit smoking, THR theory looks at the harm caused by nicotine itself compared to the harm caused by smoking. The good news is that nicotine is fairly safe in low doses, comparable to caffeine in effects and dangers. So in short, THR aims to give smokers who are unable to quit smoking an alternative source of nicotine to reduce tobacco harm.

Second, disclosure of conflicts of interest is essential to achieve the public health ethical principle of transparency. Readers have the right to know if there are any relevant conflicts that could be perceived as influencing the objectivity of scientific reports.

Ironically, in the long run, hiding the influence of Big Pharma on smoking cessation policy does not advance the cessation field, but brings it to a grinding halt. The public, and tobacco control practitioners themselves, need to understand the deeply ingrained roots of Big Pharma within the tobacco control movement, especially in the smoking cessation field. Failure to do so will lead to blind following of an industry-based agenda. This is precisely what has happened in tobacco control.

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