There is absolutely no evidence that electronic cigarettes are a gateway to smoking. There is no evidence that vaping is impeding smoking cessation or that it is causing former smokers to return to smoking. In fact, the existing evidence suggests that the opposite is true: it appears that electronic cigarettes are increasing quitting attempts and enhancing smoking cessation without serving as a gateway to youth smoking.

Fortunately, the fine print in the regulations did not escape the attention of the ACLU, which is this special interest exemption.

What Stan does not reveal in his review article is that instead of estimating cessation rates among a cohort of smokers who made quit attempts using these products, the Vickerman study analyzed cessation rates of a large number of smokers who had previously tried to quit using e-cigarettes but failed, and then called a quitline because they had failed and wanted to try again. Then, they compared the quit rate among these smokers to that among smokers without such a history of a failed quit attempt using electronic cigarettes.

Furthermore, later in the paper they reinforce this point more specifically, writing: "the cross-sectional nature of our study does not allow us to identify whether most youths are initiating smoking with conventional cigarettes and then moving on to (usually dual use of) e-cigarettes or vice versa...".

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