Clearly, this requested action brings up significant issues under the Compact Clause, issues which certainly do not qualify for an exception from this clause under the Supreme Court's decision in United States Steel. (For a detailed discussion of how enforcing the MSA on electronic cigarette companies would violate the Compact Clause, see the excellent submitted by the Competitive Enterprise Institute in S&M Brands.)

According to an in the Texas Tribune: "A Victoria hospital already embroiled in a discrimination lawsuit filed by doctors of Indian descent has instituted a highly unusual hiring policy: It bans job applicants from employment for being too overweight. The policy, instituted a little more than a year ago, requires potential employees to have a body mass index of less than 35 —which is 210 pounds for someone who is 5-foot-5, and 245 pounds for someone who is 5-foot-10. It states that an employee’s physique “should fit with a representational image or specific mental projection of the job of a healthcare professional,” including an appearance “free from distraction” for hospital patients."

Specifically, the survey of 2,000 11-18 year-olds in 2014 found that:

At first I thought it tasted a little funny, but after mixing up some of the flavors, I found the taste to be enjoyable, but the satisfaction a real cigarette wasn’t there. It felt clean and refreshing, but I didn’t think it was going to work. I set out to find the . It took some time, effort, and some money but it was well worth it in the end.

The study concluded that: "e-cigarettes generate smaller changes in lung function but similar nicotinergic impact to tobacco cigarettes."

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