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The rest of the story is that not only is CDC failing to disclose the important conflicts of interest of the 2014 Surgeon General's report authors, but OSH is involved in a cover-up. Apparently, OSH has deliberately chosen to hide these conflicts of interest from the public.

Although the survey approach described above would lead to "invalid" results, I would never argue that survey studies should be thrown out and that we should only be conducting RCTs. My point is that there are strengths and limitations of various study designs, and causal inference is enhanced by having research evidence from multiple study designs. On balance, the strengths and weaknesses balance each other out, leading to a much greater ability to draw valid conclusions.

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