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Third, the Surgeon General's report comes across as a project of massive hypocrisy, as the report itself complains about how tobacco-funded scientists failed to disclose their conflicts of interest. The report emphasizes that in the 50 years since the release of the report, disclosure of financial conflicts has become the "norm." It bemoans the fact that in the past, tobacco-funded scientists did not disclose their conflicts of interest, which left readers unaware of these important financial relationships.

The truth is that this paper provides no evidence whatsoever that e-cigarette use is a gateway to smoking. Instead, it is entirely possible - and quite likely - that youths who use e-cigarettes are more likely to be heavier and more resistant smokers.

The ironic thing is that no one actually disagreed with me on the science. Most of the advocates of smokeless tobacco acknowledged that there is a small, but real, causal relationship between traditional smokeless tobacco use and oral cancer (this relationship does not appear to hold for snus). However, simply because I made the statement that this causal link exists, I was blasted. Apparently, the simple statement that smokeless tobacco causes oral cancer is too much for many harm reduction advocates to tolerate.

The Campaign for Tobacco-Free Kids, and the FDA, cannot simply rewrite the law because it was crafted improperly. They have to live within the statute, and within the constitution. And unfortunately, the anti-smoking groups screwed up (albeit intentionally). In other words, the tobacco companies are not evading the law. They are following the law.


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