If the policy were based on health principles, then it would certainly include other behaviors, such as those related to obesity, which have large health care costs and which set a "bad example." It would certainly include alcohol use as well.

What makes the Citizens Medical Center policy particularly ugly is that they justify it by arguing that their patients don't want to see obese people people it doesn't fit with their "mental projection" of a healthcare professional. That is simply disgusting. The same thing could have been said years ago (or maybe today) about certain other groups, such as black health care workers, LGBT workers, or Jewish workers.

“I was smoking over a pack a day and spending about $200 a month on cigarettes. Now I have cut that cost down over 50%… plus I don’t have that awful lingering smell, bad breath, and that guilt feeling. I love that Cigavette is 100% smoke and tobacco free among other things. Not only is that probably healthier for me, it also doesn’t bother those around me (like my friends and family!!!). I can tell I am feeling better and getting stronger everyday. Cigavette gives me the freedom to enjoy the benefits of a Non Smoking Lifestyle”(from Cigavette website)

The authors provide several examples of the dishonesty and misinformation being provided by tobacco control researchers, groups, and policy makers.

c. Movement to a lower level of overall nicotine addiction.

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