The letter concludes: "By taking action to apply the MSA to e-cigarettes, you could make a giant stride in protecting kids from a lifelong addiction to nicotine."

If there were any evidence that electronic cigarettes inhibit, rather than enhance smoking cessation, I too would join Dr. Glantz's camp and oppose electronic cigarettes. But such evidence does not exist. Not a shred of it so far. Not a single study suggests that electronic cigarette use results in lower quit rates than what would occur in the absence of electronic cigarette use among smokers who try these products.

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.

The odds ratio for successful quitting for the e-cigarette group compared to subjects who used NRT was 2.23 (95% confidence interval, 1.70-2.93).

“The general idea is that it’s absolutely threatening to admit you’re wrong,” says political scientist Brendan Nyhan, the lead researcher on the Michigan study. The phenomenon — known as “backfire” — is “a natural defense mechanism to avoid that cognitive dissonance.”

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