For the Mayo Clinic:

I summarize my argument as follows: "In recent years, the tobacco control movement has squandered the opportunity to reduce smoking-related disease and death. Instead of continued progress, the tobacco control movement has largely been co-opted by a bureaucracy of national organizations that seem more concerned about bolstering their funding streams than fighting the tobacco industry. Both the government and the national tobacco control organizations have largely abandoned the fight against the tobacco industry and smoking, and instead have dedicated themselves to seeking funding for research or policy that makes little or no further contribution to the protection of the public’s health."

Thus, the authors readily acknowledge that it is impossible from this study to determine whether or not e-cigarettes lead to smoking or whether smoking leads to e-cigarette experimentation.

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