If electronic cigarette companies were forced to adhere to the MSA, it would bring an end to all electronic cigarette brand name sponsorships, outdoor and transit advertising, branded merchandise, free product samples (except in adult-only establishments), and targeting of youth in advertising.

"The standard of consent for terms of service is low. But that “consent” is a legal fiction, designed to facilitate online interactions. (See and ’s books for more.) It’s very different from informed consent, the ethical and legal standard for human subjects research (HSR). The Federal Policy for the Protection of Human Subjects, a/k/a the , requires that informed consent include:

In a separate published in the same issue of Circulation, these same authors write: "As of March 2014, 5 population-based studies had examined the relationship between e-cigarette use and quitting smoking. Because these studies did not measure whether people were using e-cigarettes as a smoking cessation aid or other reasons for use such as to circumvent smoke-free laws, they did not directly test the efficacy of e-cigarettes as smoking cessation aids." [emphasis is mine]

I do not begrudge the CDC for holding a different position than I do regarding electronic cigarettes. However, I find it abhorrent that the CDC is supporting this position by disseminating false and misleading information that is completely unsupported by scientific evidence. Our nation's leading public health agency should not be acting in this way.

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