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"Anti-smoking advocates have become so used to demonizing smoking and so afraid of giving an inch that they are waging a war against a practice that is actually accomplishing the goal of reducing or eliminating people's smoking. They should know better than most that a tool that may help millions of people stop smoking cigarettes should be celebrated and embraced -- not restricted and stigmatized."

Instead, the law created a huge bureaucracy full of red tape and sluggish approval processes such that there are still close to 3500 substantial equivalence applications stacked up in a pile somewhere, and the FDA is so overburdened that it cannot even issue electronic cigarette regulations in a reasonable amount of time.

But the truth is more nuanced. While there is no question that low-tar or "light" cigarettes are not safer, it is not the case that the introduction of filters made cigarettes more carcinogenic. I would not be able to testify in a courtroom that I believe filtered cigarettes are more dangerous than non-filtered cigarettes. Nor would I be able to testify that filtered cigarettes and non-filtered cigarettes pose equivalent cancer risk.

I am aware of no consumer product on the market that is prohibited by federal law or regulation from truthfully informing consumers of the primary benefit of that product.

By Stan's logic, we should throw out all the clinical trials upon which the established effectiveness of NRT is based because every one of these trials was designed to assess the efficacy of NRT among smokers who used these drugs with the specific intent to quit. Instead, according to Glantz's logic, we should examine the rate of smoking cessation among everyone who has ever used an NRT product. Doing that would lead to the conclusion that NRT is completely ineffective for smoking cessation.

If this study leads some smokers to smoke inside because they believe the researchers, who say that thirdhand smoke is no less harmful than secondhand smoke, then this could lead to serious public health harm to children.


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