But the question is: why even take this chance? Why is there a need to rely upon defamatory and false statements to promote the public's health? Why isn't telling the truth good enough for ANR?

Whether e-cigarette use precedes smoking or smoking precedes e-cigarette use is a critical question, but it is one which needs to be answered through longitudinal research. We need studies that follow the trajectory of teen tobacco/e-cigarette use over time. That is the only way to determine which comes first.

In their to this response, the authors of the study clarify their reasoning for attacking the cigarette companies, even though they merely complied with the law:

(See: Grana R, Benowitz N, Glantz SA. E-Cigarettes: A Scientific Review. Circulation 2014; 129: 1972-1986.)

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