This piece by the American Lung Association is completely disingenuous. First of all, the Lung Association opposed an amendment that would have eliminating the menthol exemption in the Family Smoking Prevention and Tobacco Control Act. Second of all, the Lung Association is not also calling for a ban on flavors in cigarettes that attract kids (i.e., menthol).

Furthermore, the reporter interpreted Dr. Frieden as asserting that "e-cigarettes are as dangerous as tobacco cigarettes."

The impression I am left with is that the entire harm reduction debate is a toxic one, with venom on both sides, which is leading to irrational thinking, blind adherence to ideology, a focus on ad hominem attacks rather than rational scientific discourse, and a biased perspective on the scientific evidence.

The problem is that in this cross-sectional study, there is no way to determine the direction of the observed relationship.

The paper defends its ethical standards by arguing that it "was consistent with Facebook's Data Use Policy, to which all users agree prior to creating an account on Facebook, constituting informed consent for this research."

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