Today, I report that the open door has been entered: Citizens Medical Center in Victoria, Texas has adopted a policy by which it will not hire anyone who is obese. Obesity is defined in the policy as a body mass index (BMI) greater than 35.

That the CDC has apparently drawn pre-determined conclusions about these questions is both inappropriate and unfortunate. And it is not only unscientific but it precludes the agency from making evidence-based decisions or recommendations.

The stark truth is, nicotine is one of the most additive substances there is, if not the most addictive substance in the world. It does not help that tobacco companies adds over 601 chemicals to tobacco to make them more addictive. It is extremely difficult to keep people from smoking once they start.

What the FDA is stating is that it does not believe that it would be any worse for individual X to resume cigarette smoking than for her to remain an ex-smoker by continuing to vape. The FDA is stating that it is aware of no evidence to suggest that returning to cigarette smoking would be an unwise decision for this individual.

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