As a statistician, I can not for sure say that the rise in smokers is a direct result of the electronic cigarette ban. However, it does make me think of why there is a sudden rise of smoking in the last four years. Smoking being “cool” has been beaten to death in grade school. Most kids now know smoking kills and is not something they want to explore even. Furthermore, it’s not like kids can go out and buy a pack of cigarettes with ease at the convenient store either. Blaming the kids and young smokers just does not make sense anymore. Smokers who want to smoke know the risks and know the diseases associated with smoking. They either do not care or rather find that given their age it is too late for them. Why not instead target this demographic of current older smokers than the younger crowd. I understand this is a new tactic, but the old one is obviously not working.

Given the controversial nature of the recommendation that treating every smoker with drugs is the "standard of care," I believe that the long and intense history of conflicts of interest with Big Pharma is absolutely relevant to the present article.

Furthermore, it is well known that electronic cigarette users do not inhale more deeply than smokers. While smoke does enter the distal airways - which is why adenocarcinoma rates have increased so dramatically - vaping involves aerosol inhalation and the aerosol is mostly absorbed in the upper, not the lower airways. As with a nicotine inhaler, most of the nicotine absorption occurs in the upper airways.

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