The rest of the story is that this is not an employment policy based on health principles. Instead, it is part of a moral crusade against a particular health behavior (i.e., a vice) which is being punished in a discriminatory fashion.

You see, there is no question that huge reductions in cigarette consumption improve respiratory symptoms. My patients who were able to cut down substantially on their smoking experienced immediate improvements in their ability to exercise and were able to enjoy life more because they could do more things without getting short of breath. Research confirms that respiratory symptoms improve when smokers are able to cut down the amount they smoke by at least 50%.

Previously, there was a significant history of tobacco-funded researchers failing to disclose their conflicts of interest. By now doing the same thing, we are blurring the distinction. Now, the public is going to question the integrity of our research, not just that conducted by or supported by the tobacco companies.

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