While I agree with Stan on virtually every aspect of the regulation of cigarette marketing, we part ways when he advocates the suppression of the truth.

Sadly, the FDA itself - in its proposed deeming regulations - that we do not yet know enough to determine whether vaping is any more dangerous than smoking. I find it horrific that the FDA - the agency which is going to supposedly be using science to make informed, evidence-based decisions regarding tobacco products - is not sure that cigarette smoking is any more hazardous than the use of fake cigarettes that contain no tobacco, involve no combustion, produce no secondhand smoke, have much lower levels of carcinogens, and have been found to acutely improve the health of smokers who switch to them.

Neither the survey approach or the RCT approach is perfect. Both have major strengths and significant limitations. The best way to proceed is to conduct both types of studies and to synthesize the results across study designs, keeping in mind the methodological strengths and limitations of each individual study. Only by looking at this totality of the evidence can we draw valid scientific conclusions.

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