Had there been no reliable evidence that Chantix may cause serious neuropsychiatric events like suicide or other violent behavior, then why did the FDA conclude - after reviewing the evidence - that a black box warning is required?

As I had suggested in my September 2010 column, Judge Richard Leon's decision was based in large part on his finding that Dr. Benowitz's ongoing conflict of interest with pharmaceutical companies rendered him unable to objectively consider the issue of dissolvable tobacco products (DTPs).

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.

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