Interestingly, it is also possible that electronic cigarettes could have exactly the opposite effect. It is possible that some youths who might have initiated smoking will instead try electronic cigarettes. Further, it is plausible that after using electronic cigarettes, youth may be much less likely to progress to cigarette smoking because compared to the taste and sensation of vaping, the experience of cigarette smoking will not be appealing.

The rest of the story is that new data from the CDC itself show that the smoking rate among U.S. high school students dropped significantly in 2013, reaching the (the Youth Risk Behavior Survey), which began in 1991.

The rest of the story is that by applying section 911 to electronic cigarettes, the FDA is forcing electronic cigarette companies to implictly lie to its consumers by hiding from them the undeniable truth that electronic cigarettes are much safer than tobacco cigarettes. This removes the most critical element of potential marketing competition from combustible cigarettes.

At the end of the article, the authors include their Conflict of Interest Disclosure, which reads: "The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported." Thus, Dr. Fiore is reporting having no conflicts of interest with regards to the subject matter of this commentary (which includes his recommendation that all smoking patients be treated with drugs, which he states is the standard of care).

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