Moreover, the scheme is regressive and unfair because it balances the budget on the most needy, rather than most well-off, members of society. If we have a budget shortfall and need to find revenues to fund a much-needed early childhood education program, shouldn't that money come from the wealthiest 1% and from corporations, rather than from individuals who tend to be at the lower end of the income spectrum?

A second major advantage of a clinical trial is that it can examine the potential effectiveness of interventions in which the use of a product is promoted for use among smokers who are interested in quitting. A survey cannot do this, because it can only examine the use of products under current conditions. It provides no information on what would happen if the product was actively promoted to a group of smokers, as it is in a clinical trial.

Whether e-cigarette use precedes smoking or smoking precedes e-cigarette use is a critical question, but it is one which needs to be answered through longitudinal research. We need studies that follow the trajectory of teen tobacco/e-cigarette use over time. That is the only way to determine which comes first.

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