In other words, despite acknowledging that they cannot tell from their study whether e-cigarette use precedes smoking or whether smoking precedes e-cigarette use, they nonetheless draw the conclusion that e-cigarette use precedes smoking.

Were I still on the ANR Executive Board, I would be very concerned about a potential lawsuit. Fortunately, I am no longer on that Board. And it was in anticipation of a problem like this that I resigned. I took my leave from ANR when I learned that the organization cared more about attacking its opponents than about telling the truth. I left when I realized that ANR was not interested in the truth, but was obsessed with smearing its perceived enemies and was willing to use defamatory attacks to achieve this end.

Well, Polosa et al. have conducted exactly such a . They examined the changes in asthma symptoms among smokers who continue to smoke versus those who switch to electronic cigarettes. These investigators reported that in contrast to real cigarettes, the fake ones result in actual harm reversal. Lung function, asthma control, and asthma symptoms were significantly improved among patients who switched from regular cigarettes to electronic cigarettes. These improvements were even observed among patients who became dual users of both real and fake cigarettes.

In other words, it is time to acknowledge that the law was flawed. It is not the cigarette companies that are to blame for the fact that consumers still understand which brand is which. The law is to blame. If the intent of Congress were to ban any brand that might mislead consumers, then the Congress should simply have banned these brands, requiring them to be pulled from the market.

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