In a bizarre turn of events, the governor of Rhode Island - who paints himself as anti-tobacco - is asking the legislature to help protect Big Tobacco from competition. Governor Lincoln Chafee, in his budget bill (), proposes a whopping 80% tax on electronic cigarettes.

The main difference between this study and those touted by Glantz as showing that e-cigarettes are ineffective is that unlike Glantz's cited studies, this one actually examines cessation rates among smokers who reported using e-cigarettes for smoking cessation. In other words, Brown et al. included smokers who reported having used e-cigarettes with the intention to quit smoking. In the studies cited by Glantz, smoking cessation rates for all e-cigarette users were examined, even if a smoker just tried a puff of an electronic cigarette to see what all the hype is about.

The beauty of a randomized study is that it can equalize the levels of smoking addiction, reasons for wanting to quit, and motivation to quit across groups. In addition, it equalizes other confounders, including unknown confounders which could affect the study results. There is no way for a survey study to accomplish this. Thus, to simply throw out the RCT is quite unscientific, in my opinion. It throws out one of the most valid pieces of evidence that is necessary to make an informed judgment about the effect of these products: the differences in effectiveness of the products under conditions in which confounding cannot throw off the results.

Once again, I was attacked by my colleagues, including two co-authors of the 2014 Surgeon General's report, for having the nerve to suggest that lifelong smokers of filtered cigarettes may have slightly lower lung cancer risk than lifetime smokers of non-filtered cigarettes.

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