Stated another way, Dr. Glantz is cautioning the FDA against assuming that e-cigarettes are safer than conventional cigarettes in terms of their effects on lung function.

Senate Bill 6939 would ban the sale of all electronic cigarette liquids. Under the proposed law, an e-liquid is defined as "A LIQUID COMPOSED OF NICOTINE AND OTHER CHEMICALS, AND WHICH ISSOLD AS A PRODUCT THAT MAY BE USED IN AN ELECTRONIC CIGARETTE."

I believe that such a modified, randomized clinical study is essential to add another line of evidence with which to evaluate the potential benefits of electronic cigarettes. Yes, there are limitations to RCTs, but it makes no sense to throw out the baby with the bath water.

The only bright side to this story is that perhaps it will open the eyes of the public, the media, and employers to the fact that employment discrimination is indeed ugly and has no place in America. And that holds even if the group being discriminated against is smokers.

Further, the FDA is asking smokers who suffer such extra-ordinary health effects to report them to the agency. But the FDA doesn't want to hear from you if you simply suffer a "normal" health effect, like crippling obstructive lung disease, inability to breathe, metastatic cancer, or brain infarctions. In order to engage the FDA's interest, the health problem must be one that is beyond these "normal" product side effects.

If this is the kind of "scientific" reasoning that is going to guide the nation's decisions on how to handle tobacco products which are killing hundreds of thousands of Americans each year, then we may actually be better off reverting back to the "wild, wild west" that Stan Glantz keeps talking about. At least in that wild west, consumers are able to make reasonable judgments about the relative safety of different products. In the FDA-regulated "east," consumers are going to be kept hidden from even the most basic truths: that electronic cigarettes do not contain tobacco and that they are much safer than the real thing.

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