Sure, I understand that it is a lot more politically advantageous to go after smokers than it is to go after corporations and the wealthiest citizens. But it is also uncourageous. And it is certainly not leadership. Nor does it show vision.

The only bad news coming out of the actual data is that the efforts of anti-smoking groups and advocates appear to be working: they are being successful in discouraging smokers from trying to quit smoking using electronic cigarettes. Ironically, the results of public health efforts have been to impede smoking cessation, lower the overall motivation of smokers to quit, and decreasing the number of quit attempts among current smokers.

In my opinion, the fact that there are significant conflicts of interest that should have been disclosed is undeniable. Moreover, it is undeniable that these conflicts are relevant to the subject matter of the paper. The article makes the bold and I believe incorrect statement that treatment with drugs is the "standard of care" for smoking cessation. In fact, I believe that there are many methods that physicians appropriate use to promote smoking cessation in their patients, and medication is only one of these methods. Many physicians recommend other approaches, including counseling, hyponosis, 12-step programs, and cold turkey quitting.

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Instead, the law created a huge bureaucracy full of red tape and sluggish approval processes such that there are still close to 3500 substantial equivalence applications stacked up in a pile somewhere, and the FDA is so overburdened that it cannot even issue electronic cigarette regulations in a reasonable amount of time.

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