Frankly, these politicians are full of baloney. If they were truly concerned about the use of flavors to addict youth to nicotine and tobacco products, they would not have supported legislation with an exemption for menthol. And more importantly, if they really cared about the health of the nation's youth, they would be calling for an immediate ban on the use of menthol in tobacco cigarettes -- the real ones.

This month's issue of JAMA features a by Drs. Helene Cole (an associate editor) and Michael Fiore (from the University of Wisconsin School of Medicine and Public Health) which reviews the history of tobacco control in the 50 years since the release of the 1964 Surgeon General's report. The article makes recommendations for strategies to further reduce tobacco-related morbidity and mortality. One of these recommendations is that every patient who smokes be treated with medication. The article also argues that treatment with smoking cessation drugs is the "standard of care" for promoting cessation among smokers.

Amazingly, none of these conflicts of interest are reported in the paper and the reader has no way of knowing this long history of financial conflicts of interest with Big Pharma. I imagine that most readers would be shocked to find out about this intense and long history of financial conflict with Big Pharma, given that Dr. Fiore reported no conflicts of interest.

Kathy Spencer

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