Category Archives: truths

discussions of how to best present the truth

Tobacco Wars collateral damage: feature, not bug

by Carl V Phillips

A single-observation post, inspired by the great consternation I am seeing this week about proposed FDA retail restrictions on vapes, ostensibly for the purpose of reducing vaping by minors. There are quite a few reasons this is a terrible policy (see coverage by Clive Bates here), but the theme of the typical criticism is that it will hurt legal “proper” vape consumers (primarily by denying them flavors they like or convenient purchase venues) more than it will “help” teenagers (by denying them something they want to do). The criticism is presented as if this supposedly odd perverse effect might persuade tobacco controllers to change the policy.

Here’s the thing: Hurting people who continue to use a tobacco product is considered a feature, not a bug. Despite the endless chatter about trivial policies, there is basically only one category of tobacco control policies that matter (by any measure), other than the bans that exist for some products in some places: the high punitive taxes on cigarettes and other products. These policies is lauded by many of the same people who condemn blunt-instrument anti-teen-vaping policies. Yet they are almost exactly the same from an ethical perspective. Continue reading

What is a lie?, revisited.

by Carl V Phillips

As regular readers know, I have written a fair bit about the nature of lies. I make a serious study of it as part of the mission of this blog and my larger approach to the politics of harm reduction and real public health. I do this with as much scientific rigor as is possible for such a question. Recently a confluence of events — the ongoing attempts of the press to deal with Trump’s claims, dealing with my ex’s lawyer, and most importantly the “vaping causes seizures” controversy — reminded me that I have not updated my thinking on this for a while. So here goes. Continue reading

New statistics about vape risk misperception (and a subtle extra-bad implication)

by Carl V Phillips

A new paper in JAMA Network Open by Jidong Huang et al. from Georgia State University provides some new statistics about just how effective the war on vaping is, in terms of the average American’s perceptions of risk. Despite working for one of FDA’s pet research shops, the authors make clear their opinion that it is bad that so many people think that vaping is as harmful as smoking or worse. Continue reading

Even Norwegians do not understand how low-risk snus is

by Carl V Phillips

In honor of my launching my Patreon account a few hours ago…

[Inevitable plug: If you like my work and consider it valuable, please consider becoming a patron. There will also be some premium content for donors. Check it out here.]

…I thought I would write about one of the rare good and useful bits of new research in this space. It is “Relative Risk Perceptions between Snus and Cigarettes in a Snus-Prevalent Society—An Observational Study over a 16 Year Period” by Karl Erik Lund and Tord Finne Vedoy, available open-access (kudos!) here. In it they discover that despite Norwegian population becoming one of the small number of THR success stories, perceptions about the risk from snus (the leading low-risk substitute for smoking there) are still way off.

(This is a workaday research review. If you want something deep and epic, please check out the previous post. If you want something incendiary, please stay tuned [or scroll down to the Update].)

Continue reading

Smoking is not addictive

by Carl V Phillips

Now that I have your attention, this long essay is my response to the frequent requests to summarize my analyses of the concept of addiction, particularly how it relates to tobacco product use. I should note that the headline is based on the most commonly-accepted definition of “addictive”. I will work my way through that to other senses of the word under which smoking might be considered addictive. Continue reading

Tobacco control ratf**king

by Carl V Phillips

Sorry for the silence, though it may get worse. As some of you know, I lost my funding to keep working on THR issues, and I expect I have to fully move on to other work. But I thought I would pop in with some insight from the old guard. After that, I have an epic post that is almost finished (years in the making). These will be good notes to go out on.

For those not familiar, “ratfucking” is a term from the Nixon era that refers to political dirty tricks. The word has had a major resurgence in the age of Roger Stone, Stephen Miller, et al. [Fun fact: I was not sure of the spelling of Miller’s name, so I typed a search for “Trump advisor smug weasel” and his name appeared as the second entry after an article about presidential advisors in general.] The nuance of the word typically refers to sowing false information or allegations to harass and damage the opposition. The acts are usually barely legal (except perhaps insofar as they constitute a criminal conspiracy) or at least are impossible to prosecute, but they are a clear violation of norms of social behavior and other rules of conduct.

In the political arena, ratfucking includes such things as push-polls, doctored photographs, engaging in public bad acts while pretending to be a member of the opposition, and other methods of trying to exacerbate problems that are blamed on the opposition. As practiced by tobacco controllers, ratfucking includes, well, such things as push-polls, doctored photographs, engaging in public bad acts while pretending to be a member of the opposition, and other methods of trying to exacerbate problems that are blamed on the opposition. Continue reading

My recent contribution to Clive’s weekly reading list

by Carl V Phillips

As some of you know, Clive Bates puts out a weekly somewhat-annotated list of PubMed-indexed articles that are related to low-risk tobacco products and/or tobacco harm reduction (the search string for that appears at the end of what follow). It is a great resource; if you do not receive it, I am sure he would be glad to add you to the distribution list. As part of a planned projected that I have alluded to before, I am working on how to reinterpret this as an annotated weekly suggested reading (or knowing-about) list. To that end, this week I was a “guest editor” for Clive’s distribution list, and I thought I should share what I wrote here to broaden the audience. Yes, it is a little weird to publish a one-off “weekly reading” that is mostly based on an existing format that you might not be familiar with. But you should be able to get the idea. Hopefully I will be producing one every week before too long.

In the meantime, here is what I wrote that went out via Clive’s distribution lists. Sorry for the weird formatting — it is an artifact of the way the original PubMed search was formatted. Yes, I could have fixed the for aesthetics to re-optimize for this blog’s formatting, but since they do not hinder comprehension, I am not going to bother — sorry.

Greetings everyone. Carl V Phillips here, doing Clive’s list this week. I am trying out a new format for it, as follows: (1) They are not listed in the order that popped from the PubMed search string, but rather is in order of how worth reading they are. Obviously this is my own rough blend of various considerations, including importance of what is being addressed, value of what was produced, how potentially influential it is, and how much reader effort it takes to get value from it (note that I put relatively little weight on the latter). I have left the serial numbers from the search on the entries in case anyone wants to recreate the usual ordering. I add a full-text link if I think there is anyone other than specialists in the particular area would want to look at the full text. (2) I am not limiting this to PubMed-indexed papers. I am including popular press and policy statements (and would have included blogs but there were not any apparent candidates this week).

Continue reading

Weekly reading: ~20 Nov 2018

Something about this post (the title and thus the URL, I guess) made it so half my readers could not access it. So I replaced it with an exact duplicate here. I am leaving this here as a placeholder for those who do navigate to it, but deleting the duplicate content.