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Re:Juul bought an entire issue of a scholarly journal by afavour on Thursday July 08, 2021 @07:48AM (#27770719)
I think if Juul was marketed as a smoking cessation product I’d have no problem with it. But it’s marketed as a lifestyle product and a ton of young people with no history of smoking have started vaping as a result.
Re:Juul bought an entire issue of a scholarly journal by pope_meat on Thursday July 08, 2021 @08:54AM (#27771296)
Fun fact, if you claim to be a smoking cessation product you get the FDA at your door going "oh, so this is a medical product" and you're now obligated to prove that your product works as a medical cessation product, and requires a doctor's note to pick up. You can't market yourself as a smoking cessation product without getting the hounds of hell being unleashed on you by the regulators.
Re:Juul bought an entire issue of a scholarly journal by jasonhansel on Thursday July 08, 2021 @09:33AM (#27771745)
> you're now obligated to prove that your product works

And that's a bad thing?

Re:Juul bought an entire issue of a scholarly journal by elif on Thursday July 08, 2021 @11:09AM (#27772935)
See marijuana if you believe regulators will actually listen to a preponderance of evidence. FDA/pharma executives are a revolving door, and therefore concerned chiefly with the health of pharma rather than humans.
Re:Juul bought an entire issue of a scholarly journal by fragmede on Thursday July 08, 2021 @07:10PM (#27778735)
There are (AFAIK) 3 cannabis derived products that the FDA has approved. Given the large cost required to get a new patentable drug through the FDA, it doesn't come as a surprise that no one's willing to foot that bill.

What the DEA (a totally different governmental organization with different motivations and biases) thinks about marijuana is reprehensible, however.

Re:Juul bought an entire issue of a scholarly journal by elif on Friday July 09, 2021 @12:03AM (#27780364)
https://www.fda.gov/news-events/public-health-focus/fda-and-...

Exactly. They have approved 3 niche pharmaceutical industry replacements. Meanwhile they have kept their head in the sand regulating the 26 state cannabis industry, and we have no universal standards for contaminants, potency, etc. beyond state imposed regulations.

The CBD industry, which has been commercialized in most states, is also totally unregulated.

Re:Juul bought an entire issue of a scholarly journal by folli on Thursday July 08, 2021 @04:12PM (#27777037)
Recent developments (see aducanumab) have shown that the FDA mainly cares about safety but much less so about efficacy.
Re:Juul bought an entire issue of a scholarly journal by theli0nheart on Thursday July 08, 2021 @10:26AM (#27772353)
> And that's a bad thing?

If your product causes harm in any way—regardless of the benefits—you're going to have a difficult time getting regulatory approval. It will also greatly affect access to the product, as not everyone has access to good doctors, and most items that are FDA-regulated requires prescriptions.

For a product which is a superior, healthier option to cigarettes, it's a massive regulatory burden that could kill the business. I can't imagine anyone would defend that as preferable to the status quo.

Re:Juul bought an entire issue of a scholarly journal by acituan on Thursday July 08, 2021 @11:24AM (#27773156)
> If your product causes harm in any way—regardless of the benefits—you're going to have a difficult time getting regulatory approval

Question stands, is that a bad thing?

Besides not everything FDA approved becomes a prescription medication. On topic; nicotine gums and patches as smoke cessation products are widely available as OTC.

Re:Juul bought an entire issue of a scholarly journal by twojacobtwo on Thursday July 08, 2021 @11:52AM (#27773639)
I think the implication is that a product can do some harm, while reducing the overall harm in the system. In this case, vaping might cause some harm, but it potentially reduces the overall harm by doing much less harm than cigarettes. I believe the comment is saying that, by pushing for regulatory approval, the product may never enter the market and would thus not be able to reduce the overall harm being done.

In this case, we would certainly have to consider the potentially increased harm of non-smokers taking up vaping to assess the overall harm being done, but I see the merits of the basic argument at least.

Re:Juul bought an entire issue of a scholarly journal by TedDoesntTalk on Thursday July 08, 2021 @12:12PM (#27773967)
> Nicotine gums and patches as smoke cessation products are widely available as OTC.

The first nicotine gum, Nicorette, began as a prescription-only product in the US.

Re:Juul bought an entire issue of a scholarly journal by mumblemumble on Thursday July 08, 2021 @01:07PM (#27774878)
There's an interesting tradeoff there. Getting through clinical trials to prove it works is expensive, though that's realistically more an annoyance to the company than a problem for the public. But once you have gone through all of that, you're probably looking at the product now being sold for a higher price (increased barriers to entry means more competition), and possibly only by prescription. Which might severely reduce availability to less-wealthy smokers. Which, I think at this point, is most smokers. On the other hand, that would also severely reduce availability to kids who aren't already addicted to some other tobacco product. So there's that.

Long story short, I can imagine a lot of valid arguments pointing in every which way here.

Re:Juul bought an entire issue of a scholarly journal by rmellow on Thursday July 08, 2021 @09:56AM (#27771996)
For business? Absolutely
Re:Juul bought an entire issue of a scholarly journal by qwerty456127 on Thursday July 08, 2021 @10:01AM (#27772045)
Also bad for the people who might benefit from the product even though it didn't help a statistically significant portion of people in an expensive clinical trial.
Re:Juul bought an entire issue of a scholarly journal by tekknik on Friday July 09, 2021 @08:50AM (#27783162)
I wonder how many non smokers we have in this thread making decisions for others. If only we’d think of the children! Screw the adults struggling with nicotine addiction, they should go back to cigarettes or just quit (like they’ve been trying to for years).

Why do people have to stick their noses in things that don’t affect them?

Re:Juul bought an entire issue of a scholarly journal by Spooky23 on Thursday July 08, 2021 @09:42AM (#27771827)
But… you get to charge 10x more and make the insurance companies or government pay.
Re:Juul bought an entire issue of a scholarly journal by tw04 on Thursday July 08, 2021 @03:56PM (#27776876)
*these statements have not been validated by the FDA

There are countless products from weight loss to joint pain to "improve your memory" that sidestep the issue with those 9 simple words. I don't see why it would be any different for Juul.

Re:Juul bought an entire issue of a scholarly journal by folli on Thursday July 08, 2021 @04:17PM (#27777083)
These products can do that because they contain no substances that need approval in any way, so they are likely just food supplements without any active ingredients.

Nicotine will count as an active ingredient, you can't just slap these 9 words to any random drug and just sell it over the counter.

Re:Juul bought an entire issue of a scholarly journal by billh on Thursday July 08, 2021 @04:17PM (#27777079)
Because that language is for dietary supplements which have a specific legislative carve out from falling under FDA regulation.
Re:Juul bought an entire issue of a scholarly journal by prepend on Thursday July 08, 2021 @01:44PM (#27775416)
> requires a doctor's note to pick up.

I don’t think this is true. I can buy Nicolette all over the place without a doctors note. In the US at least.

Re:Juul bought an entire issue of a scholarly journal by pope_meat on Thursday July 08, 2021 @01:52PM (#27775538)
That's the case now, initially the product was prescription only.

Oh and it tastes like shit, to save the children.

Re:Juul bought an entire issue of a scholarly journal by egeozcan on Thursday July 08, 2021 @08:55AM (#27771323)
Getting licensed for vaping is easier? (really asking)
Re:Juul bought an entire issue of a scholarly journal by Red_Leaves_Flyy on Thursday July 08, 2021 @09:22AM (#27771624)
They’re both incredibly expensive and laborious. Like millions of dollars per sku expensive. The fda has put all the good vape shops out of business and extortionate taxes are killing the rest as people revert back to cigarettes. The fda is actively hurting Americans by shifting these costs onto retailers which was a Coup d'état for big tobacco who had been completely blindsided by the success of startup vape companies.
Re:Juul bought an entire issue of a scholarly journal by mullingitover on Thursday July 08, 2021 @12:33PM (#27774326)
> The fda has put all the good vape shops out of business and extortionate taxes are killing the rest as people revert back to cigarettes

I'm not a conspiracy theorist, but I'll just point out the observation that there are a lot of perverse incentives to keep the tobacco money flowing, public health be damned. Hell, remember back 2019 public health officials were running made-up 'e-cigarettes are causing lung injury' scare which turned out to be entirely caused by contaminated black market THC cartriges? SF still hasn't walked back their e-cigarette ban that led to a doubling of tobacco use by high schoolers[1].

To give an idea of where priorities are, the state of California does 10x the number of checks to make sure stores are paying their cigarette taxes as they do to make sure stores aren't selling to minors.

[1] https://jamanetwork.com/journals/jamapediatrics/fullarticle/...

Re:Juul bought an entire issue of a scholarly journal by OptionX on Thursday July 08, 2021 @10:02AM (#27772056)
Several "Citation needed" in that comment.
Re:Juul bought an entire issue of a scholarly journal by Red_Leaves_Flyy on Thursday July 08, 2021 @10:52AM (#27772704)
Here’s a good primer. I was a bit off, it’s not millions per sku, more like hundreds of thousands, but all the combinations of products also need to be accounted for and approved at great cost.

https://vaping360.com/vape-news/105656/how-will-the-pmta-dea...

If that’s not enough detail let me know, I’m happy to dig up other old articles for you. This small business destroying charade by the fda has been well documented and publicized. Though not as well as the fear mongering about children juuling.

Re:Juul bought an entire issue of a scholarly journal by TedDoesntTalk on Thursday July 08, 2021 @12:15PM (#27774015)
> fear mongering about children juuling.

Why is that fear-mongering? My anecdotal evidence is that it's rampant with teens. Do you have any stats that are not anecdotal so I can educate myself?

Re:Juul bought an entire issue of a scholarly journal by Red_Leaves_Flyy on Thursday July 08, 2021 @04:25PM (#27777166)
Because the stories are pushing an agenda and ignoring the broader scope of the issue that is children using addictive substances. Conversations about children vaping should be had, but in comparison to the rate of other tobacco and nicotine use. If it’s really about the kids shouldn’t we also be looking at alcohol and other drugs like marijuana too as reference? I don’t see articles about the high school kids that start drinking, taking opiates, or smoking cigarettes and marijuana every year. These are expected behaviors, vaping is new, and the preponderance of evidence says is far less dangerous than smoking, so a lot of ignorant and easily frightened people got caught up in the rhetoric and forgot how to rationalize about new risks. The fear mongering about juul was little more than a perfect excuse to quash outcry over the ridiculous legislation against vaping products on the state and National level.
Re:Juul bought an entire issue of a scholarly journal by markzzerella on Thursday July 08, 2021 @12:48PM (#27774570)
When I was growing up all the teens were smoking and drinking. Considering how bad we know alcohol and cigarettes are for a developing brain, I'm inclined to not panic over the newest trend.
Re:Juul bought an entire issue of a scholarly journal by tekknik on Friday July 09, 2021 @08:58AM (#27783220)
Don’t forget marijuana, it reduces blood flow to the brain. Absolutely horrible for a developing brain.
Re:Juul bought an entire issue of a scholarly journal by markzzerella on Friday July 09, 2021 @03:23PM (#27787528)
I don't know how I forgot that. It was more popular than alcohol and cigarettes at my school.
Re:Juul bought an entire issue of a scholarly journal by mcguire on Thursday July 08, 2021 @05:21PM (#27777758)
Do you have any (non-anecotal, ideally) evidence that it's dangerous?
Re:Juul bought an entire issue of a scholarly journal by pope_meat on Thursday July 08, 2021 @01:59PM (#27775633)
It was rampant with teens, but then we "fixed" things.

They went back to cigarettes.

Mission accomplished I guess.

Re:Juul bought an entire issue of a scholarly journal by michaelmrose on Thursday July 08, 2021 @08:58PM (#27779463)
Cigarettes are hard to covertly hit at school/home. They leave the person with a very distinctive stink. They are hard to buy online and damn near impossible for a minor to buy in person. With only 13% of adults smoking they aren't available to be swiped in most households and taxes in many places make those who do smoke liable to notice them walking out the door. Many places its about $10 a pack.

Furthermore it is much more socially unacceptable and awareness of the harms of cigarettes has never been higher.

Insofar as teens if eciggs were to become as hard to get as heroin tomorrow nicotine addition of teens all cause would be liable to decrease because your mom is absolutely going to know your smoking actual ciggs and have something to say in the matter.

Re:Juul bought an entire issue of a scholarly journal by tekknik on Friday July 09, 2021 @09:02AM (#27783252)
> Cigarettes are hard to covertly hit at school/home.

I once knew an adult smoker who smoked about 1/2 a pack a day. She also didn’t want to smell like it, he had methods she employed that would leave absolutely no smell on her.

If your kid wants to hide smoking analogs then they can easily, just stand in front of a fan and wash your hands and face after.

Re:Juul bought an entire issue of a scholarly journal by michaelmrose on Friday July 09, 2021 @02:43PM (#27787018)
The overwhelming majority of parents are now non smokers and no schools are accepting of smoking. Smokers on average are addicted and would need to smoke some time during the school day and during their time at home.

What you say is correct you could certainly decrease the chances of being caught but on net out of 100 smoking teens 90 will end up getting caught trying to smoke real ciggs whereas hiding a non scented vape is so extremely trivial that the situation is reversed. 90 will escape detection.

There is a distinct difference between those two circumstances.

Re:Juul bought an entire issue of a scholarly journal by tekknik on Saturday July 10, 2021 @08:25AM (#27792903)
> Smokers on average are addicted and would need to smoke some time during the school day and during their time at home.

My wife when she was smoking would go all day without smoking only to smoke at home. Also one of my school grade friends was a smoker at 13 or so, and he only smoked at home.

Also vape’s have a smell, it’s just not as pungent.

What you’re really saying is you can’t watch your kid 24/7, you don’t trust them, didn’t teach them why smoking is bad and now you want everybody else to suffer.

Re:Juul bought an entire issue of a scholarly journal by michaelmrose on Saturday July 10, 2021 @02:56PM (#27795592)
What I'm saying is that on net allowing juul to exist implies that the entirety of society is harmed including the people who pay taxes for the medical care required by people's vices as has been true of the industry to which they are heir. They have clearly marketed themselves to young people who otherwise wouldn't have taken up smoking. I don't think this is something we can just fine and move forward. If I walked into a school and shot several of the children I would be universally despised and strung up if the people could get their hands on me but if I market a product which leads to excess mortality of millions down the way the connection is sufficiently indirect that it is deemed somehow acceptable.

I think the entire industry ought to be taxed out of existence like boiling a frog not because I want other people to "suffer" but because I don't want people to suffer.

Re:Juul bought an entire issue of a scholarly journal by tekknik on Sunday July 11, 2021 @09:34AM (#27800656)
> What I'm saying is that on net allowing juul to exist implies that the entirety of society is harmed including the people who pay taxes for the medical care required by people's vices as has been true of the industry to which they are heir.

I don't even know what to make of this. How many other things do humans do that are dangerous that we all have to pay for?

> They have clearly marketed themselves to young people who otherwise wouldn't have taken up smoking.

Why do you think this? Is it because of flavors? Do you not realize how many adults prefer flavored vape liquid? Or is it cause they ran commercials?

> I think the entire industry ought to be taxed out of existence like boiling a frog not because I want other people to "suffer" but because I don't want people to suffer.

So then you naturally try to force your opinion onto others. Why has society devolved into forcing others to do what we want? Do you think banning vapes will keep people from returning to cigarettes? Do you think addiction is just a switch one can easily turn on and off? You will cause more damage than good "taxing them out of existence like a boiling frog" (seriously wtf with that statement?) than realizing they are helping people and just minding your own business.

Re:Juul bought an entire issue of a scholarly journal by michaelmrose on Monday July 12, 2021 @02:33PM (#27813493)
> Why has society devolved into forcing others to do what we want?

Because the only way to provide for the health of a society is with socialized medicine. Most of the civilized world has settled on this conclusion and even we have basically half and half.

In that context allowing people to be stupid as they want to be is ultimately allowing the stupid people to spend everyone's money.

Re:Juul bought an entire issue of a scholarly journal by tekknik on Wednesday July 14, 2021 @09:17AM (#27832668)
So then this devolves into no drinking and heath police. Too much sugar in your gum? Fine. Too many carbs, fine. Overweight? Fine. Drink alcohol, fine. Light incense in your house, fine. Don’t eat the required 3 meals a day, fine. Don’t eat the menu prepared by the health and nutrition czar, fine.

Is this a country you want to live in?

Also we don’t yet have, and hopefully will never get, socialized medicine. Why do we prepare society by starting to implement the boot on the neck when we’re not even sure if it’s needed yet? Seems a bit assumptive and preemptive no?

Re:Juul bought an entire issue of a scholarly journal by wolverine876 on Friday July 09, 2021 @01:42AM (#27780773)
I don't know that I buy Vaping 360, which has a banner saying "57 MILLION smokers and vaping enthusiasts reached since 2015!", as a credible source.

Below you accuse stories about harm to children of "pushing an agenda"; might this be pushing one?

Re:Juul bought an entire issue of a scholarly journal by Red_Leaves_Flyy on Friday July 09, 2021 @03:44PM (#27787733)
Everyone’s pushing an agenda these days. I didn’t post that as an unbiased source, but as a counter argument to the unified front against vaping amongst the mainstream teleprompt readers. If you want an unbiased source for this discussion you’re going to have to have a bad time.
Re:Juul bought an entire issue of a scholarly journal by pope_meat on Thursday July 08, 2021 @01:57PM (#27775607)
I'm a living citation. Was a small business owner, retail vape shop. Did fine for 5 years. Then the regulations to save the children and hit pieces in the news. All the small independent shops went under and now you can only buy the vuse, and juul, both owned by...you guessed it, the same folks who sold cigarettes.

Basically, the wrong people were making money, and the regulators fixed that. Now the money is flowing to the right people and no one gives a shit that teen smoking rates went back to higher than they were before vaping. Harm reduced, a slow clap to our regulators.

Re:Juul bought an entire issue of a scholarly journal by soperj on Thursday July 08, 2021 @02:27PM (#27775966)
Philip Morris owns 35% of Juul.
Re:Juul bought an entire issue of a scholarly journal by CodeWriter23 on Thursday July 08, 2021 @09:21AM (#27771607)
No. The only companies eligible in the PMTA License process for vape had to have been manufacturing in 2015 or 2016 when the FDA began its moratorium on new players entering the market.
Re:Juul bought an entire issue of a scholarly journal by ouid on Thursday July 08, 2021 @09:40AM (#27771799)
Working as intended: moved to won't fix.
Re:Juul bought an entire issue of a scholarly journal by TeMPOraL on Thursday July 08, 2021 @08:36AM (#27771138)
But it's not a smoking cessation product. It can be used effectively as such, but it's first and foremost a healthier substitute to smoking.

People like to go to both extremes wrt. vaping - "but it creates new addicts" vs. "but it's effective tool for breaking addiction", forgetting about the biggest benefit vaping brings: letting smokers who don't want to quit to keep smoking, without risking lung cancer.

I'm definitely against marketing vaping to non-smokers. But I'm fine with converting existing smokers to vaping without any talk about quitting, because smoking e-cigarettes is strictly better than smoking analog ones.

Re:Juul bought an entire issue of a scholarly journal by Semaphor on Thursday July 08, 2021 @09:03AM (#27771387)
> letting smokers who don't want to quit to keep smoking, without risking lung cancer.

I started smoking when I was 18 (2004), picked up some of the first vapes in 2009 (they were horrible), and finally stopped smoking in 2012. But I don’t want to stop vaping. I don’t like the modern mainstream ecigs like juul (I mix my own liquid and build my own coils on a dual 18650 battery device), but I’m just glad that vaping exists, because, if all my fruitless attempts at quitting were any indication, otherwise I’d still be smoking a pack a day.

Re:Juul bought an entire issue of a scholarly journal by boredtofears on Thursday July 08, 2021 @01:05PM (#27774854)
Is it accurate to say you quit smoking when you've really just switched the device that delivers the substance you're addicted to?
Re:Juul bought an entire issue of a scholarly journal by yCombLinks on Thursday July 08, 2021 @01:27PM (#27775186)
100% accurate, he didn't say he wanted to quit being addicted to nicotine. He wanted to quit smoking, which he has done.
Re:Juul bought an entire issue of a scholarly journal by Semaphor on Thursday July 08, 2021 @11:35PM (#27780244)
In addition, I went from 25mg nicotine in 2012, to less than 2mg now.
Re:Juul bought an entire issue of a scholarly journal by boredtofears on Thursday July 08, 2021 @01:34PM (#27775272)
You haven't really overcome your main addiction in that case though. I don't think that people colloquially interpret that as "quitting smoking" when that term gets used in this context, even if the meaning is literal.
Re:Juul bought an entire issue of a scholarly journal by dude187 on Thursday July 08, 2021 @03:53PM (#27776836)
When you quit smoking, you quit smoking. Vaping is not smoking. What's inaccurate is to insist that someone still smokes when they do not, because you insist on calling something that is not smoking "smoking".
Re:Juul bought an entire issue of a scholarly journal by yCombLinks on Thursday July 08, 2021 @01:43PM (#27775414)
I think people have mixed definitions, but I really think smokers just want to avoid the lung cancer and emphysema. It's not my place to judge them as failures because they don't meet my criteria of not being addicted to nicotine.
Re:Juul bought an entire issue of a scholarly journal by intuitionist on Thursday July 08, 2021 @01:46PM (#27775458)
Nicotine is great, I would be incapable of functioning in society without it, and if the US Government makes it impossible for me to get a nicotine fix without giving myself cancer I will be tempted to turn to direct action.
Re:Juul bought an entire issue of a scholarly journal by cwkoss on Thursday July 08, 2021 @02:39PM (#27776118)
If we accept that addiction is an evil in and of itself, social media addiction should warrant significantly more societal attention that nicotine addiction: it's much more prevalent, both in general population and among children in particular.
Re:Juul bought an entire issue of a scholarly journal by prepend on Thursday July 08, 2021 @01:45PM (#27775448)
It’s not the addiction that causes lung cancer, it’s the smoke. So the goal of stopping smoking should have positive health outcomes.
Re:Juul bought an entire issue of a scholarly journal by bmj on Thursday July 08, 2021 @03:55PM (#27776857)
My understanding is that the proverbial jury is still out on whether vaping truly is less harmful to the lungs that smoking[0][1]. That would mean that vaping (instead of smoking) isn't necessarily a positive health outcome.

[0] https://newsinhealth.nih.gov/2020/05/risks-vaping

[1] https://www.hopkinsmedicine.org/health/wellness-and-preventi...

Re:Juul bought an entire issue of a scholarly journal by mcguire on Thursday July 08, 2021 @05:46PM (#27778009)
[0]: "Studies suggest nicotine vaping may be less harmful than traditional cigarettes when people who regularly smoke switch to them as a complete replacement."

[1]: "Vaping Is Less Harmful Than Smoking, but It’s Still Not Safe"

[1] has some problems. It seems to be conflating the vitamin E acetate issue with vaping in general. ("However, there has also been an outbreak of lung injuries and deaths associated with vaping. As of Jan. 21, 2020, the Centers for Disease Control and Prevention (CDC) confirmed 60 deaths in patients with e-cigarette, or vaping, product use associated lung injury (EVALI).") The section on "Research Suggests Vaping Is Bad for Your Heart and Lungs" focuses on nicotine. Which raises your blood pressure. And not much else, according to other sources.

Re:Juul bought an entire issue of a scholarly journal by prepend on Thursday July 08, 2021 @10:26PM (#27779924)
It’s definitely a positive outcome when it comes to cancer prevention. The evidence is quite clear that vaping is way better than smoking for lung cancer. [0][1]

I think the evidence is out as to what, if any, are the harms of vaping. But it’s not arguable that it’s better for you than smoking.

[0] https://www.newscientist.com/article/2120440-switching-from-...

[1] https://pubmed.ncbi.nlm.nih.gov/28778971/

Re:Juul bought an entire issue of a scholarly journal by dude187 on Thursday July 08, 2021 @10:41PM (#27780005)
It's not really up for debate whether or not vaping is healthier. It's a night and day difference. Vaping is far less harmful than smoking.
Re:Juul bought an entire issue of a scholarly journal by rsynnott on Thursday July 08, 2021 @01:45PM (#27775433)
But is that the _point_? I think many people are pretty much okay with being addicted to nicotine if it's not going to kill them.
Re:Juul bought an entire issue of a scholarly journal by egeozcan on Thursday July 08, 2021 @08:54AM (#27771306)
Healthier substitute to smoking practically means a smoking cessation product. Impossible meat, likewise, is a meat "cessation" product.

If impossible meat makes vegans start eating burgers, you can't just argue "well, it's still better than meat".

> I'm definitely against marketing vaping to non-smokers.

But this is the whole point, they do attract non-smokers. They should explicitly detract them instead.

Re:Juul bought an entire issue of a scholarly journal by nohuck13 on Thursday July 08, 2021 @12:30PM (#27774287)
> But this is the whole point, they do attract non-smokers. They should explicitly detract them instead.

This is magical thinking. Do we apply this requirement to healthier alternatives in any other market?

For example: I really like McDonalds fries, but I mostly don't eat them because they're unhealthy. However anecdotally some "heavy users" eat them 3 to 5 times a week.

Imagine if McDonalds introduced "Beyond Fries" tomorrow, equivalent in every salient way, but less unhealthy (say, baked potato-level healthy). Would anyone apply the standard above, calling for it to be _only_ a "fry cessation product" for heavy users, and expecting it to explicitly repel the abstaining-for-health-reasons users like me?

I can't see how it's even possible to achieve both goals at once. A healthier alternative to _anything_ is going to draw some former abstainers-for-health-reasons into the market. And smoking has a _lot_ of abstainers-for-health-reasons.

By all means let's call vaping a smoking cessation product, but I'm not sure it's reasonable to assume that we can have our cake and eat it too here.

Edit: sense

Re:Juul bought an entire issue of a scholarly journal by dude187 on Thursday July 08, 2021 @10:52PM (#27780050)
> This is magical thinking.

Attitudes around smoking in general are grounded deeply in magical thinking. People have been raised on anti-smoking rhetoric so deep, with such little cultural push back toward sanity, that it's tough for most people to think let alone discuss the subject with any objectivity.

Re:Juul bought an entire issue of a scholarly journal by michaelt on Thursday July 08, 2021 @10:38AM (#27772518)
I suppose in a very literal sense, if you replace addiction A with addiction B, you could say that B is an A cessation product.

But by that logic, smoking could be called a weight loss product.

Other people have a more complex definition, which precludes cigarettes from being considered a health product, despite their appetite-suppressing properties.

Re:Juul bought an entire issue of a scholarly journal by thebean11 on Thursday July 08, 2021 @11:08AM (#27772916)
> smoking could be called a weight loss product

And it was! The difference is that smoking isn't really healthier than obesity, so it's not a very good way to lose weight overall.

Re:Juul bought an entire issue of a scholarly journal by dude187 on Friday July 09, 2021 @12:14PM (#27785258)
If you can drop 100+ lbs by smoking half a pack a day, I guarantee you'll be a lot healthier overall. Not saying you actually _would_ lose all that weight, but it's not like it's a binary between "smoking" and "not smoking". Frequency and amount matters, but the it's pretty much impossible to approach the subject in our society with any sort of objectivity or science.
Re:Juul bought an entire issue of a scholarly journal by thebean11 on Friday July 09, 2021 @02:05PM (#27786610)
Sure, and amount of extra weight matters too. But there are probably better ways to lose it regardless..
Re:Juul bought an entire issue of a scholarly journal by dgfitz on Thursday July 08, 2021 @09:53AM (#27771951)
> Impossible meat, likewise, is a meat "cessation" product.

No it’s not. Meat isn’t addictive. People don’t “quit” meat and develop a habit of impossible burgers. People don’t wake up every morning feeling shitty about enjoying meat.

I fully support vegan and vegetarian lifestyles. To compare tobacco to meat is foolish.

Re:Juul bought an entire issue of a scholarly journal by ReGenGen on Thursday July 08, 2021 @06:38PM (#27778497)
Its easy to forget that heart-disease kills as many smokers as Cancer. Vaping is still ingesting mystery compounds & heavy metals directly into the blood stream for the body's immune system to freak out on. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/heal... https://www.jhsph.edu/news/news-releases/2018/study-lead-and...
Re:Juul bought an entire issue of a scholarly journal by hyper0perator on Thursday July 08, 2021 @09:09PM (#27779523)
This is why all fast food needs to be heavily regulated by FDA and only available via prescription to limit abuse.
Re:Juul bought an entire issue of a scholarly journal by wolverine876 on Friday July 09, 2021 @01:44AM (#27780779)
Is there a history of fast food as a leading cause of death?
Re:Juul bought an entire issue of a scholarly journal by wayneftw on Thursday July 08, 2021 @08:46AM (#27771228)
Yes, it is a smoking cessation product. It helps you cease smoking. Vaping is not smoking.
Re:Juul bought an entire issue of a scholarly journal by rob74 on Thursday July 08, 2021 @12:03PM (#27773819)
Ok, so it's a smoking cessation product if you take the definition strictly - but it doesn't do anything to get you off your nicotine addiction, which people usually mean by "smoking cessation product"...
Re:Juul bought an entire issue of a scholarly journal by moftz on Thursday July 08, 2021 @02:59PM (#27776306)
A vape can be much cheaper than cigarettes and you get the benefit of not inhaling smoke and smelling like smoke. You can also begin reducing the amount of nicotine in your vape juice without reducing the amount of time you spend vaping. Most brands offer numerous levels of nicotine from something that's a little stronger than regular cigarette down to none.
Re:Juul bought an entire issue of a scholarly journal by wayneftw on Friday July 09, 2021 @10:10AM (#27783825)
> Ok, so it's a smoking cessation product if you take the definition strictly...

I do.

> but it doesn't do anything to get you off your nicotine addiction, which people usually mean by "smoking cessation product"...

OK but what does this have to do with expressing ourselves accurately?

Re:Juul bought an entire issue of a scholarly journal by yCombLinks on Thursday July 08, 2021 @01:28PM (#27775192)
You've created your own definition and now expect us to accept it, which I don't.
Re:Juul bought an entire issue of a scholarly journal by mullingitover on Thursday July 08, 2021 @01:30PM (#27775225)
Nicotine is the thing people obsess over, but there are far more harmful substances than nicotine in tobacco cigarettes (for example, radioactive elements Polonium-210 and lead-210), and there are MAOIs that make the nicotine in tobacco smoke far more addictive.
Re:Juul bought an entire issue of a scholarly journal by s1artibartfast on Thursday July 08, 2021 @01:45PM (#27775440)
All the smokers I know want to quit smoking, not nicotine.. Smoking is 99% of the problem with cigarettes, and nicotine is 1%.
Re:Juul bought an entire issue of a scholarly journal by leereeves on Thursday July 08, 2021 @08:47AM (#27771234)
> I'm definitely against marketing vaping to non-smokers. But I'm fine with converting existing smokers to vaping

How can a society allow marketing vaping as a healthier way to smoke without allowing marketing that makes non-smokers think vaping is a healthy way to smoke?

(Especially considering that the marketers are eager to market to non-smokers.)

Re:Juul bought an entire issue of a scholarly journal by smeej on Thursday July 08, 2021 @09:29AM (#27771694)
Related: Why is there talk about banning Juul from selling its products in the U.S. entirely, but no such conversation about banning any of the big tobacco companies from selling theirs?

It's all about power.

There are so many things it would be useful to quantify and compare:

Does anybody know the difference between the percentage of non-nicotine users who begin smoking cigarettes and the percentage who begin vaping? It sounds like the percentage for vaping is higher, but how much higher? Is it as much higher as the risk of dangerous health complications smoking has over vaping?

Never mind the question of why nicotine addiction is so dangerous it must be prevented on a federal level, but alcohol addictions aren't? How much more dangerous is nicotine than alcohol?

Re:Juul bought an entire issue of a scholarly journal by leereeves on Thursday July 08, 2021 @09:45AM (#27771856)
> Related: Why is there talk about banning Juul from selling its products in the U.S. entirely

Important distinction: I didn't say anything about banning sales, just marketing, which we've already done for both smoking and alcohol.

> How much more dangerous is nicotine than alcohol?

According to the CDC, "cigarette smoking is the leading cause of preventable death in the United States...causes more than 480,000 deaths each year in the United States" while "excessive alcohol use is responsible for more than 95,000 deaths in the United States each year, "

https://www.cdc.gov/tobacco/data_statistics/fact_sheets/heal...

https://www.cdc.gov/alcohol/features/excessive-alcohol-death...

Edit: as for vaping specifically, the risks are not yet fully known, but some health authorities argue "a growing body of evidence shows that smoking e-cigarettes, or vaping, may be even more dangerous than smoking cigarettes".

https://www.nm.org/healthbeat/healthy-tips/emotional-health/...

Re:Juul bought an entire issue of a scholarly journal by tialaramex on Thursday July 08, 2021 @11:03AM (#27772841)
However note that's comparing smoking not nicotine.

Inhaling smoke is very bad for you. Lots of people die this way in fires. Like, you cut the victims open and there is soot in their lungs. So, no surprise smoking cigarettes is also a bad idea even if it's less bad than being in a literal burning building.

Nicotine is poisonous, but so is booze. There may be other things about vaping which are bad for you, but it seems pretty clear that the main problem is the nicotine, which is why people are doing it anyway, so, fine.

Booze has another important difference though: The ones drinking aren't always the ones dying. That can be because they're impaired while operating machinery (e.g. someone has "a few beers" then drives home, next morning they don't remember anything about how they got home, but there's a blood red stain on the bumper and someone else is found dead in a ditch) or they might just become violent and cause deliberate harm to others.

Re:Juul bought an entire issue of a scholarly journal by mcguire on Thursday July 08, 2021 @06:03PM (#27778170)
That last article says, "The Centers for Disease Control and Prevention (CDC) suspects that exposure to THC, as well as a mix of THC, nicotine and vitamin E, an additive in many vape carriages, is causing serious lung injury."

Would you agree that exposure to THC, in itself, causes serious lung injury?

(Yes, I know, vitamin E acetate (an oil) in cannabis vaping products was likely the cause of a number of cases of lung injury.)

Also, "An FDA analysis of e-cigarettes from two leading brands found that the samples contained carcinogens and other hazardous chemicals, including diethylene glycol, which is found in antifreeze." Diethylene glycol is also used as "a humectant for tobacco, cork, printing ink, and glue. It is also a component in brake fluid, lubricants, wallpaper strippers, artificial fog and haze solutions, and heating/cooking fuel" as well as an industrial solvent. This statement is largely meaningless unless you know how much is in there: "The U.S. Code of Federal Regulations allows no more than 0.2% of diethylene glycol in polyethylene glycol when the latter is used as a food additive. The Australian government does not allow DEG as a food additive; it is only allowed at less than 0.25% w/w of DEG as an impurity of polyethylene glycol (PEG) even in toothpaste." (Wikipedia)

Re:Juul bought an entire issue of a scholarly journal by rsynnott on Thursday July 08, 2021 @01:48PM (#27775478)
> According to the CDC, "cigarette smoking is the leading cause of preventable death in the United States...causes more than 480,000 deaths each year in the United States" while "excessive alcohol use is responsible for more than 95,000 deaths in the United States each year,

The question was about nicotine; it is not generally the _nicotine_ in cigarettes that kills you. That's what keeps you smoking them (to a large extent) but it's not what kills you.

Re:Juul bought an entire issue of a scholarly journal by rhinoceraptor on Thursday July 08, 2021 @10:34AM (#27772453)
> How much more dangerous is nicotine than alcohol?

If you divorce nicotine from its problematic delivery systems, nicotine itself is a pretty good drug (albeit very addictive). It's potentially protective against diseases like Parkinson's and Alzheimer's, it's associated with weight loss, and it improves short term memory and attention.

It's also great in combination with caffeine, and it speeds up caffeine metabolism.

Re:Juul bought an entire issue of a scholarly journal by vimacs2 on Thursday July 08, 2021 @10:48AM (#27772642)
This is one of the main reasons why I vape.

I first got interested in the nootropic properties of nicotine long before I took up the pen when I came across Gwern's article on it. In particular, the possibility of reinforcing habits using it was the biggest thing that made me look into it. However, he uses gum instead.

https://www.gwern.net/Nicotine

Re:Juul bought an entire issue of a scholarly journal by sarsway on Thursday July 08, 2021 @11:05AM (#27772872)
Wouldn't be so sure about that. Nicotine alone has problematic effects on the heart and vascular system, especially since the addictiveness leads to constant admission. Vaping isn't all that great delivery system either.
Re:Juul bought an entire issue of a scholarly journal by toomanybeersies on Thursday July 08, 2021 @11:44AM (#27773479)
Replace nicotine with amphetamine and your statement still holds true.
Re:Juul bought an entire issue of a scholarly journal by TedDoesntTalk on Thursday July 08, 2021 @12:17PM (#27774052)
Exactly. Whatever positive effects nicotine has are completely overshadowed and undermined by its addictiveness.
Re:Juul bought an entire issue of a scholarly journal by dude187 on Thursday July 08, 2021 @10:43PM (#27780011)
That's really not true at all. Addictiveness in and of itself is not some hugely detrimental trait. Not to mention that nicotine delivered in vapor form is less addictive in the first place.
Re:Juul bought an entire issue of a scholarly journal by mrguyorama on Thursday July 08, 2021 @10:29AM (#27772389)
>Related: Why is there talk about banning Juul from selling its products in the U.S. entirely, but no such conversation about banning any of the big tobacco companies from selling theirs?

Juul is a product of one of those big tobacco companies.

Re:Juul bought an entire issue of a scholarly journal by Red_Leaves_Flyy on Thursday July 08, 2021 @09:13AM (#27771508)
Hot take. Ban marketing/advertising?

These are conversations that belong in a physicians office. Advertising is a scam on both sides and destroys instead of creates value for humanity. Historians will look back upon advertising the way many look back upon slavery.

Re:Juul bought an entire issue of a scholarly journal by franga2000 on Thursday July 08, 2021 @10:49AM (#27772656)
Is it not already? Genuine question. In all of the coutries I'm familiar with, both smoking and vaping are illegal to advertise. Even alcohol in some cases, although more commonly it's allowed but strictly regulated (must be purely factual, no glorification, mandatory health disclaimer...)
Re:Juul bought an entire issue of a scholarly journal by Red_Leaves_Flyy on Thursday July 08, 2021 @10:53AM (#27772721)
Re:Juul bought an entire issue of a scholarly journal by janeroe on Thursday July 08, 2021 @09:48AM (#27771895)
> How can a society allow

What's the lastname of this Society guy?

It's kind of hypocritical to wrap your personal wishes and desired in the veil of common good, care for others, etc.

Re:Juul bought an entire issue of a scholarly journal by leereeves on Thursday July 08, 2021 @09:51AM (#27771932)
> What's the lastname of this Society guy?

Legislature would be its lastname, I suppose. As in [nation] legislature, [state] legislature, etc.

Re:Juul bought an entire issue of a scholarly journal by Nasrudith on Thursday July 08, 2021 @10:09AM (#27772145)
Yeah but that kind of defeats the consent manufacturing illusion to say the actual entity instead of the vague "society" to brainjack people with presumed social pressures.
Re:Juul bought an entire issue of a scholarly journal by leereeves on Thursday July 08, 2021 @10:23AM (#27772305)
Presumed social pressures? There's plenty of very real social pressure against marketing vaping to non-smokers.

Alarmingly there are also many people, especially young people, who believe that vaping is safe, and if educating them is "consent manufacturing" then let's manufacture some consent on this issue.

Re:Juul bought an entire issue of a scholarly journal by rchaud on Thursday July 08, 2021 @01:26PM (#27775180)
> I think if Juul was marketed as a smoking cessation product I’d have no problem with it.

This is precisely how I remember e-cigarettes being marketed when I first heard about them 10 years ago. I was a smoker then, so my ears perked up.

They clearly switched their marketing to target kids who didn't even smoke to begin with. 'Juul' was synonymous with teenagehood during the mid-2010s, at least if my recollection of IG memes from that time are accurate.

Re:Juul bought an entire issue of a scholarly journal by webnrrd2k on Thursday July 08, 2021 @11:07PM (#27780130)
This reminds me of the old "is it ok to smoke while praying/pray while smoking" question:

A young priest asked his bishop, “May I smoke while praying?”... The answer was an emphatic “No!”

Later, when he sees an older priest puffing on a cigarette while praying, the younger priest scolded him, “You shouldn’t be smoking while praying! I asked the bishop, and he said I couldn’t do it!”

“That’s odd,” the old priest replied. “I asked the bishop if I could pray while I’m smoking, and he told me that it was okay to pray at any time!”

I first heard it from an Alan Watts talk, but couldn't easily find the quote, so I used one from r/jokes, at ”https://amp.reddit.com/r/Jokes/comments/3q2h1a/a_young_pries...

Re:Juul bought an entire issue of a scholarly journal by egeozcan on Thursday July 08, 2021 @08:08AM (#27770876)
Exactly. The false dichotomy they bring forward anytime people mention the adverse health effects is really impossible to swallow.

There have always been products to battle nicotine addiction. They should compare this to those.

Re:Juul bought an entire issue of a scholarly journal by krrrh on Thursday July 08, 2021 @10:44AM (#27772586)
> They should compare this to those.

Or we could trust the adults who chose one product over the other to make those decisions.

Re:Juul bought an entire issue of a scholarly journal by egeozcan on Thursday July 08, 2021 @02:54PM (#27776279)
False marketing does need government intervention. If you think otherwise, that's a whole different kind of discussion.
Re:Juul bought an entire issue of a scholarly journal by qwerty456127 on Thursday July 08, 2021 @10:03AM (#27772073)
What about marketing as a smoking replacement product? There are people who smoke and don't plan to quit. I recommend them to switch to vaping.
Re:Juul bought an entire issue of a scholarly journal by hyper0perator on Thursday July 08, 2021 @09:06PM (#27779499)
I agree. If alcohol were marketed for heart disease reduction, I'd have no problem with it. But it's marketed as a lifestyle product and a ton of young people with no history of drinking have started as a result.
Re:Juul bought an entire issue of a scholarly journal by stereoradonc on Thursday July 08, 2021 @08:12PM (#27779134)
I completely agree with it. Vaping for young adults (that's the technical term for that) is a stepping stone for making the switch to cigarettes easier.
Re:Juul bought an entire issue of a scholarly journal by kazinator on Thursday July 08, 2021 @08:14PM (#27779143)
Easier than what?
Re:Juul bought an entire issue of a scholarly journal by jimbilly22 on Thursday July 08, 2021 @10:50AM (#27772676)
It is. Their advertising is extremely strictly regulated and literally all of their ads and marketing material focus on smoking cessation.

Note: this came after initial warnings from the FDA years ago that they were going to ban the product unless.

Re:Juul bought an entire issue of a scholarly journal by swiley on Thursday July 08, 2021 @08:06AM (#27770860)
Someone who was involved with the early founding of that company has posted here before. It's as rotten as the cigarette companies. They're on a level bellow even consumer electronics OS vendors.
Re:Juul bought an entire issue of a scholarly journal by rorykoehler on Thursday July 08, 2021 @08:15AM (#27770940)
There is no incentive to sell it as something to make you quit
Re:Juul bought an entire issue of a scholarly journal by gremloni on Thursday July 08, 2021 @04:45PM (#27777381)
But it is not a cessation product. It is for people that want to continue to smoke nicotine at a fraction of the risks. Is nicotine bad by itself?
Re:Juul bought an entire issue of a scholarly journal by coryfklein on Thursday July 08, 2021 @04:46PM (#27777388)
smoking cessation product
Re:Juul bought an entire issue of a scholarly journal by shadilay on Thursday July 08, 2021 @04:22PM (#27777121)
Somehow "It kills you slower than cigarettes" isn't an attractive slogan.