Smoking/tobacco harm reduction advocate. WNL co-host. ASU Alumni '97 🌹 Not humorless. Personal account. I'd prefer to make the world a better place, and you?

Joined April 2011
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It seems @FDATobacco is still unsure of how to inform middle-aged adults and seniors who smoke that switching completely to safer nicotine products like e-cigarettes can dramatically reduce their overall health risks. Perhaps this feels so unsatisfactory because recent FDA/CDC data indicates that past-30-day use of e-cigarettes among HS students is hovering around 7.1%, which represents a massive 75% total reduction since its peak in 2019. The time to address the 1,300 smoking-related deaths that occur each day in the US with a sense of urgency is now. H/T @gbentley1
At #SRNT2026 today, during a panel discussion featuring @FDATobacco's (CTP's) leadership team, Dr. David Ashley, former director of CTP's Office of Science, asked what the agency is doing to better educate adults who smoke about relative risk and the health benefits of switching to FDA-authorized noncombustible products. The answer unfortunately fell well short of what is desparately needed with 1,300 Americans dying DAILY from smoking. Anne Rancourt, the director of CTP's Office of Health Communication and Education, who is responsible for conducting public education, stakeholder outreach, and regulatory communication programs, said "we are looking very closely at what we can do in the adult education realm" with appropriate nuance about completely switching to FDA-authorized products. She also said "it needs to be personalized to the individual," even though that isn't how FDA communicates in this area. She also said that it should be a message that, "if heard by youth, won't encourage them to start using" these products. That was pretty much it. With due respect to these folks at FDA who are navigating challenging territory, why does this feel so unsatisfactory as we near the 17th anniversary of the Center for Tobacco Products?
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Beyond a smoke-free generation: ending smoking within a generation By Ruth Bonita and Robert Beaglehole. thelancet.com/journals/lance… Full paper in screenshots below. 👇
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With at least 20 million US adult users of vapes, nicotine pouches and other similar far less harmful nicotine alternatives, I consider that to be a fair request.
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Hi Christina, would you be willing to speak with harm reduction advocates about the significance of novel nicotine products, particularly to the millions of middle-aged Americans who still smoke? Perhaps our views on the subject aren't so incompatible. Please let me know, thanks!
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Smoking still kills 480K Americans annually. BUT. Your squeezy juice no longer has red dye in it. Public health triumphs yet again.
Robert Kennedy Jr. has done more as HHS Secretary than any HHS Secretary in my lifetime. He is cleaning up the food supply. He is removing chemical dyes from children's food, pulling heavy metals out of baby food, investigating microplastics and forever chemicals. And he is working to bring the childhood vaccine schedule down from 54 vaccines to 26. That isn't a small thing. @RobertKennedyJr
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I've had many such conversations at conferences. "Oh yeah, 50% of JUUL purchasers switched after a year? What about the other 50%?" 🥴
"Yet when it comes to nicotine, flexibility often gives way to ideology. The emphasis shifts away from achieving the best outcome and toward ensuring compliance with a predetermined process. What matters is not whether the smoker escapes cigarettes but whether they do so using methods that fit within an approved framework." @jamomartin @drjoesDIYhealth @caphraorg @MarewaGlover @Clive_Bates @ArielleSelya @newscientist open.substack.com/pub/09algo…
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A reminder that heroes don’t always wear capes.
Currently in Ireland. Drinking a Guinness. At 9:30 in the morning.
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Phillip Kirschberg retweeted
This book about Mike Pence’s zany adventures could be a best seller again, if only you had the courage.
Available NOW in paperback, hardcover and digitally, the least political ostensibly political book ever written, MIKE PENCE & ME. amazon.com/dp/B0C9SQHJGP
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Phillip Kirschberg retweeted
What is it about gravity that Big Pharma loves so much? If the corpulent masses wish to lose weight, why should they have to buy expensive drugs? We need a government that sets the gravitational constant on the people’s terms, not the interests of the svelte elites.
What is it about the the bond markets that the Telegraph’s billionaire owners love so much? We need a government which sets the terms, the people’s terms, and an elected plan, not the interests of the 1%. Change is coming.
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Phillip Kirschberg retweeted
No one: Essentially, literally, no one: Me: I got on a proper podcast to talk about a future where people who want or need nicotine don't lose years of life because of how they consume it!! Comments, welcomed, and I'll add a tweet with some links. #TheSmokelessWord #Omni #FromTheLab
This week on the inaugural episode of The @SmokelessWord: Live from the Lab, Dr James Murphy and @jgitchell, CEO of Pinney Associates, on how to accelerate the migration of adult smokers who would otherwise continue smoking completely to smokeless alternatives. Joe's answer? To change hearts and minds. Watch now: youtube.com/watch?v=x8PRlcn9…
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Despite claiming to be a football fan, Sir Keir Starmer has not replied to any of my emails asking him to simply move the clocks back five hours so we can watch all the World Cup games. His silence speaks volumes.
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Replying to @truthinitiative
Painting this as a negative is a wild move
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RIP David Hockney (1937-2026) A great advocate for "ending bosyness" and shushing busybodies who want to tell other people how to lead their lives. MUST WATCH (short vid): youtube.com/watch?v=FRwEDwT5…
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Phillip Kirschberg retweeted
Alleged tobacco smugglers fire on an Australian Border Force vessel with assault rifles. All cool and normal. Nothing to see here. dailytelegraph.com.au/news/n…

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Reminder @TheBandCracker is playing The Golden Age in its entirety. Tonight at The State Theatre Falls Church VA.
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Cigarettes kill hundreds of thousands yearly and are sold everywhere. But flavored vapes — which evidence suggests help adults quit smoking — trigger political panic. That's not public health policy. That's performance. Regulation should be based on evidence, not moral signaling. Learn more from @dr4liberty and Caleb O. Brown. ow.ly/WqNa50ZbhgB
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Phillip Kirschberg retweeted
Maybe you misunderstood. No one is saying that nicotine naive kids *should* take up nicotine use. But some do and it's better for them if they take up vaping instead of smoking. ajph.aphapublications.org/do… x.com/Clive_Bates/status/206…
We have to reject a simplistic adult smoker vs youthful non-user conflict. Harm reduction MOSTLY happens at initiation, then young people age into the population never having smoked. The whole system of nicotine use is migrating to safer forms of use, younger people first.
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Phillip Kirschberg retweeted
We have to reject a simplistic adult smoker vs youthful non-user conflict. Harm reduction MOSTLY happens at initiation, then young people age into the population never having smoked. The whole system of nicotine use is migrating to safer forms of use, younger people first.
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Fascinating case of unintended consequences that have made the situation worse. "By telling families to avoid these foods [peanuts and eggs], we may have contributed the very problem we were trying to prevent." How many more things does health policy have completely backwards? jamanetwork.com/journals/jam…
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Phillip Kirschberg retweeted
"Too much of this debate has devolved into performance and moral signaling. Support a lawful pathway for smoke-free alternatives, and you are accused of not caring about kids." @CatoHealth Co-authored with @cobrown of @BIPPS cato.org/commentary/tobacco-… via @CatoInstitute
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