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Artwork for The Counterfactual by Clive Bates

Tobacco and nicotine science, policy, and politics

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Artwork for The Counterfactual by Clive Bates

Latest Issues

England's proposed anti-vaping policy casually tramples over basic rights

The nine most terrifying words in the English language (h/t R Reagan)

I responded to the Department of Health and Social Care consultation on Smoke-free, heated tobacco-free and vape-free places in England (closed 8 May 2026).

The short...

8 days ago
10

FDA vape regulation "untethered from reality"

This is a long article; a comment on the FDA’s Draft Guidance for Industry: Flavored ENDS Premarket Applications – Considerations Related to Youth Risk

Comment by: Clive Bates, Stefanie Miller, Brad Rodu, Sally Satel, and David Sweanor. Av...

11 days ago
18
1

Ten reasons to dislike the UK Tobacco and Vapes Bill

Neglected, Obstructed, Misled. No one cares about you…

Ten reasons to dislike the UK Tobacco and Vapes Bill

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  1. Solves a problem already solved. The headline measure - the Tobacco Free Generation - is worthless as a pu...
24 days ago
29
6

Rise of the pragmatists

Over 1 billion adults - about 1 in 7 - still smoke. How can we do better?

A bold and pragmatic strategy

One of the best commentaries I have ever seen on the future of tobacco and nicotine has just been published in the prestigious jour...

a month ago
23
2

How to eliminate the tobacco industry

Eliminate the tobacco industry!

It’s a catchy idea, and it has been embraced by various actors in public health and tobacco control. For example, see ASH(U.S.): Making Tobacco Industry Elimination Inevitable (February 2026)

The “tob...

a month ago
26
4

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Authors

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  • Clive Bates

    I am a consultant in sustainability and public health with a particular interest in rational, humane, and pragmatic policy that works.

  • Stefanie Miller

    Stefanie Miller is an independent consultant.

  • David Sweanor

    First lawyer in the world to work full-time on policy measures to reduce cigarette smoking. I have achieved many global tobacco control precedents, and see nicotine risk reduction as one of the greatest public health opportunities in history.

  • Sally Satel

    Psychiatrist, Senior Fellow, American Enterprise Institute and Lecturer, Yale University School of Medicine

  • Brad Rodu

    Brad Rodu is a Professor of Medicine at the University of Louisville, holds an endowed chair in tobacco harm reduction research, and is a member of the James Graham Brown Cancer Center at UofL.

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