This whole thing started in #44, so you're 100 posts off.
And you're still not providing quotes that establish you as saying two points: first cessation, then we can discuss reduction.
Again, I am asserting that you are saying it is all about cessation, and we need to hang our collective vaping hat on that peg.
In #44 I said we need to hang our hat on the cessation peg, and a few posts later (or perhaps before), I said that reduction might be useful so long as it leads to cessation.
I also pointed out several times that dual use may be a transitional phenomenon - i.e. dual users often cut down and gradually convert to 100% vaping.
All that you are conveying is funneled through 'cessation must happen.' This is precisely ANTZ rationale. Don't mean to imply that you as a person are ANTZ, but do mean to be clear with this position is ANTZ logic, and is a) impractical (in scheme of public health) and b) is actually part of the inherent problem - leading people to realize, via self discovery and usage, that they have been lied to. That smoking doesn't really kill.
Abusive smoking can/does harm people, but doesn't necessarily or automatically harm all users. For sure doesn't significantly impact vast majority of users during early usage (first few years) and more often than not, is not even contributing factor to premature death. Now, if by 'premature death,' we mean person probably would've lived to 102, but because they smoked, that is why they died at 82, then we can claim righteousness on the point, even while stretching rationale meaning of 'premature death.' But how many are on this site, right now, who smoked 2 PAD, for 40+ years, and are still alive to tell about it? Are now not smoking, and feel 'very good about their health?' Are smoking 1 or 2 a day and feel 'very good about their health?' How could that be plausible if smoking kills, as blanket term for everyone to pay attention to, if these persons are now alive and (very) well?
And yes, mortality is the elephant in the room, not quality of life. What could be more important than dying? It's the centerpiece of the narrative that we have to deal with.
Everyone has to deal with. ANTZ die. Health nuts, living supremely perfectly health lives die. Same elephant resides in their rooms.
Quality of life does matter from a) each and every individual I've encountered, and b) to the stories we tell ourselves about life or living life. We aren't giving higher honor to say 115 year old who does still smoke 1 or 2 a day (feel free to double check this type of fact), than we are to 25 year old in Afghanistan that died from friendly fire (and who may or may not be a smoker, but doesn't need to be included in the story we tell ourselves about their honorable death).
If length of life was somehow universally deemed more important than quality, and cessation was the peg we all agreed to hang our collective hats on, then I see no plausible way that reasonable people would conclude that a life of vaping (nicotine) is good public policy. And instead would see every reason to believe that all would agree that cessation must, absolutely, include ceasing vaping, sooner than later.
Thus, my thoughts on your position, is this direction must include ceasing vaping (nicotine) for it to reach the people you think need this data for vaping to be regulated in a way that is 'fair' and 'reasonable.' Simply saying it will work out for everyone because they have ceased smoking, sounds great, I'm sure, to many vapers. But, to ANTZ, FDA, CDC, ALA, ACS, BP and perhaps others, it will not.
To me, the real elephant in the room is denial by vapers. A denial that claims vaping for life/extended period is a healthy thing. Don't need to add nicotine in that statement, because it ain't really about the nicotine. At the superficial level that ANTZ resides, it is all about the nicotine and tobacco.
If vapers, as some homogenous whole want to win on the cessation claim, then cessation from vaping needs to be part of the message foremost, or you are playing a game that delivers only part of what they are truly asking for. And the other part they are clearly asking for, is the one that most vapers don't want to think about, don't feel it needs to be considered.
This was never an argument about individuals, it was about population effects and a broader debate that we are going to end up having nationally, in the pubic policy arena. So reduction may be a great thing for some individual vaper. But vast numbers of people who have reduced their smoking are basically a wash in terms of mortality.
Or so you say. I could easily claim that vapers are basically a wash in terms of mortality. You'd probably want to dispute that, but I'll be glad to role play to show you what you are up against and will be even more so, if this is direction vaping has to go. You will be squarely asked to address why not cessation from vaping sooner than later, and I'll be curious how you address that.
Let me repeat: that has nothing to do with with any individual person ... someone may experience a new lease on life by going from 3 PAD to 3 cigarettes a week. This is not my point. It also doesn't mean that dual users are bad people, either.
Anyway if we're arguing about how this whole thing has developed, rather than what the end point is, then we are ...
And again, let me repeat, if this is about the conglomerate of tobacco/nicotine users, then from public health argument Zeller is putting forth, vaping needs to be part of the cessation peg, and not only from smoking. Feel free to make it only about cessation from smoking, and then watch vaping get taken away from everyone when mortality of vapers becomes reality, based on trumped up data that establishes a causal link, similar to the one used from smoking to 'certain death.'
Zeller's FDA isn't about to wait for long term data, when objective he is charged with is 'prevention.'
Cessation is a wonderful message if one is perfectly willing to include vaping in what also must be ceased.
For vaping to be biggest ally to FDA, given view that cessation is 'most effective argument,' then a collective plan must be reached to get the whole public to cease from vaping, and all other tobacco products.
If vapers are only willing to deliver half of what is being asked for and are in denial on the rest, then do not worry... FDA will be there to ensure full cessation is realized, as that is what vapers said was 'best argument of them all.'