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Tian Wen's avatar

Merry Christmas to you and all your readers, and congratulations on the continued progress of your newsletter!

Regarding enforcement, I see this playing out in (at least) two possible ways:

One perspective is cyclical - illegal tobacco products have always been introduced, and after some time enforcement catches up. Gavin O’Dowd recently mentioned “if you go back for the last 70 years, there’s always been waves of illicit products getting into every market in the tobacco and nicotine space (…) and eventually it becomes such a material issue that the government simply says we’re going to put a boot on this”. https://m.youtube.com/watch?v=OaFNvUuyUsE

The other perspective is that US state capacity has been declining for decades: https://onlinelibrary.wiley.com/doi/10.1111/1758-5899.13282. For instance, you have written extensively on the PMTA process, in which the FDA has been unable to evaluate applications on time, has arbitrarily rejected some applications, and has created the perverse situation in which most of the vapes sold in the US are illegal.

I’m sure nothing is as black and white as I’m suggesting. What is your view?

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