Lies and damned lies
May 13, 2026 by substack.com
Lies and damned lies
Debates around tobacco harm reduction are increasingly exposing tensions between public health messaging and institutional behaviour. Critics argue that some organisations continue to reject lower-risk nicotine alternatives while simultaneously supporting policies that have failed to reduce smoking effectively. The discussion highlights what is seen as a growing disconnect between scientific evidence, consumer experiences and regulatory narratives. Concerns are also raised about selective framing of risk, particularly when safer alternatives are treated similarly to combustible cigarettes. At the centre of the debate lies a broader question of consistency, credibility and whether public health policies are being applied evenly across different forms of nicotine use.