Consult to Juul Labs on nicotine vapor for tobacco harm minimization.

Bethesda, MD
Joined June 2008
"It seems to be a law of nature, inflexible and inexorable, that those who will not risk cannot win." John Paul Jones #USPassportQuotes
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Oof.
Trump's disinhibition has gotten markedly worse in the last couple of weeks. In my latest @washingtonsun column, I've compiled his (and his administration's) pre-midterm crescendo of crazy, from Ukraine to Jon Husted's ass. washingtonsun.com/perspectiv…
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Bells of recognition are pealing! FYI, @imaracingmom.
Two wrongs make a right when it comes to incivility Retaliatory incivility (i.e., incivility in response to someone else's incivility) is seen as less morally condemnable than initial incivility. This may create a vicious circle of conflict, as each side responds with greater incivility. sciencedirect.com/science/ar…
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I've researched this deeply and written about it in my column. It affects my life because I've been a smoker since birth. It took me 14 years to get my hands on cigarettes and then 30 years to switch to safe vaping. Sally Satel @slsatel ⬇️ is one of the smartest intellectuals you'll find on a variety of issues including transplants. I adore her.😍 People find it hard to measure risk: They see smoke or vapor and think it's all the same thing. It is not. @jgitchell
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Patient I saw today has been my patient for almost 8 years. They were not well then: oxygen needed and potential lung transplant. So, we got to work on helping them. Today, they saw me after a trip through Europe, OFF of oxygen. This was a trip they had put off for years due to her lungs 🥹 So proud. An honor to be someone’s doctor and invest in them 💪
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Prof @BhramarBioStat brought the light and truth (boola boola, @YaleSPH) at today's @theNAMedicine's #NAMmtg. Such clear, powerful, and important messages about the importance of improving the fidelity and comprehensiveness of our data collection methods if we want better science and policy.
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Joe Gitchell retweeted
Public health director Steve Brown 👇 bbc.com/news/articles/cmy0en…
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#StayCurious @gidmk doesn't tackle all of the issues related to noncombusted nicotine and vaping, but he lays out his thinking on one central question.
Is vaping the best way to quit smoking? My new piece on a provocative question that people often yell about online. medium.com/@gidmk/is-vaping-…
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I think that this might ring some bells of familiarity with my followers. All or Nothing postures reinforced by the refusal to talk to those who see the world differently assure that you win...Nothing.
They fought their entire careers To ensure Mutually Assured Political destruction Then one said, "Let's have coffee!" Find out what happened.
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Joe Gitchell retweeted
Brilliant
Chris Rock just nailed one of the biggest problems with wokeness. Helping people who feel marginalized is good. He says so himself. The trouble starts when a good cause becomes an institution. The first few witches were real. Then you open a witch office. Now there are salaries, budgets and pensions to justify, and the office needs a steady supply of witches to keep existing. That’s the trap. Once a cause becomes a career, solving the problem means losing your job. So the problem never gets solved. It just keeps getting redefined. A system built to find wrongdoing will keep finding it, whether it’s there or not.
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TFW you manage to re-attach part of an aluminum gutter without (apparently--🫰) making things worse!
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Bigly recommend this book. And @RBMD1982 - you get a shout-out in Chapter 5!!
Available now: LIVE LIKE A CITIZEN by Eric Liu. 📖 How do we find hope when civic life feels so divided? @ericpliu offers eight practices for moving beyond cynicism, rebuilding faith in democracy, and turning that belief into everyday action. The reviews speak for themselves: @YoYo_Ma, @dsallentess, @DavidBrooks224, and more share what makes LIVE LIKE A CITIZEN a book for this moment.
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Misperceptions strike again: Cannabis was used as a quit method for: - 9% of people who tried to quit smoking - 16.3% of people who tried to quit vaping (3rd-most common method) pubmed.ncbi.nlm.nih.gov/4287…
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🙏🔥
Me, to my 82-yr-old dad: "Do you mind if I play music while I clean?" My dad: "No, not at all." Me: "Even if it's Madonna?" My dad: "Even if it's Madonna." [Long pause] Me: "I think you secretly like Madonna." [Long pause] My dad: "Yes. That is true. I think I do like Madonna."
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Read this thread from the top where I tweeted about Eric Liu's #LiveLikeACitizen and then received a reply questioning my work choices. I am disappointed that I won't have the chance to get less wrong talking with my interlocutor, but I appreciate their direct communication. 🙏
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Ten years of ping-pong between the Trump and Biden versions of economic populism have left voters angrier than ever — maybe it’s time to try Ideas That Actually Achieve The Desired Goals.
Me in the NYT: If the cost of living is voters' number one concern maybe it's time to bring the 1990s-style policies (none dare call it neoliberalism) — progressive deficit reduction, free trade, regulatory reform — that would actually fix it. nytimes.com/2026/10/16/opini…
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Politically polarized teams produce better work on Wikipedia Research from the University of Chicago of more than 200,000 Wikipedia pages finds that collaborations bridging the political spectrum produce higher-quality work than articles edited by moderate or one-sided teams. Wikipedia pages covering politics, social issues and science written by editors with a broader range of political affiliation rank better on Wikipedia’s own quality scale, because of diverse perspectives, increased debate and appeals to community guidelines Balanced ideological diversity produce higher quality articles, as long as there are clear normative guidelines. news.uchicago.edu/story/poli…
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#FridayFollow if you aren't already picking up what @jayvanbavel is putting down.
Social media isn't a mirror of society. It's creating a funhouse mirror that distorts public opinion. I have a new article in Issues in Science and Technology, explaining how social media amplifies extreme voices, fuels moral outrage, and makes us think other people are far more hostile and polarized than they really are. Consider a few striking findings: -0.1% of accounts spread 80% of the misinformation -Just 3% of active accounts produce 33% of toxic content -Outgroup animosity increases the odds of a post being shared by 67% People with the most extreme opinions are also the most likely to weigh in online, creating a distorted picture of public opinion. This small but vocal minority dominates online conversations while more moderate voices remain silent. This creates the illusion that society is far more divided than it really is. But there's good news. Our research finds that most Americans actually agree about what they want from social media: less hatred and misinformation, more accurate and uplifting content, and greater control over their algorithms. The challenge isn't simply to change people's minds. It's to build platforms that better reflect what people actually believe. This is what people want. Read my new article, "Beware the Funhouse Mirror" here: issues.org/social-media-van-…
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