E-cigarettes

Royal College of Physicians Says Vaping Saves Lives

The venerable British medical society recognizes the harm-reducing potential of e-cigarettes.

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In 1962, two years before U.S. Surgeon General Luther Terry released his famous report on the health hazards of smoking, the Royal College of Physicians (RCP) covered the same subject in a report that went further than Terry's, linking cigarettes to cardiovascular disease as well as lung cancer and chronic bronchitis. Last Thursday the RCP issued another landmark report that should inspire imitation in the United States, endorsing e-cigarettes as a harm-reducing alternative to the combustible, tobacco-containing kind.

"Large-scale substitution of e-cigarettes, or other non-tobacco nicotine products, for tobacco smoking has the potential to prevent almost all the harm from smoking in society," the RCP says. "Promoting e-cigarettes…and other non-tobacco nicotine products as widely as possible, as a substitute for smoking, is therefore likely to generate significant health gains in the UK."

The same is true for the United States, where public health officials tend to view e-cigarettes with fear rather than hope. The RCP report carefully addresses the concerns raised by critics of vaping.

Is vaping safer than smoking?

"E-cigarette vapour contains a far less extensive range of toxins, and those present are typically at much lower levels, than in tobacco smoke," the report notes. "In normal conditions of use, toxin levels in inhaled e-cigarette vapour are probably well below prescribed threshold limit values for occupational exposure, in which case significant long-term harm is unlikely. Some harm from sustained exposure to low levels of toxins over many years may yet emerge, but the magnitude of these risks relative to those of sustained tobacco smoking is likely to be small….Although it is not possible to quantify the long-term health risks associated with e-cigarettes precisely, the available data suggest that they are unlikely to exceed 5% of those associated with smoked tobacco products, and may well be substantially lower than this figure."

Similarly, a 2015 report from Public Health England said "it has been previously estimated that [electronic cigarettes] are around 95% safer than smoking," which "appears to remain a reasonable estimate." Given this huge difference in risk, it is completely irresponsible for government officials and medical authorities to discourage smokers from switching to vaping by implying (or stating outright) that tobacco-free, noncombustible e-cigarettes are just as dangerous as the real thing.

The RCP argues that appropriate safety regulations could further reduce the hazards posed by e-cigarettes. But it warns that if regulation "makes e-cigarettes less easily accessible, less palatable or acceptable, more expensive, less consumer friendly or pharmacologically less effective, or inhibits innovation and development of new and improved products, then it causes harm by perpetuating smoking."

Do e-cigarettes help smokers quit?

"Smokers who use nicotine products as a means of cutting down on smoking are more likely to make quit attempts," the RCP says. "Promoting wider use of consumer nicotine products, such as e-cigarettes, could therefore substantially increase the number of smokers who quit."

In England, the RCP notes, e-cigarettes have surpassed nicotine replacement therapy (NRT, i.e., gum, patches, nasal spray, etc.) as an alternative to smoking. While the evidence so far is limited, it suggests that e-cigarettes are at least as effective as NRT in helping smokers quit, and there is reason to believe they will work better for many people, since vaping more closely resembles the activity it is supposed to replace.

The National Health Service's Stop Smoking Services (SSSs) recently started to help smokers trying to quit with e-cigarettes, and the early data are promising. "The average quit rate in all smokers using SSSs was around 51%, and among e-cigarette users it was 66%," the RCP reports. "Although factors other than the product itself are likely to be involved in this difference, the finding is certainly consistent with high efficacy as a cessation therapy."

Data from England indicate that "smokers who use e-cigarettes at least daily are indeed twice as likely to make a quit attempt, or else to reduce their smoking, [as] those who do not." Although that study did not find that e-cigarette use made success more likely, "independent clinical trials and observational data from the Smoking Toolkit Study [a British survey] indicate that e-cigarette use is associated with an increased chance of quitting successfully."

Are e-cigarettes a gateway to smoking?

Critics of e-cigarettes worry that they will "renormalize" smoking and increase its incidence by fostering nicotine addiction among people who otherwise never would have used tobacco. But there is very little evidence that is happening. To the contrary, smoking rates and vaping rates are moving in opposite directions, and regular use of e-cigarettes does not seem to have much appeal among people who have never smoked.

"There is no evidence that either NRT or e-cigarette use has resulted in renormalisation of smoking," the RCP says. "None of these products has to date attracted significant use among adult never-smokers, or demonstrated evidence of significant gateway progression into smoking among young people."

If there were a significant gateway effect, surveys should identify people who have never used tobacco but who regularly use e-cigarettes (often enough to get hooked on nicotine) and eventually move on to smoking. But if such people exist, there are not many of them.

"E-cigarette use in Britain is, to date, almost entirely restricted to current, past or experimental smokers," the RCP notes. "As with NRT, there is no evidence thus far that e-cigarette use has resulted, to any appreciable extent, in the initiation of smoking in either adults or children; the extremely low prevalence of use of e-cigarettes among never-smoking adults and children indicates that, even if such gateway progression does occur, it is likely to be inconsequential in population terms."

By contrast, the impact of turning large numbers of smokers into vapers could be dramatic. "The growing use of electronic cigarettes as a substitute for tobacco smoking has been a topic of great controversy, with much speculation over their potential risks and benefits," says John Britton, chairman of the RCP's Tobacco Advisory Group. "This report lays to rest almost all of the concerns over these products, and concludes that, with sensible regulation, electronic cigarettes have the potential to make a major contribution towards preventing the premature death, disease and social inequalities in health that smoking currently causes in the UK. Smokers should be reassured that these products can help them quit all tobacco use forever."

This article originally appeared at Forbes.com.

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141 responses to “Royal College of Physicians Says Vaping Saves Lives

  1. Smoking causes addiction to nicotene. Addiction is a deadly disease. I know several people who starting ‘vaping’ and soon were smoking cigarettes and now one is dead from a meth overdose and another is dead from heroin. People who sell ecigs should be fed feet first into woodchippers. How this junk is legal is beyond me.

    1. I’m thinking of a movie from 1986 starring Michael Moriarty…

      1. Is it Top Gun? Was he in that? Who did he play? Did he play Viper?

        1. Is it Top Gun? Was he in that? Who did he play? Did he play Viper?

          And who better to get meth from than an Iceman? All makes sense now – it has to be a Don Simpson production.

    2. I’m thinking of a movie from 1986 starring Michael Moriarty…

    3. Smoking causes addiction to nicotene. Addiction is a deadly disease. I know several people who starting ‘vaping’ and soon were smoking cigarettes and now one is dead from a meth overdose and another is dead from heroin. People who sell ecigs should be fed feet first into woodchippers. How this junk is legal is beyond me.

      Citations please, otherwise your a big fat liar.

      1. *you’re

      2. No. You’re a big fat sarcasm-proof whatever.

        1. I was vaping for months and I felt like nothing happened, I was still poisoning myself. It turned out to be right after I got diagnosed with emphysema. I quit then with “simpleguided smoking plan” and I’m handling it very well.

          1. I’ll admit I have no idea what this sentence is supposed to say. I can get at least three completely different meanings from it.

    4. Sorry, but I have to pull a Sheldon Cooper here. Is this sarcasm?

      1. I have no idea but I’ve seen the same spiel from him before.

      2. I’m pretty sure it is. I think he’s the guy who doesn’t believe in addiction or something.

    5. I’m going to assume you’re being sarcastic, but a tag would really help.

    6. Re: AddictionMyth,

      Addiction is a deadly disease.

      Hey, whaddya know? You just lived up to your nick! That IS a myth!

      Congrats!

    7. Addiction is cool. Vaping is uncool. It is impossible for something uncool to lead to something cool, ergo your argument is invalid and you are a bird.

    8. I know several people who starting ‘vaping’ and soon were smoking cigarettes

      That’s very unusual.

      and now one is dead from a meth overdose and another is dead from heroin.

      That has nothing to do with vaping.

    9. “I knew this guy who bought a used car once. Ten years later and bam! Herpes.”

    10. So vaping is a gateway drug, like cannabis and beer. Got it.

      1. I should really stop doing those things. I had no idea I was this close to an OD. Thanks, hyp. You saved me

    11. Smoking causes addiction to nicotene. Addiction is a deadly disease. I know several people who starting ‘vaping’ and soon were smoking cigarettes and now one is dead from a meth overdose and another is dead from heroin. People who sell ecigs should be fed feet first into woodchippers. How this junk is legal is beyond me

      Again, please, tell us more.

      1. “Again, please, tell us more.”

        Good gawd, you want more of that nonsense?

        He’s obviously gone, so I’ll fill in. Vote for Bernie because capitalism is bad, everything should be free.

        1. Is that what he thinks? I assumed he was just a drug crusader.

          1. This is why I want to learn more. AddictionMyth is playing it cool, teasing us with his interesting musings.

            1. These fucking cliffhangers.
              We need to binge 20 or so comments in an afternoon.

              1. Look. Is Jon Snow dead or not?

          2. It was sarcasm. He has posted stuff before. His handle is an accurate summary of his views.

            1. His handle is also an accurate summary of the ONLY THING HE EVER WANTS TO TALK ABOUT AND WHICH HE WILL SOMEHOW INSERT INTO EVERY SINGLE COMMENT HE MAKES.

              The sarcasm is new; i think we may have broken him.

    12. I know several people who starting ‘vaping’ and soon were smoking cigarettes and now one is dead from a meth overdose and another is dead from heroin.

      Sounds to me like you know several stupid people. Not surprising, they do run in packs I hear.

    13. I appreciated this, AddictionMyth.

    14. When woodchippers are outlawed, only criminals will have mulch.

    15. Srlsly 4realz, brah! I knew a guy who started vaping in high school and his life just spiraled out of control – weedz, meth, butt-chugging tequila, until a week later BOOM! Dead!

  2. I can see what your saying… Carrie `s st0rry is great, on monday I bought themselves a BMW 5-series from bringing in $7500 this – four weeks past and-a little over, ten k lass month . with-out a doubt this is the easiest work Ive ever done . I actually started six months/ago and pretty much immediately began to bring home at least $80, p/h . browse this site…UO3…..

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  3. We get it.. You vape.

  4. Only a dumbass wants to ban things because they look kinda, sorta, but not really at all alike. Or because it might, at some point, be kind of dangerous but still less dangerous than other legal things within the same category. (Or before we even know how dangerous or non-dangerous it might be at all.)

    So, basically, government in a nutshell. Par for the course. Reflexively tax and/or ban a thing, but never get rid of the tax/ban despite the evidence later on.

  5. Re: BYODB,

    So, basically, government in a nutshell.

    The problem is when companies fall for the same claptrap and hysteria and ban the use of e-cigarettes in their places of work, including parking lots. I speak out of experience, although to be clear, I am not a smoker and never have been.

    1. No, that’s a side effect. I’ve had idiots walk up to me and tell me that vaping is going to kill me. I ask them if they think vegetable glycerin or water are super deadly (or the scarier sounding, but just as harmless, propylene glycol), and it’s instantly clear that these morons are of the ‘reflexive ban’ type.

      Not only do they have no idea whatsoever about the thing they’re talking about, they are willing to ban it just because. No other reason than that. It is the most literal and direct form of FYTW I’ve ever encountered face-to-face. I’m sure if pressed further, these same people would claim that they ‘fucking love science’ too.

      Amusingly, I was a smoker for a decade and I’ve actually had more flak for vaping than I ever did for smoking. Vaping is banned at my work and parking garage as well, but fuck those guys. I’ll vape in my car if I want, just like I smoked in my car before if I wanted to. I treat vaping like I’m smoking because, if I don’t, some nanny is going to crack down in a heartbeat and I won’t have the chance to set them straight.

      You want to get really pissed off, note that vaping is considered ‘tobacco use’ by most insurance companies yet nicotine gum is covered.

      1. vaping is considered ‘tobacco use’ by most insurance companies

        That is the point for me where it became without-a-doubt obvious that it’s all just about optics. Insurance companies are the *one* group I expect to be rational on this – and they’re not.

        1. In their defense, the market is so distorted and government-mandated that they’ve given up caring, if they ever did care at all.

          You see, when they started to mandate that insurance covers things that are an eventual certainty it stopped being insurance. You can’t insure against a sure thing. At that point, you’re paying someone else to save your money for future bills.

          In other words, single payer administered by an industry that the government controls through regulatory fiat. The only reason it isn’t socialized medicine is because the government doesn’t technically own every hospital (even though they essentially pay every Doctor), but it’s as close as they could get without that label being honestly applied.

          1. Good points – “health insurance” isn’t really insurance.

          2. Even without all the mandates and distortions, I think most insurers would still deny coverage to vapers, at least in the short term. They would probably wait until longitudinal studies came out which found no negative effects from vaping. By the very nature of their business, insurers tend to be very conservative.

          3. In other words, single payer administered by an industry that the government controls through regulatory fiat. The only reason it isn’t socialized medicine is because the government doesn’t technically own every hospital (even though they essentially pay every Doctor), but it’s as close as they could get without that label being honestly applied.

            I agree. There has to be a point when there is enough government regulation of an industry to declare that the industry is de facto socialized. Leftists always point to the fact that private individuals still technically own the means of production as evidence that the industry is not socialized, but there has to be some point where such a distinction is meaningless. Akin to the tax law principle, leftists would be elevating form over substance.

            1. I see what you’re trying to do here. Bernie is a ‘democratic’ socialist! We’re going to be just like Sweden, stop your lies, bagger!

            2. Healthcare is at the point where I think we can safely call it government owned. When the leadership of an organization needs to care more about regulatory compliance than administration, or when those things are no longer separated, you can just call it what it is.

            3. Leftists always point to the fact that private individuals still technically own the means of production as evidence that the industry is not socialized, but there has to be some point where such a distinction is meaningless.

              So it’s not socialist; it’s fascist.

              1. I don’t know how productive is the quibble over whether a highly-regulated market is “socialist” or fascist.” On the one hand, you could call it “socialist” but without the technical “government ownership of the means of production” requirement. On the other hand, you could call it “fascist” but without the ultra-nationalism and racism that historically accompany the term as it is practiced.

                In either case, the ideologies and how they are practiced are anathema to libertarianism and classical liberalism.

      2. Vaping is pretty subversive from the ban-perspective; there is no combustion or smoke, cloud dissipates in seconds, if there is any lingering smell at all it’s bubblegum or tangerines or whatever – an air freshener basically.

        1. You are correct good sir. I’ve vaped in elevators and bathrooms, conference rooms and break rooms, and to date I’ve never been caught once. Even if someone see’s the mist, it’s easy to say ‘oh, I sprayed some cologne’. They’ll probably even remark on how subtle a fragrance it is.

          1. Sometimes where there’s smoke, there’s no fire.

    2. Many companies are including nicotine on their employment drug tests, as part of their no-smokers policies.

      Vaping wrecks their testing.

      Ergo, the ban vaping.

      Tail wagging the dog.

      1. Mine isn’t that draconian. Instead I just don’t get the health “discount” – which is really just the old rate without the huge increase that smokers & vapers get.

      2. Know what else wrecks that test? Not smoking for two days. It’s about as effective as the pre-screening for cocaine, which is to say not at all effective.

        You’re absolutely right in a lot of ways though. The thing is, the government doesn’t want to give up those sweet tax dollars from our behavior, so it needs a new behavior to tax. Vaping even kind of looks like smoking, so until someone dick slaps them with irrefutable proof (and even then, not likely) they’ll just tax it like it’s the same and fuck you, that’s why.

        1. Not smoking for two days.

          That doesn’t sound easy to a lot of smokers. At least not without some other source of nicotine.

          1. Tell that to the guy that needs to quit cocaine for two days to pass his test.

            While I agree nicotine testing is nonsense and shouldn’t be a thing under pretty much any circumstances, if you can’t quit for two days to pass the test than I don’t know what to tell you because both myself and most of the people I knew at the last Hospital I worked at had to do it in order to be hired. Presumably, any job that bothers to nicotine test is also a job that hopefully pays enough to make it worth your while to submit that extra level of B.S.

            I can tell you that virtually all of us continued to smoke after our hire immediately, with the rest following along after maybe a week. Most of those same people were a lot more distressed at not being able to smoke other things instead of their cigarettes, and that lasted a lot longer than two days. If, at any point afterwards, they had an accident and were tested I can already tell you which of those two things would be an instant fire offense and which one wouldn’t ever be tested for again no matter what you do.

            1. Did I say no one could or would do it?

  6. But it’s like all icky and stuff, and your right to make choices over your own body extends only to the same choices that l’d make because I’m one of the elect. [/nanny-statist]

  7. It is nonsensical and counterintuitive that a person who smokes an e-cig will “graduate” to normal cigs at any point. Besides the well-documented health effects of smoking the stuff, tobacco smoke is fucking disgusting, it is very difficult to get rid of its stench and the tar stains everything in your mouth.

    1. Not to mention that most of the kids vaping aren’t inhaling nicotine; they are vaping flavored mixes that have no nicotine.

      1. The people here at woek that vape use an incredibly low percent nicotine. They’ve reduced the nicotine input by a huge amount.
        Most kids my age don’t use the nicotine. It’s more like a travel hookah.

    2. And cigarettes are more expensive.

  8. Vaping hasn’t been around long enough for us to understand the long-term effects on peoples’ health. The sensible thing to do is ban it outright and punish transgressions severely until we know what’s going on. Look how well that worked with marijuana!

    1. But banning it might cause harm, so the precautionary principle says we should sit here with our hands between our knees. Just in case.

      1. Precautionary principle only applies to the harm caused by a thing, not to the harms caused by enforcing the ban of a thing. In fact, harms caused by the government probably don’t even count as harms at all. So everybody wins!

        1. The government only acts in the “public interest,” which is anything the government says it is. So the government cannot possibly do any harm.

  9. Of course it saves lives. You have to understand, however, that the crusade against tobacco was never about health or saving lives. It was a moral crusade pretending to be about public health. Tobacco is a form of sinful enjoyment. The fact that it is also unhealthy was just a bonus to the people who wanted to ban it. Vapping is the same kind of sinful enjoyment. It just doesn’t have the same bad effects on your health that tobacco does. It is, however, no less of a sin and therefore no less undesirable to these people.

    1. “You have to understand, however, that the crusade against tobacco was never about health or saving lives. It was a moral crusade tax issue pretending to be about public health.”

      And now that their ‘moral crisis’ is averted, they must find a new one to cure tax at an absurdly high rate.

      1. No. You are confusing politicians who took advantage of it with the people who started it. For them it was all about morality. It was only later after politicians got involved that it became about tax money. If it was about tax money, they would not have made smoking something no one does in polite society anymore.

        1. Wait, so the people who wanted the sale of cigarettes banned completely are at fault for them only being taxed into oblivion?

          Interesting.

          1. In a way. They became the useful idiots for the politicians to get their tax money.

    2. Vapping is the same kind of sinful enjoyment.

      Vap-vap-vap…

      1. Its like carbon consumption. Its bad for your soul!!

    3. It was a moral crusade pretending to be about public health.

      Hence, the crap studies about second-hand smoke. And the even crappier studies about third-hand smoke.

      1. With appeals to public health, welfare, or the environment, government can do anything it wants.

    4. You must work for big Tobacco, John. Just another Koch puppet.

  10. I believe that the city Peoples’ Republic of Boulder has banned vaping in city parks. You know, to protect other park goers from the evils of second hand vapor.

    1. They have. It’s also a great way to get dirty looks on pearl. I think they banned it on pearl, but there’s too many people to stop.

      1. That reminds me… I got more dirty looks from smoking in SF when I lived there for one year 20 years ago, than I have in NYC all the years since. There is definitely an east coast/west coast thing going on there.

    2. There are medical exceptions to these laws, right? The oldest broodling used to ‘require’ nebulizer treatments for his allergies (that he’s since outgrown). AFAICT, the only difference between medical nebulizing and vaping is that describing the device/practice as vaping is a medical misnomer. A vaporizer is used to change the environment whereas a (prescription) nebulizer is intended to dose accurately.

      Nobody would confuse his nebulizer for a vaping, but by the same token, if you’re vaping apparatus looked like a nebulizer, I’m certain no one would hassle you. Not that anyone should *have* to resort to that, but I’m certain you could really get away with it and/or fuck with bureaucrats.

      1. New idea. Vapes that look like inhalers. Brilliant.

        1. I heard that big tobacco are making these vape devices in bubblegum and other flavors to get little kids addicted.

        2. Just try and tell me this kid isn’t vaping.

        3. Especially nice because nebulizer’s often times have the same primary mixer ingredient as a vaporizer. (Propylene Glycol, if I recall, is used in both.)

  11. Yeah, but they still LOOK like cigarettes. /fucking animists

    1. Some don’t. Are those ones OK?

  12. My mother was orally raped by a man when she was younger, therefore, I want to ban all phallic-shaped foods so that my daughter can live a life free of oral raping.

    1. If only she had been unconscious and in Oklahoma.

    2. Is a life free of oral raping worth living?

    3. Chew your food…

  13. The vapor itself is completely harmless and has been around for decades. And the additives that give it flavor are FDA-approved (for what that’s worth)… at least the US-manufactured ones. If you’re smoking e-liquid manufactured in China then you deserve what’s coming to you.

    The biggest danger in e-cigs doesn’t come from the vapor or the additives but from the hardware… which none of the regulators seems to give a flying shit about and which tells me they have no idea what the fuck they’re doing. The cheap ones are shoddily-manufactured and there is a real risk of heavy metals — very bad — along with the good stuff.

    1. Which study are you citing here?

      1. It’s probably a pretty safe assumption that cheaply manufactured electronics may have lead and other metals where you don’t want them.

        1. Maybe, maybe not. Are these unknown and quantified ‘possible’ metals able to be vaporized and inhaled by your standard vape setup? For instance, if you put these ‘maybe’ metals on an incandescent light bulb do the melt and/or become an aerosol?

          These are important questions, which is why I asked. If I just wanted to be senselessly terrified of science I’d go read Salon.

          1. Sure, it’s not definite at all. But I’d rather play it safe and buy from a reputable manufacturer when it comes to thing I’m inhaling. Lead does vaporize enough when heated to be a danger. If you solder with lead a lot, you want to make sure you have good ventilation.

            I’m not calling for a ban on anything. Just saying that there are probably good reasons to avoid the cheaper vaporizers. Sometimes the precautionary principle does make sense.

  14. Vaping murdered my mother and raped my father. JUST SAY NO TO DATE RAPE VAPE!

  15. $89 an hour! Seriously I don’t know why more people haven’t tried this, I work two shifts, 2 hours in the day and 2 in the evening?And i get surly a chek of $1260……0 whats awesome is Im working from home so I get more time with my kids.
    Here is what i did
    ?????? http://www.worknow88.com

    1. Do you make e juice, or organize cloud contests?

    2. No, and don’t call me Surly.

  16. A district in crisis
    Detroit’s public schools have been in crisis for months. The school district has about $515 million in operating debt, the governor’s office has said, and is spending about $1,100 per student on debt service annually.

    GOVERNMENT BUDGETS AREN’T LIKE REGULAR BUDGETS, MAAAAN.

    http://www.cnn.com/2016/05/02/…..index.html

    1. If a public school spends more money than it receives, then ipso facto it did not get all the money it deserved.

      1. I wish my budget worked like that.

    2. Detroit’s problems are the fault of capitalism. Tony told us so. No, you may not ask why capitalism so closely follows municipal boundaries.

    3. Puerto Rico agrees!?!?

  17. OT:

    Federal debt has increased by more than $1TT since the budget deal last year. Yup, that’s trillion with a T, in about six months.

    http://cnsnews.com/news/articl…..1-trillion

    1. And we still have no idea what we taxpayers are getting out of it.

      1. 1. Jets that don’t work

      2. 2. “Free” health insurance that costs more than the bad old insurance we had before, and covers less

      3. 3. Whatever the fuck is going on in Syria, Yemen, Afghanistan, France, and various other Third World shitholes

      4. 4. Welfare for the wealthiest age cohort in America.

    2. Well, a lot of that is probably debt that they ran up before the budget deal but had to hide because it would have been over the cap.

      Keep in mind, though, that this happened while the feds were having their best tax season in history.

      1. And yet, in some circles, the government is suffering from tax famine, so we need to raise taxes.

        1. They collect more tax money in both real and inflation adjusted terms than at any time in American history. But the problem is Americans want big government but want to be taxed like Libertarians.

          People actually believe that. Its terrifying.

          1. The combined wealth of all of the billionaires in the country is something around $2 trillion dollars. So you could take every dime they have and leave them all broke and still only finance the deficit for a bit less than five years.

            But we could pay for everything if only the really rich paid their fair share.

            1. John, you don’t just take their money, you keep them working and take what they continue to earn. If you’re going to do slavery right, you can’t kill the host.

      2. The Republicans blundered into sequestration. They honestly didn’t think that Obama was dumb enough to call their bluff. They hated the idea as much as he did. They were not going to make the mistake of underestimating Obama’s pig headed stupidity again. So, this time they just dropped the mask and gave him everything he wanted up front.

    3. It’s becoming increasingly clear the Obama just wants to trash the place before he’s done.

      1. As a *Keynesian, Obama believes it’s his job to pump the economy and the next guy should take the fall and do the responsible thing.

        *Obama is no Keynesian either.

        1. *You misspelled “Kenyan” …

    4. So, does that mean things are slowing down?

  18. Question for those who do vape.
    Can you buy all these products online?
    I’m fairly sure vermont is going to raise the smoking age to 21. So anyone who wants to enough can just buy all this stuff online.

    1. Yes you can. I make my own e-juice — everything except the nicotine concentrate is available from Amazon. Batteries and mods are readily available online from literally hundreds of outlets.

    2. Yes, but go to the local shop and pick out what you want, then buy online.

  19. 6?Once I saw the draft of 6258 bucks,,, I admit that my friend’s brother was like really generating cash in his free time with his PC. His uncle’s neighbor has done this for only 8 months and by now repaid the loan on their home and bought a new Car ..HY4..

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  20. VAPING = 3 TIMES MORE LIKELY TO SMOKE CIGARETTES!

    I’m inspired to watch that “Butt Out!” episode of South Park again.

  21. RE: Royal College of Physicians Says Vaping Saves Lives
    The venerable British medical society recognizes the harm-reducing potential of e-cigarettes.

    This is true.
    I saw an e-cigarette give mouth-to-mouth to a person who quit breathing when he almost drowned.
    The potential drowning victim is OK now.
    Thank God for e-cigarettes!

  22. I quit myy office job and now I am getting paid 56 Dollars hourly. How? I work-over internet! My old work was making me miserable, so I was to try-something different. 1 years after…I can say my life is changed completely for the better! Check it out what i do…UI2

    ========== http://www.reportmax90.com

  23. The Cool Tools site recommends the Kangar evod e-cig device; $35.
    http://kk.org/cooltools/kanger…..cigarette/

  24. before I saw the bank draft which had said $9426 , I didnt believe that…my… brother woz like actualy earning money part-time at there labtop. . there uncles cousin has done this 4 less than fifteen months and by now repaid the dept on there place and got a great new Mini Cooper . read the full info here …

    Clik This Link inYour Browser??

    ? ? ? ? http://www.SelfCash10.com

  25. til I saw the draft which was of $6881 , I didnt believe that my mother in law had been realy taking home money part-time on their laptop. . there best friend has done this 4 only twelve months and at present took care of the mortgage on there condo and got a top of the range Subaru Impreza . Learn More ….

    Click This Link inYour Browser….

    ?????? http://www.Reportmax20.com

  26. I’ve made $76,000 so far this year working online and I’m a full time student.I’m using an online business opportunity I heard about and I’ve made such great money.It’s really user friendly and I’m just so happy that I found out about it.

    Open This LinkFor More InFormation..

    ??????? http://www.selfcash10.com

  27. before I looked at the draft saying $9453 , I have faith that my mother in law woz like truley erning money part time at there computar. . there mums best friend haz done this 4 less than 14 months and just repayed the dept on their apartment and purchased a brand new Honda . read here …..

    Please click the link below
    ==========
    http://www.selfcash10.com

  28. I am making $89/hour working from home. I never thought that it was legitimate but my best friend is earning $10 thousand a month by working online, that was really surprising for me, she recommended me to try it. just try it out on the following website.
    ============ http://www.Path50.com

  29. I’ve made $76,000 so far this year working online and I’m a full time student.I’m using an online business opportunity I heard about and I’ve made such great money.It’s really user friendly and I’m just so happy that I found out about it.

    Open This LinkFor More InFormation..

    ??????? http://www.Centernet40.com

  30. Yes, but go to the local shop and pick out what you want, then buy online.

    egypt
    abraj

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