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- It is stunning that a public agency entrusted with the health of the population of California would promote such a one-sided, scientifically impoverished document. If the Surgeon General wants clarity on e-cigarettes, he should tell the public what we don’t know (e.g., the long term effects of propylene glycol; whether the youth smoking will continue to fall in the presence of e-cigarettes) and what we do know (e.g., that tar released by burned tobacco is much more harmful than e-cigarette aerosol; that vaping is cheaper than smoking; the nicotine is generally benign in adults).