The Reform Agenda: Six Changes That Would Transform Nicotine Policy
The nicotine policy landscape is stuck. Six evidence-based reforms—risk-proportionate regulation, honest communication, consumer participation, streamlined authorization, equitable taxation, and just transition—could unstick it.
Risk-proportionate regulation: products regulated by their position on the risk spectrum. Honest communication: smokers told the truth about relative risk. Consumer participation: nicotine users included in the policy process. Streamlined authorization: reduced-risk products can reach the market without million-dollar barriers. Equitable taxation: taxes set by risk, not by category. Just transition: support for the workers and communities displaced by the decline of cigarettes. **This reform agenda is evidence-based, politically contested, and urgently needed. The status quo is killing people. The reforms would save them.**
