Nonprofit Chronicles

Journalism about foundations, nonprofits and their impact

Politicians on the left and right valorize small business. As it happens, small businesses create most of the new jobs in the US. Yet businesses that sell e-cigarettes, most of which are family-owned and employ just a few people, are the targets of unrelenting assaults from governments at all levels.

My new story for Medium, The unrelenting assault on vaping is taking a toll, looks at the impact that bans, taxes, prohibitions on shipping, misinformation and FDA rules have had on vaping. An estimated 3,500 vape shops have closed since 2018. Jobs and tax revenues have been lost. 

Worse, anti-vaping campaigns are making it harder for smokers to switch to e-cigarettes, which are a much safer way to obtain nicotine. That’s terrible.

Most vape shop owners are former smokers who quit by using e-cigarettes. They’re motivated by passion as well as money. Kim “Skip” Murray, who is about to close her vape show in Brainerd, MN, tells me: “Being involved with this technology has been a privilege.”

I’ve been mildly obsessed with the story of vaping for more than a year now, and I’m going to try to stay on top of it. There is so much misunderstanding about vaping and smoking. And it is literally a life-and-death issue. Please take a look at my story.

Giving Tuesday is, in theory, a lovely idea. Heck, if the people of this great nation want to celebrate Black Friday and Cyber Monday by spending money they don’t have on stuff they don’t need, why not set aside a day for what’s been called “an opportunity for people around the world to come together through generosity in all its forms by sharing acts of kindness and giving their voice, time, money, goods, and advocacy to support communities and causes.” Only a scrooge could object.

Still, it is worth noting that while Giving Tuesday reliably produces an avalanche of unwanted emails from nonprofits, it does not produce a measurable increase in the amount of charitable giving by Americans, which has remained more or less steady for years. People shift their donations to Giving Tuesday, and away from the other days of the year..

If there is a benefit to Giving Tuesday, it is to encourage more thoughtful giving. I’ve just written a couple of stories that, I hope, will spur people to think harder and do some research before clicking on a “donate now”  button or writing a check.

Which are the best climate change nonprofits?, for Medium, reports on the recommendations of a small meta-charity called Giving Green that seeks to guide people who want to use their donations or investments to help curb climate change. 

Why the future of animal welfare lies beyond the west, for Vox, reports on a disconnect that has long vexed the animal advocacy movement: Most giving on behalf of farm animals goes to groups in the US and EU, while the vast majority of the world’s farm animals live, and suffer, elsewhere. Fortunately, donors and animal advocates are redirecting more of their efforts to work in the global south. 

If you care about climate change or animal rights, these stories may interest you.

Unfortunately, it is really hard to identify standout nonprofits. Charity Navigator doesn’t have the staff or budget to do the job. That is why a handful of meta-charities like Giving Green, GiveWell and Animal Charity Evaluators are so valuable. Guided by the principles of effective altruism, they do deep research into nonprofits to find those that do the most good.

If you are looking for a place to give, consider GiveDirectly, my favorite charity, which simply (and very efficiently)  gives money to the world’s poorest people, trusting that they know their own needs better than we do. I first wrote about GiveDirectly here in 2015, and I’ve donated to them annually ever since.

The trustees of the Virginia G. Piper Trust

Big-time philanthropy is a peculiar enterprise – undemocratic, accountable to no one and slow to change.

If you doubt it, consider the Virginia G. Piper Charitable Trust, Arizona’s largest private foundation. The trustees are paid $44,000 a year, more than the directors at the Ford or Rockefeller foundations, which are far bigger. They took control of the biggest day of giving in the trust’s history, excluding the paid staff. And what do you know? Some of the most generous grants went to charities on whose boards they sit.

It’s all perfectly legal, and it may be just what Virginia G. Piper, the trust’s eponymous benefactor, would have wanted.

You can read my story about the Piper Trust on Medium.

The government last week released encouraging news about youth vaping. It is down by 60 percent over the last two years.

It’s too early to be certain — the results of this latest government survey are not strictly comparable with data from past years — but it appears as if the youth vaping epidemic is over.

ou would think this would be reason to cheer. But anti-vaping groups like the Campaign for Tobacco-Free Kids and the Truth Initiative instead downplayed the decline, focusing only on those teenagers who continue to vape. As always, they ignored the interests of the millions of adult smokers who have used e-cigarettes, which are less dangerous than combustible tobacco, to kick their habit.

In my latest story for Medium, I look at how the data released by the CDC and FDA was distorted or taken out of context by the groups that want to ban flavored e-cigarettes. I also try to put the vaping problem in perspective, noting, among other things, that binge drinking among teens is a bigger problem that gets far less attention. But Bloomberg Philanthropies is not funding campaigns against binge drinking; it is spending $160 million to prevent youth vaping.

Increasingly, I see the story of the anti-vaping movement as a classic example of a point made the other day on Substack by Freddie deBoer: That “nonprofits are self-serving entities that exist to perpetuate their funding and the jobs of their workers.”

“This is not an allegation of cynicism on the part of any individuals,” he goes on to say, “but a function of the nature of systems.”

Like all of us, nonprofits are influenced by incentives–their biggest is to please donors.

Why else would Tobacco-Free Kids and Truth Initiative continue to crusade against vaping when there’s growing evidence that they are doing more harm than good? You can read my story here on Medium.

MDMA is an illegal drug that, according to the Drug Enforcement Administration, has no medical value and a high potential for abuse.

Yet MDMA — better known as ecstasy or molly — is being welcomed into a veterans administration hospital where it will be used to help combat veterans with PTSD.

How can that be?

As a practical matter, the research at a Bronx, NY, VA hospital has been permitted by the FDA, which, to its credit, continues to approve clinical trials to assess the therapeutic benefits of psychedelic medicines. Guided by science and not by the politics of the war on drugs, FDA regulators are increasingly aware of the potential of psychedelics; when accompanied by therapy, they appear to be able to help alleviate suffering from a range of mental disorders.

Specifically, this clinical trial took root at a meeting at Burning Man and was made possible by the philanthropy of two colorful billionaires. You can read more in my latest story at Medium.

Here we are, with summer coming to a close, and I am more than a little surprised to find that I have devoted most of my working time during 2021 to a single topic–electronic cigarettes. I’ve never been a smoker or a vaper, and paid no attention to e-cigarettes until late last year, when I began reporting a story about Bloomberg Philanthropies and the Campaign for Tobacco-Free Kids for the Chronicle of Philanthropy.

The more I learned, the more I came to believe that the topic meets the three criteria that I try to apply when deciding what stories to report. (1) Is it important? (2) Is it being covered well by others, i.e., do I have something to contribute? (3) Can my coverage in some way, big or small, make a difference?

(Those of you familiar with Effective Altruism will recognize those criteria as the framework of importance, neglectedness and tractability used by EA-influenced organizations such as the Open Philanthropy Project when deciding where to allocate resources to solve a problem.)

Tobacco policy is important–a life and death matter, literally, and one involving questions of racial justice and personal freedom as well. The topic is neglected or poorly covered by the mainstream media; misinformation is rampant. My stories are getting read (although not as widely as I would like) so, for now, I’m going to keep writing them.

In the last week, I’ve written two new stories for Medium about e-cigs.

Why do opponents of vaping want to suppress or dismiss science? explores the debate over conflicts of interest in the tobacco-control community. There’s a mini-scoop in the story: I report that Joanna Cohen, a Johns Hopkins University professor who opposes the publication of science that is backed by tobacco or e-cigarette interests, turned for PR advice to the Campaign for Tobacco-Free Kids, an anti-vaping group. See the problem? She’s opposed to conflicts of interest but collaborating with an organization that has staked out a hard-line, neo-prohibitionist approach to e-cigarettes.

Yesterday, I posted a story with the headline “Vaping can benefit public health.” That’s not my opinion. It’s the conclusion of 15 former presidents of the Society for Research on Nicotine and Tobacco, who argue in a new paper that a growing body of evidence suggests that vaping, which is safer than smoking, can be an effective way of helping today’s smokers quit. “The potential lifesaving benefits of e-cigarettes for adult smokers deserve attention equal to the risks to youths,” these scientists write. “Millions of middle-aged and older smokers are at high risk of near-future disease and death.” This is rebuke to, among others, government health authorities in the US and elsewhere, Bloomberg and Tobacco-Free Kids, all of which are pushing to restrict access to vapes. The paper by these eminent scientists deserves to be read widely.

If nothing else, my reporting on vaping has reminded me of lessons that we all should have learned long ago–that we should greet pronouncements from foundations and so-called public interest groups with the same skepticism that we apply to government or corporate action.

Stanton Glantz relished his role as an activist. Colleagues gave him a T-shirt reading “Here Comes Trouble.”

Stanton Glantz, one of the world’s best-known tobacco researchers, had everything going for him — a first-class brain, financial support, a tenured professorship and a passion for the task at hand. No scientist, it seemed, was more committed to reducing the death and disease caused by smoking

Glantz led the creation of an invaluable archive of tobacco-industry documents at the University of California at San Francisco, where he was a professor of medicine. He famously called attention to the risks of second-hand smoke, which helped turn public opinion against smoking. He inspired many.

“He was a hero of mine,” says Michael Siegel, a physician and tobacco control expert who worked with Glantz at UCSF.

Glantz is no longer a hero, not to Siegel and not to other critics who fought alongside him in the battle against smoking. They say that Glantz’s hard-line opposition to all things tobacco has led him to exaggerate the dangers and downplay the benefits of e-cigarettes, which have helped millions of smokers quit. 

His bad science has enabled bad policy, which makes it harder for people to switch from deadly combustible cigarettes to vapes, which are safer although by no means entirely safe. (Young people, whose brains are still developing, should not smoke or vape.) Misinformation about vaping promulgated by Glantz and his allies has sure kept many people smoking. That’s tragic.

Undark, a web magazine about science, has just published my 5,000-word story about Glantz. (It was republished today by Mother Jones.) Please read the story, which goes into great detail about Glantz’s work. Undark editors carefully vetted the story and made it better, but their approach to journalism (“just-the-facts”) is more conservative than my own. So I want to offer a few additional thoughts here, in the form of a q-and-a.

Why write about Stanton Glantz?

Glantz, who is 75, remains the go-to scientist for the anti-vaping movement, even though he retired last year from UCSF.

I learned that earlier this year while researching a story about Bloomberg Philanthropies and e-cigarettes for the Chronicle of Philanthropy. I’d spoken to respected veterans of the anti-smoking movement (Steven Schroeder, Ken Warner, David Abrams and Siegel), who worried that bans on e-cigarettes would do more harm than good. So I asked a PR person at the Campaign for Tobacco-Free Kids to recommend a scientist who had researched the dangers of vaping and supported efforts to ban flavored vapes. He sent me to Stan Glantz. I was surprised because this was after a prominent journal retracted a major, federally-funded paper about vaping and heart attacks by Glantz. Editors of scientific journals hate retracting papers; only about four of every 10,000 papers are retracted, according to this 2018 report in Science.

Even so, Glantz’s claims about the dangers of vaping continue to be cited in scientific journals and by the anti-vaping forces.

That said, the problem of misinformation goes way beyond Glantz. The outbreak of a lung disease called EVALI had nothing to do with vaping nicotine, it turns out. Nor did vaping increase Covid-19 risks. But Glantz is among the worst offenders.

Is his research that bad?

Unfortunately, it is. Glantz has made three big claims about vaping — that it is a “gateway” to smoking, that vaping does not help smokers to quit and that e-cigarettes increase the risk of heart attacks. All are unsupported by evidence. Sometimes these claims are embedded in the published versions of his research. More often they are made in press releases or on his blog.

His two heart attack studies were the most egregious. The Journal of the American Heart Association retracted a 2019 study after other scholars discovered that some heart attacks in the analysis took place before the victims began vaping. Glantz knew that, according to the journal, but claimed that the study offered “more evidence that e-cigs cause heart attacks.”

“There’s no way these are innocent mistakes,” says Brad Rodu, a professor of medicine at the University of Louisville whose work has been supported by the tobacco industry. “This is falsification.”

Just days ago, a 2018 study by Glantz linking e-cigarettes with heart attacks was refuted by a follow-up analysis in the American Journal of Preventive Medicine called “Re-Examining the Association Between E-Cigarette Use and Myocardial Infarction: A Cautionary Tale.

Increasingly, former allies are going public with complaints about Glantz. During a webinar last month about conflicts of interest in tobacco research, Mike Cummings, a professor at the Medical University of South Carolina and longtime critic of the cigarette makers, said that academics as well as industry-backed researchers need to be held accountable for their work.

“We’re not calling out our colleagues who are polluting the science,” Cummings said. “I’ll call out Stan Glantz.” 

What are the consequences of Glantz’s work?

In the memorable phrase of longtime anti-smoking activist David Sweanor, Glantz has become one of “Big Tobacco’s Little Helpers.

How so? The evidence is growing that banning e-cigarettes or raising taxes on them — the policies favored by Glantz and his allies — lead more people to keep smoking. So does misinformation about the dangers of vaping.

“The inevitable result,” Sweanor has said, “is that it is more likely that smokers will stick with deadly combustibles, more vapers will revert to smoking, smoking will decline more slowly than it otherwise would, and the lucrative cigarette trade will have again been protected from a disruptive threat.”

It’s a terrible irony that a scientist who made no secret of his contempt for cigarette companies has in the twilight of his career become their unwitting ally.

For more, please read the Undark story.

Bans on substances that people want can have unintended consequences

“In almost every respect imaginable, Prohibition was a failure,” writes Daniel Okrent in Last Call: The Rise and Fall of Prohibition. The war on drugs has, if anything, been worse.

Why, then, do people want to ban e-cigarettes? Or flavored e-cigarettes? Have anti-tobacco warriors like the Campaign for Tobacco-Free Kids and the Truth Initiative and their political allies forgotten history?

My latest story for Medium looks a new research that points to a path forward for e-cigarettes that, at least in theory, could satisfy all but the most uncompromising voices on both sides of the great vape debate. Increasingly, evidence shows that it’s possible to make it harder for young people to vape, while preserving access to e-cigarettes for smokers who use them to quit.

You can read the story here.

Last month, a scientific journal published a peer-reviewed study with encouraging news for anyone concerned by the impact of smoking on health.

The study in the American Journal of Health Behavior identified more than 17,000 cigarette smokers who purchased a Juul starter kit, which includes a rechargeable e-cigarette and four flavored pods. A year later, more than half said they had stopped smoking and switched to e-cigarettes, which, by nearly all accounts, cause much less harm than combustible tobacco.

“It is a startling result,” says Cheryl Healton, the dean of New York University’s School of Public Health and former president of the Truth Initiative, an anti-tobacco nonprofit. The study has limitations, she says, but its findings align with experience in the UK, where smoking has declined sharply as public health authorities encourage smokers to switch to e-cigarettes.

There’s just one problem: The study was conducted by Juul Labs.

The research, as a consequence, has been summarily dismissed by tobacco control activists.

This is understandable. It’s also unwise.

You can read the rest of this story on Medium.