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Brownstone Institute

Harvard’s Latest Act of Shame

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9 minute read

From the Brownstone Institute

BY Peter C. GøtzschePETER C. GØTZSCHE 

This month, we received the very disturbing news that Professor Martin Kulldorff was fired from Harvard. His own account of what happened, “Harvard Tramples the Truth: When it came to debating Covid lockdowns, Veritas wasn’t the university’s guiding principle,” is an account of wrongdoing and a testimony to the rapid decline in scientific decency and the increase in censorship we have seen during Covid-19.

Martin was our first guest on Broken Medical Science, which we launched half a year ago. One of our reasons for creating the channel is the decline in free speech, unbiased reporting, and scientific honesty that the Covid-19 pandemic aggravated. Martin was the perfect guest for us because he stood his ground by being truthful to what the science told him.

Few people dared stand up to the madness that most of the world endured in 2020-2022. Officials and politicians made it clear that if anybody questioned their draconian policies about masks, lockdowns, and mandatory vaccinations – even of small children and people who had already been infected with the Covid-19 virus – the consequences would be dire and could include firing.

Scientists like Martin Kulldorff and John Ioannidis from Stanford, who will appear in a later podcast, have been proven right. Government policies were wrong on so many levels and led to tremendous collateral damage, which both professors pointed out to us.

Soon, the Supreme Court in the US will begin evaluating the censorship on social media that hit honest scientists. Martin is one of the plaintiffs and he explains in his article that,

At the behest of the U.S. government, Twitter censored my tweet for contravening CDC policy. Having also been censored by LinkedIn, Facebook, and YouTube, I could not freely communicate as a scientist. Who decided that American free-speech rights did not apply to honest scientific comments at odds with those of the CDC director?

Martin notes that, despite being a Harvard professor, he was unable to publish his thoughts in American media, which is why he took to social media, which then blocked him. This is extremely worrying for democracy in the US. Martin wanted to warn against lockdowns and he was right. He is Swedish, and as we discuss in our podcast with him, Sweden did better than virtually all other Western countries by not locking down and by not mandating facemasks. Numerous studies have shown Sweden’s excess death rate to be among the lowest in Europe during the pandemic and in several analyses, Sweden was at the bottom.

On Sunday, 24 March, we decided to test the censorship on YouTube. It took YouTube less than an hour to remove a video with professor Gøtzsche and professor Christine Stabell Benn, one of the most outstanding vaccine researchers in the world, in which they discuss non-specific beneficial and harmful effects of vaccines. The video is announced this way on our website:

In this episode, Peter C Gøtzsche discusses with Professor Christine Stabell Benn the research that has shown that live, attenuated vaccines reduce total mortality by much more than their specific effects would predict; that non-live vaccines increase total mortality; that the order in which the vaccines are given is important for mortality; what the harms are of the Covid-19 vaccines; and why they are overused.

YouTube informed us that, “Our team has reviewed your content, and, unfortunately, we think it violates our medical misinformation policy.”

We appealed and received YouTube’s standard message for appeals: “We reviewed your content carefully, and have confirmed that it violates our medical misinformation policy.” It took YouTube less than an hour to evaluate the video carefully. This is impressive, as it lasts 54 minutes. Who did this work and what are the credentials for this person? Are they any better than for the two professors who discussed vaccines? Hardly. It has been documented that fact-checkers rarely have any medical or scientific background and that they have very often labelled correct information as being false.

The video has been online on our website for 6 months, and we do not have censorship, of course. Why are social media still preventing rational scientific debate about the benefits and harms of vaccines? Free debate lies at the heart of science. This is what makes us all wiser and advances science.

The problem with censorship is that the public trust in science declines. People cannot know what has been hidden from them, which creates distrust that could reduce uptake of important vaccines.

Another reason why scientists must be allowed to debate freely online and in public is that policies and politicians operate in the public sphere. The current state where people are advised to ignore these debates if they come out at all and instead go to websites of governments, the World Health Organization, or the Centers for Disease Control and Prevention (CDC) to find “truthful” information is not what we want in an enlightened society.

Furthermore, official information has been proven wrong again and again, e.g. the information from the CDC about influenza vaccination is seriously misleading and contradicted by the most reliable science we have.

Censorship can cause other scientists to keep quiet for fear of harassment, which will aggravate the misinformation because those left will say what falls in line with current government policy.

Harvard, once an esteemed and trustworthy source in science, has lost its way. The firing of Martin for speaking freely during the pandemic is a disaster for Harvard’s reputation. There is a petition for having Martin reinstated at Harvard, but we hope he is not interested in going back, which does not deserve to have a professor like Martin among its faculty.

Martin should be honoured for his courage. He stayed loyal to the science, which all scientists should do, no matter the consequences for themselves, instead of being loyal to a world that ran amok in what looked like a competition in stupidity. History won’t be kind to what happened.

Author

  • Peter C. Gøtzsche

    Dr. Peter Gøtzsche co-founded the Cochrane Collaboration, once considered the world’s preeminent independent medical research organization. In 2010 Gøtzsche was named Professor of Clinical Research Design and Analysis at the University of Copenhagen. Gøtzsche has published more than 97 papers in the “big five” medical journals (JAMA, Lancet, New England Journal of Medicine, British Medical Journal, and Annals of Internal Medicine). Gøtzsche has also authored books on medical issues including Deadly Medicines and Organized Crime. Following many years of being an outspoken critic of the corruption of science by pharmaceutical companies, Gøtzsche’s membership on the governing board of Cochrane was terminated by its Board of Trustees in September, 2018. Four board resigned in protest.

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Brownstone Institute

Bizarre Decisions about Nicotine Pouches Lead to the Wrong Products on Shelves

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From the Brownstone Institute

  Roger Bate  

A walk through a dozen convenience stores in Montgomery County, Pennsylvania, says a lot about how US nicotine policy actually works. Only about one in eight nicotine-pouch products for sale is legal. The rest are unauthorized—but they’re not all the same. Some are brightly branded, with uncertain ingredients, not approved by any Western regulator, and clearly aimed at impulse buyers. Others—like Sweden’s NOAT—are the opposite: muted, well-made, adult-oriented, and already approved for sale in Europe.

Yet in the United States, NOAT has been told to stop selling. In September 2025, the Food and Drug Administration (FDA) issued the company a warning letter for offering nicotine pouches without marketing authorization. That might make sense if the products were dangerous, but they appear to be among the safest on the market: mild flavors, low nicotine levels, and recyclable paper packaging. In Europe, regulators consider them acceptable. In America, they’re banned. The decision looks, at best, strange—and possibly arbitrary.

What the Market Shows

My October 2025 audit was straightforward. I visited twelve stores and recorded every distinct pouch product visible for sale at the counter. If the item matched one of the twenty ZYN products that the FDA authorized in January, it was counted as legal. Everything else was counted as illegal.

Two of the stores told me they had recently received FDA letters and had already removed most illegal stock. The other ten stores were still dominated by unauthorized products—more than 93 percent of what was on display. Across all twelve locations, about 12 percent of products were legal ZYN, and about 88 percent were not.

The illegal share wasn’t uniform. Many of the unauthorized products were clearly high-nicotine imports with flashy names like Loop, Velo, and Zimo. These products may be fine, but some are probably high in contaminants, and a few often with very high nicotine levels. Others were subdued, plainly meant for adult users. NOAT was a good example of that second group: simple packaging, oat-based filler, restrained flavoring, and branding that makes no effort to look “cool.” It’s the kind of product any regulator serious about harm reduction would welcome.

Enforcement Works

To the FDA’s credit, enforcement does make a difference. The two stores that received official letters quickly pulled their illegal stock. That mirrors the agency’s broader efforts this year: new import alerts to detain unauthorized tobacco products at the border (see also Import Alert 98-06), and hundreds of warning letters to retailers, importers, and distributors.

But effective enforcement can’t solve a supply problem. The list of legal nicotine-pouch products is still extremely short—only a narrow range of ZYN items. Adults who want more variety, or stores that want to meet that demand, inevitably turn to gray-market suppliers. The more limited the legal catalog, the more the illegal market thrives.

Why the NOAT Decision Appears Bizarre

The FDA’s own actions make the situation hard to explain. In January 2025, it authorized twenty ZYN products after finding that they contained far fewer harmful chemicals than cigarettes and could help adult smokers switch. That was progress. But nine months later, the FDA has approved nothing else—while sending a warning letter to NOAT, arguably the least youth-oriented pouch line in the world.

The outcome is bad for legal sellers and public health. ZYN is legal; a handful of clearly risky, high-nicotine imports continue to circulate; and a mild, adult-market brand that meets European safety and labeling rules is banned. Officially, NOAT’s problem is procedural—it lacks a marketing order. But in practical terms, the FDA is punishing the very design choices it claims to value: simplicity, low appeal to minors, and clean ingredients.

This approach also ignores the differences in actual risk. Studies consistently show that nicotine pouches have far fewer toxins than cigarettes and far less variability than many vapes. The biggest pouch concerns are uneven nicotine levels and occasional traces of tobacco-specific nitrosamines, depending on manufacturing quality. The serious contamination issues—heavy metals and inconsistent dosage—belong mostly to disposable vapes, particularly the flood of unregulated imports from China. Treating all “unauthorized” products as equally bad blurs those distinctions and undermines proportional enforcement.

My small Montgomery County survey suggests a simple formula for improvement.

First, keep enforcement targeted and focused on suppliers, not just clerks. Warning letters clearly change behavior at the store level, but the biggest impact will come from auditing distributors and importers, and stopping bad shipments before they reach retail shelves.

Second, make compliance easy. A single-page list of authorized nicotine-pouch products—currently the twenty approved ZYN items—should be posted in every store and attached to distributor invoices. Point-of-sale systems can block barcodes for anything not on the list, and retailers could affirm, once a year, that they stock only approved items.

Third, widen the legal lane. The FDA launched a pilot program in September 2025 to speed review of new pouch applications. That program should spell out exactly what evidence is needed—chemical data, toxicology, nicotine release rates, and behavioral studies—and make timely decisions. If products like NOAT meet those standards, they should be authorized quickly. Legal competition among adult-oriented brands will crowd out the sketchy imports far faster than enforcement alone.

The Bottom Line

Enforcement matters, and the data show it works—where it happens. But the legal market is too narrow to protect consumers or encourage innovation. The current regime leaves a few ZYN products as lonely legal islands in a sea of gray-market pouches that range from sensible to reckless.

The FDA’s treatment of NOAT stands out as a case study in inconsistency: a quiet, adult-focused brand approved in Europe yet effectively banned in the US, while flashier and riskier options continue to slip through. That’s not a public-health victory; it’s a missed opportunity.

If the goal is to help adult smokers move to lower-risk products while keeping youth use low, the path forward is clear: enforce smartly, make compliance easy, and give good products a fair shot. Right now, we’re doing the first part well—but failing at the second and third. It’s time to fix that.

Author

Roger Bate

Roger Bate is a Brownstone Fellow, Senior Fellow at the International Center for Law and Economics (Jan 2023-present), Board member of Africa Fighting Malaria (September 2000-present), and Fellow at the Institute of Economic Affairs (January 2000-present).

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Addictions

The War on Commonsense Nicotine Regulation

Published on

From the Brownstone Institute

Roger Bate  Roger Bate 

Cigarettes kill nearly half a million Americans each year. Everyone knows it, including the Food and Drug Administration. Yet while the most lethal nicotine product remains on sale in every gas station, the FDA continues to block or delay far safer alternatives.

Nicotine pouches—small, smokeless packets tucked under the lip—deliver nicotine without burning tobacco. They eliminate the tar, carbon monoxide, and carcinogens that make cigarettes so deadly. The logic of harm reduction couldn’t be clearer: if smokers can get nicotine without smoke, millions of lives could be saved.

Sweden has already proven the point. Through widespread use of snus and nicotine pouches, the country has cut daily smoking to about 5 percent, the lowest rate in Europe. Lung-cancer deaths are less than half the continental average. This “Swedish Experience” shows that when adults are given safer options, they switch voluntarily—no prohibition required.

In the United States, however, the FDA’s tobacco division has turned this logic on its head. Since Congress gave it sweeping authority in 2009, the agency has demanded that every new product undergo a Premarket Tobacco Product Application, or PMTA, proving it is “appropriate for the protection of public health.” That sounds reasonable until you see how the process works.

Manufacturers must spend millions on speculative modeling about how their products might affect every segment of society—smokers, nonsmokers, youth, and future generations—before they can even reach the market. Unsurprisingly, almost all PMTAs have been denied or shelved. Reduced-risk products sit in limbo while Marlboros and Newports remain untouched.

Only this January did the agency relent slightly, authorizing 20 ZYN nicotine-pouch products made by Swedish Match, now owned by Philip Morris. The FDA admitted the obvious: “The data show that these specific products are appropriate for the protection of public health.” The toxic-chemical levels were far lower than in cigarettes, and adult smokers were more likely to switch than teens were to start.

The decision should have been a turning point. Instead, it exposed the double standard. Other pouch makers—especially smaller firms from Sweden and the US, such as NOAT—remain locked out of the legal market even when their products meet the same technical standards.

The FDA’s inaction has created a black market dominated by unregulated imports, many from China. According to my own research, roughly 85 percent of pouches now sold in convenience stores are technically illegal.

The agency claims that this heavy-handed approach protects kids. But youth pouch use in the US remains very low—about 1.5 percent of high-school students according to the latest National Youth Tobacco Survey—while nearly 30 million American adults still smoke. Denying safer products to millions of addicted adults because a tiny fraction of teens might experiment is the opposite of public-health logic.

There’s a better path. The FDA should base its decisions on science, not fear. If a product dramatically reduces exposure to harmful chemicals, meets strict packaging and marketing standards, and enforces Tobacco 21 age verification, it should be allowed on the market. Population-level effects can be monitored afterward through real-world data on switching and youth use. That’s how drug and vaccine regulation already works.

Sweden’s evidence shows the results of a pragmatic approach: a near-smoke-free society achieved through consumer choice, not coercion. The FDA’s own approval of ZYN proves that such products can meet its legal standard for protecting public health. The next step is consistency—apply the same rules to everyone.

Combustion, not nicotine, is the killer. Until the FDA acts on that simple truth, it will keep protecting the cigarette industry it was supposed to regulate.

Author

Roger Bate

Roger Bate is a Brownstone Fellow, Senior Fellow at the International Center for Law and Economics (Jan 2023-present), Board member of Africa Fighting Malaria (September 2000-present), and Fellow at the Institute of Economic Affairs (January 2000-present).

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