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Brownstone Institute

The Pandemic Planners Come for Hoof and Hen…and Us Again

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From the Brownstone Institute

By Clayton J. Baker, MD  

“Pandemic preparedness” is a gigantic, deadly protection racket. I have described it in the past as arsonists running the fire department. That is precisely what happened with Covid, and that is what is being attempted with H5N1 Bird flu.

On December 31, 2024, the world received a year-end parting gift from the good folks at NIAID, Anthony Fauci’s old fiefdom at the National Institutes of Health. NIAID – the same unaccountable and secretive agency that Fauci used to fund the gain-of-function research of Ralph Baric at UNC Chapel Hill and the Bat Lady in Wuhan that resulted in Covid – has a new director, one Dr. Jeanne Marrazzo.

Marrazzo and another NIAID colleague, Dr. Michael G. Ison, wrote a year-end editorial in the New England Journal of Medicine that accompanies a research paper on recent H5N1 Bird flu cases in the United States, as well as a case report of a lone case of severe illness associated with Bird flu in British Columbia.

Marrazzo and Ison summarize the findings of the research paper and case report as follows:

Investigators now report in the Journal a series of human cases from the United States and Canada. The former series involves 46 case patients with generally mild, self-limited infection with [Influenza type] A(H5N1): 20 with exposure to poultry, 25 with exposure to dairy cows, and 1 with undefined exposure.…Most case patients presented with conjunctivitis, almost half with fever, and a minority with mild respiratory symptoms, and all recovered. The only hospitalization occurred in the case patient with undefined exposure, although hospitalization was not for respiratory illness.

They elaborate on the single case of serious illness:

In Canada, a 13-year-old girl with mild asthma and obesity presented with conjunctivitis and fever and had progression to respiratory failure…After treatment that included oseltamivir, amantadine, and baloxavir, she recovered.

In other words:

  • Over an eight-month period, from March to October 2024, 46 cases of human bird flu occurred in the United States, a country of 336 million people.
  • There were zero deaths.
  • 45 out of 46 infected persons had known exposure to animals.
  • The majority of the cases consisted of conjunctivitis (commonly known as “pink eye”).
  • Only one US patient was hospitalized, but this was not due to pneumonia – the principal life-threatening complication of influenza – and the patient recovered.
  • One severe case was identified in Canada, a country of 40 million people, in an asthmatic, morbidly obese girl. She was treated successfully with respiratory support and existing antiviral medications, and she recovered.

Does this sound to you like a public health emergency worthy of the legacy media’s recent exhumation of discredited Covid-era fear-mongers like Dr. Leana Wen and Dr. Deborah “Scarf Lady” Birx? Does it justify their hair-on-fire pronouncements on cable news shows everywhere, pushing for indiscriminate PCR testing of animals and emergency authorization of more mRNA vaccines for humans?

Does this sound to you like justification to continue to kill and destroy (pro tip: “cull” means kill and destroy) millions upon millions of farm animals, when most animals who contract Bird flu survive, recover, and develop immunity?

Does this sound to you like justification for another Emergency Use Authorization of another mRNA vaccine?

No? Me neither.

But wait, there’s more.

In their editorial, NIAID experts Marrazzo and Ison fail to mention the following:

  • There have been zero cases of human-to-human transmission of this virus.
  • The current circulating clade of the virus has been determined by independent researchers to very likely have originated at a US Government gain-of-function laboratory, namely the USDA Southeast Poultry Research Laboratory (SEPRL) in Athens, GA.
  • Multiple bioweapons laboratories, including the Yoshihiro Kawaoka lab at the University of Wisconsin, and the Ron Fouchier lab in the Netherlands (both of which have been affiliated with NIAID and with work done at SEPRL) have been doing gain-of-function research on Bird flu for many years, including experiments so outrageously dangerous that their work prompted President Obama’s ultimately unsuccessful ban of gain-of-function research in 2014.
  • In 2019, NIAID reapproved and resumed funding Kawaoka and Fouchier’s dangerous work at increasing human transmissibility of Bird flu – the very same gain-of-function research that had prompted Obama’s ban.
  • According to its package insert, Audenz, the current Bird flu vaccine, was associated with death in 1 out of every 200 recipients, compared to 1 in 1,000 placebo recipients.
  • According to openthebooks.com, and as reported in the New York Post, NIH scientists received royalties totaling $325 million from pharmaceutical companies and foreign entities over more than a decade.

So, what are our friends at NIAID’s recommendations?

For one, they stress the “urgent need for vigilant surveillance of emerging mutations and assessment of the threat of human-to-human transmission.”

Are they advocating for the willy-nilly testing of entire livestock herds, as promoted by Birx, which is sure to create a preponderance of false positives?

Are they calling for the continued mass killing and destruction of millions upon millions of farm animals, whenever a fraction of the animals test positive for the virus?

Instead of PCR-swabbing every cow, chicken, and farm worker on Earth, how about we stop creating new mutant variants of H5N1 in the labs, since that’s where the current problem originated? How about we stop funding such utter madness with our tax dollars, funneled through corrupt government agencies like NIAID?

After all, you don’t save Tokyo by creating Godzilla.

But Marrazzo and Ison make no mention of this common-sense, sane approach.
Instead, they also stress the need for more – you guessed it – vaccines. They write:

we must continue to pursue development and testing of medical countermeasures…Studies have shown the safety and immunogenicity of A(H5N1) vaccines…studies are ongoing to develop messenger RNA–based A(H5N1) vaccines and other novel vaccines that can provide protection against a broad range of influenza viruses, including A(H5N1).”

Aside from attesting to the “safety” of a product where 1 in 200 users die, the use of the word “countermeasures” is extremely telling. It is a military term, not a medical one. We have already seen this game played with Covid. The gain-of-function lab research is done to produce a lab-manipulated, weaponized version of a virus, a version that is transmissible among and toxic to humans – in other words, a bioweapon. The vaccine is the countermeasure to the bioweapon. The vaccine is the intellectual property of those who created the bioweapon, and it is worth a fortune once the weapon has been unleashed. It is as simple as that.

“Pandemic preparedness” is a gigantic, deadly protection racket. I have described it in the past as arsonists running the fire department. That is precisely what happened with Covid, and that is what is being attempted with H5N1 Bird flu.

Moving forward to a new administration that has expressed a commitment to rooting out corruption in the pharmaceutical/medical/public health realm, improving the health of citizens, and restoring trustworthiness in medicine, I recommend the following steps to combat the H5N1 Bird flu, and to end the “pandemic preparedness” racket that threatens to hold the world hostage again and again, as it did during Covid.

  • Immediately end and outlaw all gain-of-function and other bioweapons research in and funded by the United States, and apply all possible diplomatic pressure to eradicate it from the Earth.
  • Eliminate all special protections from liability for vaccines, including the 1986 National Childhood Vaccine Injury Act and the PREP Act.
  • Refocus Infectious Disease research on new therapeutics, rather than power-seeking and profit-driven vaccine development.
  • Completely reform the National Institutes of Health, and close the incorrigibly corrupt NIAID altogether.

The fear pornographers must be discredited. We must make realistic and sensible decisions about our food supply.

We must learn the lessons of Covid, and live in knowledge rather than in fear.

We must end the protection rackets, confidence games, and shakedowns that government insiders impose on us like mafiosi.

Happy New Year!

Author

C.J. Baker, M.D. is an internal medicine physician with a quarter century in clinical practice. He has held numerous academic medical appointments, and his work has appeared in many journals, including the Journal of the American Medical Association and the New England Journal of Medicine. From 2012 to 2018 he was Clinical Associate Professor of Medical Humanities and Bioethics at the University of Rochester.

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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

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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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