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Jetson E. Lincoln
Montclair, NJ

JAMA. 1994;271(9):660.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—If cigarette smoking is as lethal as authorities continue to say it is,¹ why have the experimental outcomes of randomized intervention trials^2-5 failed to date to indicate (by generating greater mortality rate reductions among baseline-defined smokers than among baseline-defined nonsmokers) that successful smoking cessation guidance prolongs survival? How can the outstanding longevity of Japanese men be reconciled with a smoking prevalence among them that is higher than for most other countries? Why is the approximate 4.6:1 ratio of male-to-female cigarette smoking prevalence for Japan, vs only about 1.3:1 for the United States, not reflected in a wider gap between men's and women's life expectancy for the Japanese than for the Americans?

Financial Disclosure.

—Mr Lincoln has about 20% of his pension under the control of Philip Morris, and about 15% of his net worth is in tobacco company securities. . . . [Full Text PDF of this Article]

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