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Surveying the assault on truth, Michael Siegel, a physician, former CDC researcher, and professor of public health at Boston University, concluded in spring 2019 that the tobacco-control movement had committed "public-health malpractice by misrepresenting the health effects of vaping." The public has been swept up in an "availability cascade," a term coined by economist Timur Kuran and regulatory expert Cass Sunstein to denote "a self-reinforcing process of collective belief formation." Cascades gain unstoppable momentum as the public hears the same message repeatedly and believes it is true