The illusion of choice: How the tobacco industry’s messaging contradicts the truth about nicotine addiction

For decades, the tobacco industry has relied on a powerful narrative to protect its interests: the idea that using tobacco is a “personal choice.” Wrapped in the language of freedom, individuality, and responsibility, this messaging has shaped public opinion and policy for decades – while masking a far more troubling reality, especially for children and teens.
As a parent, you are on the front lines of a critical public health issue: nicotine addiction among young people. Understanding how the tobacco industry’s language has distorted the conversation – and how science has exposed the truth – can help you protect your child from a lifetime of addiction.
A brief history of “freedom of choice” in tobacco marketing
The “personal choice” argument took center stage in the 1980s when a wave of lawsuits against the tobacco companies came after decades of being under fire for the health harms of smoking.12 Rather than deny the harms outright, the industry shifted tactics. Their message: Adults know the risks, and they are free to choose whether to smoke. This message evolved into broader themes of individual freedom, resistance to government “nannying,” and personal responsibility.1
But this framing was always a smokescreen.
Internal documents revealed through lawsuits showed that tobacco companies knew early on that their products were powerfully addictive – and that young people were especially vulnerable.3 They weren’t defending adults’ freedom; they were targeting children and teens, ensuring that addiction started early and lasted a lifetime.456
New kinds of nicotine, like nicotine salts, allow for rapid, high-dose nicotine exposure, increasing the addictive potential.7
The reality: Nicotine addiction is a pediatric disease
Contrary to the industry’s narrative, nicotine addiction is not the result of informed adult decisions. It is, overwhelmingly, a pediatric disease – in other words, it’s a disease that primarily impacts children and teens.89
Here’s what we now know:
- The majority of adults addicted to nicotine products began before the age of 18.8 Youth who initiate nicotine use are more likely to develop dependence than adults initiating use later in life.10 The tobacco industry knows this.11 That’s why they’ve marketed to youth – directly or indirectly – through appealing tech devices and social media influencers.12
- Kids as young as 7 are trying vaping.13 In 2024, newer nicotine products like vapes and nicotine pouches were the most commonly used products among California youth.14 Today’s youth are picking up vapes at even younger ages, when their brains are most vulnerable to addiction.
- Adolescents are biologically more vulnerable to addiction. The developing brain is especially sensitive to nicotine. Exposure during adolescence changes the brain’s reward system, increasing the risk of long-term dependence.1516
- Nicotine hijacks the brain’s ability to make “choices.” Addiction alters brain chemistry and decision-making processes. Once someone is addicted – especially a young person – their ability to freely choose is compromised. They are no longer making a personal decision; their brain is demanding nicotine.17
So, when the tobacco industry says, “it’s just a personal choice,” they ignore the science of addiction – and how that science shows the loss of real choice.
How the message is still being used today
Today, this same message – freedom of choice and personal responsibility – is being repackaged by vape companies. Brands claim their products are “for adult smokers only,” yet their flavors, designs, and marketing strategies scream otherwise.20 And when youth usage spikes, the companies deflect responsibility, blaming peer pressure, or kids themselves.2122
But this is no accident. It’s a playbook the industry has used for decades.2324

“Smart” vapes not only come with screens that serve up video games, they also track nicotine usage or puffs to earn rewards and even receive social media alerts.25
The bottom line
The idea that tobacco and nicotine use is just a “personal choice” has always been a myth – one designed to shield the tobacco industry from accountability. In reality, nicotine addiction starts early, targets young brains, and robs people of real choice.
As parents, you have the power to expose this myth and protect your children from a dangerous industry that thrives on addiction. Let’s give our kids the facts, not the fiction, and ensure they have the freedom to grow up nicotine-free.
- Friedman LC, Cheyne A, Givelber D, Gottlieb MA, Daynard RA. Tobacco industry use of personal responsibility rhetoric in public relations and litigation: disguising freedom to blame as freedom of choice. Am J Public Health. 2015;105(2):250-260. doi:10.2105/AJPH.2014.302226
- Mejia P, Dorfman L, Cheyne A, et al. The origins of personal responsibility rhetoric in news coverage of the tobacco industry. Am J Public Health. 2014;104(6):1048-1051. doi:10.2105/AJPH.2013.301754
- Campaign for Tobacco-Free Kids. Tobacco company marketing to kids. Updated August 6, 2024. Accessed April 9, 2025. https://assets.tobaccofreekids.org/factsheets/0008.pdf
- Glantz, SA, Slade J, Bero LA, Hanauer P, and Barnes DE. The Cigarette Papers. Berkeley: University of California Press, c1996 1996. http://ark.cdlib.org/ark:/13030/ft8489p25j/
- Cummings KM, Brown A, O'Connor R. The cigarette controversy. Cancer Epidemiol Biomarkers Prev. 2007;16(6):1070-1076. doi:10.1158/1055-9965.EPI-06-0912
- U.S. Department of Health and Human Services. The Health Consequences of Smoking: The Changing Cigarette. Office of Smoking and Health. Published 1981. Accessed April 9, 2025. https://digirepo.nlm.nih.gov/ext/document/101584932X305/PDF/101584932X305.pdf
- Christen SE, Hermann L, Bekka E, et al. Pharmacokinetics and Pharmacodynamics of Inhaled Nicotine Salt and Free-Base Using an E-cigarette: A Randomized Crossover Study. Nicotine Tob Res. 2024;26(10):1313-1321. doi:10.1093/ntr/ntae074
- Kessler DA, Natanblut SL, Wilkenfeld JP, et al. Nicotine addiction: a pediatric disease. J Pediatr. 1997;130(4):518-524. doi:10.1016/s0022-3476(97)70232-4
- U.S. Surgeon General: Any E-Cigarette Use by Youth is Dangerous. American Lung Association. Accessed April 9, 2025. https://www.lung.org/media/press-releases/us-surgeon-general-ecigs#:~:text=%22The%20U.S.%20Surgeon%20General%20is,11.0%20to%2020.9%20percent)%2C%2096
- DiFranza JR, Savageau JA, Fletcher K, et al. Susceptibility to nicotine dependence: the development and assessment of nicotine dependence in youth 2 study. Pediatrics. 2007;120(4):e974-e983. doi:10.1542/peds.2007-0027
- American Lung Association. (2023). 10 Really Bad Things the Tobacco Industry Has Done to Entice Kids to Start Smoking | State of Tobacco Control. Www.lung.org. https://www.lung.org/research/sotc/by-the-numbers/10-bad-things-to-entice-kids
- National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. Centers for Disease Control and Prevention (US). Published 2016. Accessed April 17, 2024. https://www.ncbi.nlm.nih.gov/books/NBK538680/pdf/Bookshelf_NBK538680.pdf
- Chen X, Yu B, Wang Y. Initiation of Electronic Cigarette Use by Age Among Youth in the U.S. Am J Prev Med. 2017;53(3):396-399. doi:10.1016/j.amepre.2017.02.011
- California Youth Tobacco Survey 2024. Sacramento, CA: California Department of Public Health; 2025.
- Goriounova NA, Mansvelder HD. Short- and long-term consequences of nicotine exposure during adolescence for prefrontal cortex neuronal network function. Cold Spring Harb Perspect Med. 2012;2(12):a012120. doi:10.1101/cshperspect.a012120
- Yuan M, Cross SJ, Loughlin SE, Leslie FM. Nicotine and the adolescent brain. J Physiol. 2015;593(16):3397-3412. doi:10.1113/JP270492
- Benowitz NL. Nicotine addiction. N Engl J Med. 2010;362(24):2295-2303. doi:10.1056/NEJMra0809890
- Youth E-Cigarette Use Drops to Lowest Level in a Decade. U.S. Food and Drug Administration. Published 2024. https://www.fda.gov/news-events/press-announcements/youth-e-cigarette-use-drops-lowest-level-decade
- Halpern-Felsher B. Stanford REACH Lab. Cigs in an E-Cig infographic. https://med.stanford.edu/halpern-felsher-reach-lab/resources.html
- Truth Initiative. E-cigarettes fact sheet. Published October, 2024. Accessed April 9, 2025. https://truthinitiative.org/sites/default/files/media/files/2024/10/E-Cigarette%20Factsheet_10.24_0.pdf
- Peebles A. Campaign for Tobacco-Free Kids slams Juul’s ‘fake apology.’ CNBC. July 15, 2019. https://www.cnbc.com/2019/07/15/juuls-apology-fake-campaign-for-tobacco-free-kids-says.html
- Corbett E. Juul Offered to Pay School Systems to Develop Vaping Curriculums Blaming Peer Pressure, Report Says. Fortune. Published October 31, 2018. Accessed May 30, 2025. https://fortune.com/2018/10/31/juul-pay-schools-tackle-teen-vaping/
- National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. Centers for Disease Control and Prevention (US). Published 2016. Accessed April 17, 2024. https://www.ncbi.nlm.nih.gov/books/NBK538680/pdf/Bookshelf_NBK538680.pdf
- Landman, A., Ling, P. M., & Glantz, S. A. (2002). Tobacco Industry Youth Smoking Prevention Programs: Protecting the Industry and Hurting Tobacco Control. American Journal of Public Health, 92(6), 917–930. https://doi.org/10.2105/ajph.92.6.917
- Galimov A, Obaid L, Unger J. Smart Disposable E-Cigarettes: characteristics and capabilities of new generation devices. Tobacco Control Blog. March 25, 2025. https://blogs.bmj.com/tc/2025/03/25/smart-disposable-e-cigarettes-characteristics-and-capabilities-of-new-generation-devices/
- Chen X, Yu B, Wang Y. Initiation of Electronic Cigarette Use by Age Among Youth in the U.S. Am J Prev Med. 2017;53(3):396-399. doi:10.1016/j.amepre.2017.02.011
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