This is a real Tweet from Time:

https://twitter.com/TIME/status/1191785650435088385

This is a selection from the embedded article:

The problem with MDIs is not carbon dioxide (the most common greenhouse gas), but rather two types of hydrofluoroalkane (HFA) gas, which represents a far smaller share of greenhouse emissions, but a much more powerful one. Even the least polluting inhaler was found to emit HFAs at levels equal to up to 10 kg (22 lbs.) of carbon dioxide into the air over the course of its 200-puff lifetime. The worst emitted the equivalent of more than 36 kg (79 lbs) of CO2.

So asthmatics have a carbon footprint that is more than their fair share?

Dry powder inhalers require patients to have at least enough lung strength to draw in the medication, and many do not. For them, the forced puff of an MDI is the only way to administer the drug.

This is very true.  MDIs are far better for children and elderly patients and are required for emergency asthma symptoms because the user needs to have enough lung strength to aerosolize the powder into the lungs.

Across the rest of Europe, less than 50% of inhalers prescribed are MDIs and in Scandinavia it’s barely 10%. The difference, in most cases, is less about pharmaceutical efficacy than simply local medical custom and practice.

Also, DPIs are (in general) more expensive.  The process of making the fine powder so that it can be inhaled is complex, so is the drug formulation.  Many DPIs are newer and still on patent while there are many generics of MDIs.

So it’s not just custom.  It’s cost, patient age, and a number of other factors.

As with so many things medical, the right solution is all about finding the proper balance between cost and benefits. In the case of asthma, the benefit of dialing back the aerosols and turning to alternatives whenever possible can accrue to not just individual patients, but the planet at large.

Use fewer aerosols.

I wonder if the climate change advocates who are criticizing asthmatics for their outsized carbon footprints have any words of criticism for these assholes in San Francisco?

I wonder how many kids with asthma worth of greenhouse gases that piece of shit put out so spray paint some teenage Swedish tyrant’s face on a building?

Leonardo DiCaprio can win humanitarian awards for speaking against climate change that he flew to in his private jet from his summer vacation on his diesel-burning mega-yacht in the Mediterranean.

But asthmatic children have to be put at risk by climate change busybodies who want to mandate which inhalers they use based on the metric of which is better for the climate and not the patient.

Every single person who conducted this study and then was involved in writing this article at Time (and everywhere else is has been published) should be forced to wrap their lips around the tailpipe and take a deep metered inhalation off my old 6.6L Duramax.