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Quite controversially, the EAC-PM paper argues this creates a moral hazard : when the state absorbs the cost of treating chronic diseases, the personal financial risk against risky behaviour of consuming tobacco weakens

This might help explain the link between COPD and lung cancer in smokers and may provide guidance for management and prevention strategies for COPD and lung cancer

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10.1056/NEJMsa020660 Fiore M, Panel USTU and DG: Treating Tobacco Use and Dependence: 2008 Update: Clinical Practice Guideline