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We should be trying to make sure they have access to appropriate health care rather than creating barriers." At the ALA we are very aware that people who smoke have a much higher chronic disease burden

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Last time you didnt think youd be able to manage without smoking at all and youve actually gone all week with only two cigarettes what did you do differently this time to make that happen? A goal of care when consulting with patients who are current smokers is to negotiate a firm quit date and to agree on not one puff from that point onwards