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Local control and increasing civic engagement is at the heart of our broader goal of educating the public about the health effects caused by secondhand smoke and changing attitudes regarding smoking in ways that harm other people.Ballot campaigns are always a challenge and often very expensive

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About one in three adults report exposure to secondhand smoke in public places (34%)

Furthermore, we have come to understand that, for beneficiaries, the benefits of receiving services from providers associated with ACOssuch as improvements in quality and coordinated caremay not be immediately apparent