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"Once you have a substance out there like tobacco in wide use it's hard to turn around and make it illegal," said Arthur Caplan, a bioethicist at New York University School of Medicine's Division of Medical Ethics, "You can certainly tax it, you can certainly stigmatize it," and educate against its use

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38 Another Australian study over a 15-year period found that stricter controls on underage access to cigarettes were associated with lower smoking prevalence (although this relationship became non-significant after adjusting for other policies, demographics and survey year, possibly due to an absence of information on the strength of enforcement)

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