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This finding aligns with the Van Meter and Van Horn 18 framework that clear communication and well-informed implementers are vital to successful policy implementation

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Smoker rates can vary by 40% or more between companies for the same applicant tobacco underwriting is far less standardized than non-smoker underwriting, so the same health profile gets priced very differently across carriers

Our findings show that despite having higher levels of nicotine, exclusive smokeless tobacco users had significantly lower concentrations of inflammation and oxidative stress biomarkers [indicators of cardiovascular disease] than cigarette smokers, Mary Rezk-Hanna, PhD, an assistant professor at the UCLA School of Nursing and the lead author of the study, said in a news release

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