This same cause and effect theory tells us that: if the likelihood of quitting smoking is low, smoking will continue to kill people. It is like the system is broke, and we are foolish to continue to use the same tactics and expect different results. We continue to try to get smokers to quit, but as long as tobacco is available, people are going to suffer from .

In other words, the anti-smoking movement is violating the first principle of public health practice by doing public health harm.

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