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His first explanation is that The Americans have no neighbors and consequently no great wars, except, of course, with themselves (the Civil War of 1861-1865 was at the time the bloodiest and most sophisticated war fought anywhere in the world)

This divergence is not accidental but driven by fundamental differences in market geography, RRP strategies and execution, historical investment impacts, and regulatory environments

Barriers include time constraints, insufficient training on tobacco dependence and treatment, lack of confidence among clinicians on their ability to effectively deliver cessation interventions, a perception on the part of some clinicians that tobacco dependence treatment is not effective, limited clinician time and reimbursement to provide treatment to patients, and failure to fully engage other clinical staff in providing cessation support to patients (Rojewski et al

Hes not some goof ball
