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Further research should follow this lead and develop, implement, and evaluate a range of policy interventions in addiction treatment programs, such as smoke-free grounds, no evidence of smoking among staff during working hours, and funding to increase availability of smoking cessation interventions. Follow CJ on Forbes and Twitter for more coverage of end-of-life care and the culture of medicine.

By incorporating these concrete solutions and innovative recommendations, public health efforts can move beyond generic interventions and address the root causes of smokeless tobacco use