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An Ethical Dilemma While recognizing that the public health goals of tobacco prevention and cessation remain paramount, an ethical question arises as to whether these ads should continue to be hard-hitting or whether public health communication messages should be reframed to try to reduce stigma and blame that could be experienced by the 16 million Americans living with smoking-related diseases [30]

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"California is taking a firm stance against the tobacco industry's tactics to target our youth," said Governor Gavin Newsom