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Abrams points out that e-cigarettes create a tension between those who believe in "abstinence" and those who believe in "harm reduction." My own general view is that while it's fine in many famioly and educational contexts to suggest that abstinence would be a sensible individual decision, public policy should focus less on enforcing abstinence and more on offering opportunities for harm reduction

Unfortunately, even though smoking rates have decreased in the last twenty years, the rate of smokers who successfully manage to maintain abstinence remains stable

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