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states in the South and Midwest with smoking rates that exceed not only the national average but that of many countries with the highest smoking rates in the world

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Several groups suggested ways to improve the RYO inserts, which generally involved replacing messaging perceived as negative with motivational text, and including factual information about the benefits of cessation, eg, Something that motivates you to stop smoking (FG1, 18-24F)

The Republican Party spread across America, coalescing diverse factions into a new political movement that would dominate American politics for the next 76 years, winning 14 of the next 19 Presidential elections