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Going beyond Using Pack-Years for COPD and Lung Cancer First and foremost, patients and healthcare providers should recognize that it is the number of years smoked, and not how much tobacco one smokes daily, that is the most important measure associated with risk of adverse health outcomes in COPD and lung cancer

Now, incredibly, with COVID-19 we are witnessing the same foot-dragging of politicians, the same payouts to vested interests, and the same fear on the part of academia and organized medicine in speaking truth to power

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