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Smoking is the leading cause of preventable death in the country, killing 480,000 Americans prematurely each year

It also includes four challenges that networks face, that is, problem definition (whether proponents agree on what the problem is), positioning or framing (how proponents convey the issue to policymakers) 87 , governance (whether proponents have established effective leadership structures to coordinate action) and coalition-building (the extent to which proponents have built broad alliances) 85

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Positive feedback focuses on quality, effectiveness, and affordability

Writer John Sacksteder is a retired civil engineer in Louisville, Kentucky who has a lifelong love of music, particularly the blues