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The first image of Joe Chemo ran in the Winter, 1996, issue of Adbusters magazine. The Joe Chemo campaign was adopted by in part by public health departments in Washington and Colorado, and the website continues to promote anti-smoking efforts through Joe Chemo

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The song is also referenced in the 1995 film Die Hard with a Vengeance where Bruce Willis's character says he was "working on a nice fat suspension, smoking cigarettes and watching Captain Kangaroo "

The whole process was known as 'rolling your own'