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It is up to you to make sure your cigarette is put out, all the way, every time

But the biggest shift, the one that has fundamentally changed what its like to eat in a restaurant or spend time in a bar, might be the switch to smoke-free dining rooms These days, being asked to choose smoking or non smoking is something of a novelty

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Massachusetts and California are further hampered by a preemption provision in the Tobacco Control Act that says states can enact laws more stringent than the federal law with regard to sales, marketing, and distribution but not ones that relate to tobacco product standards

However, the DEBRA study also has general methodological weaknesses, as is to be expected from large national surveys: for example, all data are self-reported