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Reducing inequalities in smoking rates is difficult in the context of: (1) limited evidence of successful strategies for tobacco control in disadvantaged populations and (2) knowledge about the wider social and economic determinants of health.28 Assessing tobacco control policies through a social justice lens, the ethicist Voigt60 notes the paradox that while, on the one hand, social justice concerns can strengthen the case for tobacco control policies because such policies disproportionately benefit the health of the disadvantaged, the harms associated with such policies () too, will fall largely on the disadvantaged

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