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Political impediments to a tobacco endgame
  1. Barry George Rabe
  1. Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, Michigan, USA
  1. Correspondence to Professor Barry George Rabe, Gerald R. Ford School of Public Policy, University of Michigan, 735 S. State Street, Ann Arbor, MI 48109, USA; brabe{at}


Any serious consideration of exploring a tobacco endgame in the USA must build upon the enviable track record of reducing tobacco use through a mixture of federal and state policies. This foundation may pose particular challenges in approaching an endgame, including questions of national political feasibility, public support, limitations of sub-federal experimentation and recruitment of future political champions. Advocates must demonstrate a compelling need for a dramatic expansion beyond existing efforts, amid competition from alternative issues and little apparent public appetite for such an initiative.

  • End game
  • Public policy
  • Public opinion
  • Taxation

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