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The journey of quitting smoking can be pretty challenging

References in this section to a plan providing a reward include both providing a reward (such as a discount or rebate of a premium or contribution, a waiver of all or part of a cost-sharing mechanism, an additional benefit, or any financial or other incentive) and imposing a penalty (such as a surcharge or other financial or nonfinancial disincentive)

To quote John Ciardi: You dont have to suffer to be a poet

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For these countries to achieve 50 by 50, more than a doubling of the rate of improvement would be needed