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Marketing language that obscures these health harms, even indirectly through questionable pro-environment claims, ought to be prohibited. People need to be made aware of the risk of being manipulated by big brands that appeal to the environmental values of consumers to sell them products that are bad for their health. In an earlier, related study, the researchers found that the Natural American Spirit pack design, which also features icons of an American Indian smoking a pipe and a mythological thunderbird, creates misperceptions that American Indians own or grow the tobacco on tribal land making it in turn, healthier and more desirable

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Steps taken at the federal level including the Food and Drug Administrations proposed rules to remove menthol cigarettes and flavored cigars from the market will likely have large impacts in Tobacco Nation states, but need time to take effect