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Though Hollywood has long imposed penalties for onscreen smoking, driving up the MPAA rating with each puff, it does not deter film-makers

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Once they get their data, though, if they can send them a digital coupon or get them to download an app, they get a direct channel to do more microtargeting of their customer base and monitor their behavior. Brand ambassadors report being encouraged to bend the rules In interviews with Vox, former brand ambassadors said the program was often shady and ineffective, with the coupons easily passing into the hands of nonsmokers or being claimed by repeat customers

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Amy Buchanan, MD , is a family medicine physician at Loyola Medicine