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While it may appear simple, rolling a clean, even blunt by hand is a skill that comes with practice and patience

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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

Cuts to the DSH program, enacted as part of the Affordable Care Act, have been deferred by Congress year after year