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First, many patients have already tried the evidence-based methods and have found them to be unhelpful.13-16 Indeed, even with the best combination of evidence-based treatments, only about 1 in 5 smokers will be abstinent 612 months later.12 Most lung cancer patients do try to stop smoking when given the bad news about their cancer diagnosis, but a significant percentage relapse back to smoking.7,8 Mostly, what clinicians tell patients who have relapsed is to try harder to quit, often recommending the same failed treatment options again

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As a result, both government and private funding of tobacco prevention and cessation efforts have languished or been redirected elsewhere