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It is estimated that half the population eligible for lung cancer screening have either no insurance or Medicaid, which varies by state, preventing uptake due to high out-of-pocket (OOP) costs ( What compounds the financial challenge is the fragmentation of the insurance system

For a long time, cigarette smoking was perceived as a symbol of wealth, glamour and sophistication, whereas nowadays it is largely recognised as the first preventable or modifiable cause of common diseases in developed societies.1,2 The prevalence of smoking worldwide is substantial and is associated with a high attributable disease burden

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