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When her role became public because of materials that Americans for Nonsmokers' Rights (ANR) had obtained from DHS under the California Public Records Act, Smoley defended her position to the American Cancer Society (ACS), ANR, and the American Heart Association (AHA), saying that she ordered the billboard pulled because it was found to be offensive for government to use taxpayer funds to call a private industry a liar (emphasis added).24 Smoley, a registered nurse, did not approve of accusing the tobacco industry of lying, despite the fact that accelerating litigation against the tobacco industry was revealing, Smoley also killed the television advertisement Insurance, which pointed out that insurance companies owned by tobacco companies gave nonsmoker discounts and then asked the question What do the tobacco guys know that they're not telling us? She objected to an image of tobacco executives shredding documents

Despite the positive outcomes, this study had some drawbacks

Reversing the hard-won gains in the global effort to curb smoking would be catastrophic