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Private hospitals and doctors may also require payment in advance

While traditional Marlboro Red flaunts its cowboy heritage, Platinum opts for sleek silver tones, minimalist typography, and a refined look that appeals to todays urban smokers

Ads targeted women too, according to the American Heart Association, designing "feminine package designs" and labeling some cigarettes with "feminine names." The companies specially sought out female customers with ads in women's magazines promoting brands like Virigina Slim and now more than 40% of women smoke menthols, compared with 31% of men, according to the FDA

There is a close relationship between the amount of tobacco smoked and the rate of decline in forced expiratory flow in one second (FEV 1 ), although individuals vary greatly in susceptibility (Fletcher 1977)