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"We don't come in flying on a wire singing or beating on our chest," he said

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These Blue Cross Blue Shield insurance companies are independently and locally operated and together, they make up the Blue System, also nicknamed BCBS

The goal is to slash smoking rates from about 10% to less than 5% by 2035 as part of a campaign that last year introduced printed warnings, in English and French, on each cigarette, with one saying "poison in every puff." Rob Cunningham , senior policy analyst for the Canadian Cancer Society , said evidence from multiple studies worldwide shows the effectiveness of graphic images on cigarette packages, a strategy that dozens of countries have adopted