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The shift from class action to individual lawsuit was an early template for the modern mass tort structure now used across pharmaceutical, medical-device, and toxic-exposure litigation

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77 In fact, human studies reveal that smokers with gastrointestinal reflux disease have a 44% increased risk of Barretts esophagus compared with nonsmokers with gastrointestinal reflux disease

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They also found that those with lower SES were more likely to initiate smoking, progress to become regular smokers, and sustain a smoking career than those with higher SES