I believe it was established by the department of health and human services (DHHS)
Required a health warning on cigarette packages, prohibits cigarette advertisements on tv and radio, institues the 4 warning labels all listed as Surgeon General's Warnings, made domestic flights of less than 2 hours smoke-free, restricting sales to anyone under 19
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Defense mechanisms are those that hep you to protect yourself from difficult feelings as the question explains.
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IT can cause lots of severe internal damage
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