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Additionally, only 18% now reported consumption of a pack or more per day.58 Although the industry would continue to solicit physicians with materials disputing the relationship between smoking and disease and would also seek out physicians who doubted the harmfulness of cigarettes in order to undermine emerging scientific findings, such efforts would be greeted with rising skepticism.59 The era of explicit use of physicians and health claims to promote smoking had ended even though the AMA would not publicly acknowledge the harms of cigarette smoking until 1978.60 The smoking physician had become a visual oxymoron