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Huge declines in the stock price in the late 1990s followed the master settlement, as a rise in litigation from smokers threatened to make the industry insolvent

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While acknowledging improvements, Orwell notes that the level of neglect and impersonal death seen in Hpital X would be less likely in English hospitals, attributing this partly to better-trained nurses

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R.SahuR.DharK.et al (2022)