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Whereas with marijuana, "we see this as an opportunity to address the harms of criminalization while also regulating cannabis." But health department opinions vary, even within the same state: New York's Association of County Health Officials opposes legalizing recreational weed

If we had a strong media campaign continuously and we had the counties and schools funded continuously, if everybody had been able to work the way it was supposed to, I think it would have been a lot more successful.105 The successes in California were instead achieved only in the face of a hostile tobacco industry, an equally hostile political system, and a body of advocates at the state level who were often slow to act