Health Affairs May 7, 2024
Howard K. Koh, Michael C. Fiore

Over the past century, generations of adults have become addicted to tobacco as adolescents, creating an epidemic that now annually kills nearly a half million people in the United States and 8 million worldwide. Somehow, society has accepted this level of human carnage as normal. But it shouldn’t.

Thanks to an unprecedented Massachusetts Supreme Judicial Court (SJC) ruling this March, the town of Brookline is allowed to ban tobacco sales to anyone born after 2000—a decision with national and global ramifications.

In 2021, Brookline became the first jurisdiction in the world to implement Tobacco-Free Generation (TFG– sometimes called Nicotine-Free Generation, NFG), a simple yet profound concept to stop the greatest preventable public health threat in its tracks. The ban...

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