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But even from the earliest days of the endowment, the trustees and staff did not fund hospitals qua hospitals, but rather hospitals as a means to the object of good medical service. The Duke Endowments workincluding funding the first group health plan in the Carolinas and putting the states ahead of the curve in outpatient careultimately raised standards of medical care in the Carolinas

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Vaping devices may also serve as a transitional tool for reducing dependency, though they are not entirely risk-free

Less harmful to bystanders Secondhand vapor is significantly less toxic than cigarette smoke , making vaping a more socially acceptable alternative