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The presence of a two-tier system may therefore perpetuate inequities as individuals with greater socioeconomic advantage can access private surgery, whereas Mori, Pacific, rural, and socioeconomically deprived populations remain disproportionately reliant on constrained public services [4, 5, 9, 10, 23, 31]

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Too little tobacco or filler that is too loosely packed can allow air to flow through the tube too quickly and accelerate the burn