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This increase is extremely troubling, says Brian Jenssen, pediatrician at Childrens Hospital of Philadelphia and assistant professor at the Pearlman School of Medicine at the University of Pennsylvania

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Its much harder for the everyday citizen in a town, or in a city or county, to have that conversation, with that intensity, with their state legislators. Other public health advocates say that, since Citizens Unitedthe 2010 Supreme Court decision that deemed unconstitutional a federal law restricting corporate money in politicslawmakers receptivity to industry desires has only grown