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There is no profit incentive for the hospital to prohibit smoking.' Letter from Alan Blum, MD, editor of the New York State Journal of Medicine , inviting Judy Shaw, an executive of the American Hospital Association, to contribute an essay on smoking and hospitals for a theme issue in July 1985 on the world tobacco pandemic (2 pages) November 21, 1984 I believe I have heard every rationalization in the book from hospital administrators concerning their unwillingness to create a smokefree hospital setting