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This bidirectional causative relationship between economic growth and health improvement presents an opportunity for a self-enforcing spiral that perpetuates itself either upwards or downwards.
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This problem is bidirectional.
And the resistance is bidirectional.
"Is there a causative relationship?
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Smoking and OSAS have a bidirectional relationship.
"An association is not necessarily causative".
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But the relationship may not be causative.
"I will not revisit the causative factors of my humiliation".
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