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But onlookers might be surprised to hear that tobacco companies are spending a fortune this election year to get one or another increase in that tax passed, while health groups are urging a no vote

they mostly concern how the product is packaged and how it is "likely to be smoked." In many cases, roll-your-own makers took exactly the same tobacco product and just changed the label to read "pipe tobacco." The main take away from this report is that taxes substantially affect consumer and industry behavior

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3 min read Dr Kristyn Gregory, D.O., is a former medical direct

The matter was put forward not as a thesis but as an absolute fact