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The tax gain for Missouri is less than the tax loss for California and consumption may decrease more slowly due to the lower effective (tax-reduced) price for California smokers, but all the gains from trade stay within the country

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The National Health Interview Survey put adult cigarette smoking at 9.9% in 2024, the first time it fell below 10%, and 9.1% in 2025, down from a peak of 42.4% in 1965

His work constantly emphasizes patient-centred care and advancing treatment methods