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This indirect subsidy not only undermines efforts to reduce tobacco use but also provides the industry with a competitive advantage, allowing them to circumvent the intended public health outcomes of higher taxation policies

Altria pulled its own e-cigarettes off the market in 2018 after taking a nearly $13 billion stake in Juul, then the leader in the multibillion-dollar U.S

Moreover, rural peers may advocate for increased awareness, holistic support, and virtual opportunities to support current and future tobacco cessation efforts.

And among the 139 outpatients, with a median age of 44 years, 5.3% were daily smokers

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