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This decline translates to $116 million less cigarette tax revenue for Massachusetts (not including sales taxA sales tax is levied on retail sales of goods and services and, ideally, should apply to all final consumption with few exemptions

Prospective, multi year population-based studies are needed in order to fully understand the long-term health effects of vaping at the population level and to analyze parallel trends in their effect on helping current smokers to quit smoking

It is only a couple of years ago that everything became clear

JAMA, 284(20), 26062610

And individuals with a substance use disorder other than cannabis were 7.5 times more likely to be smokers. According to Goodwin, this means that all efforts and strategies to inhibit smoking including commercial campaigns and higher taxes on tobacco products had no impact on people with substance abuse disorders