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The review also examines the harm reduction potential of snus as an alternative to cigarettes by comparing the prevalence of snus and cigarette use, and the reported incidence of tobacco-related diseases across EU countries

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But things have gotten worse for those states since then, as it turns out, because fewer people are smoking cigarettes

These dynamics underscore the diminishing effectiveness of repeated rate increases without structural reform, making gradual excise tier simplification a necessary and evidence-based response

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