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Implementing policies without such education and buy-in from the community and policymakers can backfire and leave communities susceptible to tobacco industry arguments that aim to confuse, obfuscate, or mislead the public about these policies and twist the debate over endgame policies to their advantage

They are not cheap

It also causes heart disease and stroke

Check availability of sticks: Ensure local retailers stock compatible tobacco consumables

A consequence of high state cigarette excise tax rates has been increased smuggling as people procure discounted packs from low-tax states and sell them in high-tax states