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The cost of cigarettes (national average of $4.26 a pack) does not reflect the true cost of smoking them (estimated at $10.28 a pack for health costs and productivity losses)

The drawback of having differing sales restrictions is a patchwork of local policies where someone who cant buy flavored tobacco in their town can just cross a city line to buy it in a town that does allow it. David Timberlake, PhD The burden of disease and death from tobacco use in the United States is overwhelmingly caused by smoking cigarettes and other tobacco products

31 Associated with this tax increase, reported sales of tobacco dropped by 30% and government revenue from tobacco taxes increased by 38%

And those determined to do so have ready access to 19-year-old friends to buy tobacco for them