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The specific excise duty on tobacco products is set to reach 32 per 1,000 cigarettes in 2026, with further climbs scheduled for 2027 and 2028

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However, other studies contradict these reports, and its crucial to note that e-cigarettes are not approved by the US Food and Drug Administration as smoking cessation devices

The analytic SAS and R code used in this study is available via GitHub at De-identified NHIS analytic datasets are accessible upon application through the NHIS Big Data Platform, subject to NHIS approval and data extraction procedures, and can be analyzed within NHIS-designated secure analysis environments