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Citation on PubMed Byers PH, Belmont J, Black J, De Backer J, Frank M, Jeunemaitre X, Johnson D, Pepin M, Robert L, Sanders L, Wheeldon N

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Most US states set the legal smoking age at 18, while a handful have set it higher at 19

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These problems of pyramiding and increasing costs can exacerbate issues surrounding illicit trade (which could further reduce state tax collections)

For years, conventional tobacco growers and manufacturers have experienced continually declining demand due to stricter regulations, steep tax hikes, and sometimes rather hostile anti-tobacco campaigns