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Together, the legislative package brings Michigan in line with the federal Tobacco 21 legislation, raising the state age for tobacco sales from 18 to 21

[155] Concerns have been raised that non-combustible nicotine products could lead adolescents and young adults to start smoking cigarettes later on

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Concurrently, the authors found no beneficial effects of the surcharge on smoking cessation: Smokers facing medium and high surcharges were no more likely to quit than those in the zero-surcharge group

Yet, for years the press quoted these men as experts, and politicians listened to them, using their claims as justification for inaction