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doi: 10.1001/jama.2023.13137 21
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The $4 billion cost of illicit tobacco in 202324, through lost tax revenue, healthcare costs and reduced productivity, marks a four-fold increase since 202021 and cements tobacco as the second-largest illicit commodity market after drugs
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All of this has led some state lawmakers and health lobbyists to double down
We then discuss implications for the development of novel prevention and treatment efforts