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However, for people who are not currently smoking, oral nicotine product use can lead to nicotine dependence, and a growing number of studies around use of nicotine products have found that nicotine dependence may be predictor of lifelong tobacco use and addiction as well as dual use of combustible tobacco and other forms of nicotine

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However, some high-value items, like jewelry or artwork, may have coverage limits

So when we tax them, those taxes are regressive. Aleks Casper, director of advocacy for the American Lung Association, said they endorse states using tax increases for so-called sin products like tobacco, in the hopes it will drive people to change their behavior