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Habits are hard to break and smoking in these situations can feel like second nature to someone who has smoked for many years

Yet the real-world evidence documents sustained addiction, and commonly dual use with continued public health impact

The director of the US FDAs Center for Tobacco Products published a commentary in Nature Medicine in 2023 warning about the health impacts of the lack of awareness of the continuum of risk among people who use tobacco products

A potential solution to tobacco-related deaths is a corporate death penalty otherwise known as judicial dissolution when a judge revokes a corporations charter for causing significant harm to society

The short version: expect the authorized list to grow slowly, expect more enforcement on unauthorized imports, and expect state registries to keep tightening what's available locally