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As part of this, the FDA sees an important role for alternative products but in a world where cigarettes contain such a small amount of nicotine that they become unappealing even to lifelong smokers

The assessment items (e.g., types of products sold, flavors, health messaging) were selected exclusively for their policy relevance

It has fallen 15 places in the rankings over the past 15 years, despite reducing smoking by 58% over the same period

Over-the-road smuggling occurs when bulk cigarettes are purchased legally in low-tax states and shipped to higher-tax states, where the cigarettes may or may not receive counterfeit stamps and then sold in legal markets.[] Our empirical model controls only for over-the-road smuggling, as has been common in the literature, with the exception of Thursby and Thursby (2000)