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There is an increase in the use of nicotine pouches and e-cigarettes during the study period (figure 2)

In further discussion, they point out that their estimate includes $1.78 of cross-subsidies from nonsmokers to smokers, which may no longer occur because most life insurance policies adjust for smoking status

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adults surveyed by the FDA in 2015 were either unsure of the relationship between nicotine and cancer or incorrectly believed that nicotine caused cancer