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You have a product that's killing half a million people a year and you put it in the same agency that regulates cancer chemotherapy drugs, you can pull one of those drugs off the market if it kills 10 people, but you can't pull a product, cigarettes, which is the leading tobacco product off the market for killing half a million people a year

Under these assumptions, more than half of the market would remain taxed, but slightly more than 40 percent of consumption would move into other legal tobacco or nicotine use (some taxed at lower rates and some not taxed at all) or illicit tobacco use

Food & Drug Administration (FDA) has regulated traditional tobacco products since 2009

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Lancet Respir Med 7:10171026 Ethics declarations Conflicts of interest None Additional information Publishers note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations

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